scholarly journals Airway Management for Cleft Palate Repair Surgery in an Pediatric Patient with Pierre Robin Syndrome: A Case Report

2021 ◽  
Vol 7 (2) ◽  
pp. 315-318
Author(s):  
Leyla ŞAMİL AYDIN ◽  
Yesim CETİNTAS ◽  
Zekiye BİGAT
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Cleft Palate ◽  
Pediatric Patient ◽  
Pierre Robin Syndrome ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Pierre Robin

Clinical Outcomes of the Furlow Z-Plasty for Primary Cleft Palate Repair

2008 ◽  
Vol 45 (5) ◽  
pp. 501-510 ◽  
Author(s):  
Rohit K. Khosla ◽  
Kelly Mabry ◽  
Charles L. Castiglione
Keyword(s):  
Cleft Palate ◽  
Clinical Outcomes ◽  
Velopharyngeal Insufficiency ◽  
Fistula Formation ◽  
Pierre Robin Sequence ◽  
Robin Sequence ◽  
Surgeon Experience ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Pierre Robin

Objective: To review the clinical outcomes following the Furlow Z-plasty for primary cleft palate repair. The primary objective was to determine if the presence of an associated sequence or syndrome (i.e., Pierre Robin sequence), age at palate repair, cleft type, or surgeon experience influenced speech outcomes after a Furlow Z-plasty. Design: The outcomes of 140 patients who underwent palate repair were analyzed retrospectively. Speech evaluations were performed to score the severity of hypernasality, nasal escape, articulation errors, and velopharyngeal insufficiency. Results: The mean age at latest evaluation was 4 years 9 months (age range 2 years old to 12 years old and 4 months). Of the 140 patients, 83% had no evidence of hypernasality, 91% had no presence of nasal escape, and 69% had no articulation errors. Overall, 84% of patients had no evidence of velopharyngeal insufficiency. Secondary posterior pharyngeal flap to correct velopharyngeal insufficiency was required in only 2.1% of patients. The formation of an oronasal fistula occurred in only 3.6% of patients. Nonsyndromic patients with Pierre Robin sequence and syndromic patients did just as well as purely nonsyndromic patients in terms of velopharyngeal insufficiency, hypernasality, and nasal escape. Syndromic patients were more likely to make mild-to-moderate articulation errors. In addition, age at palate repair, cleft type, and surgeon experience had no statistically significant effect on speech results. Conclusions: The Furlow Z-plasty yielded excellent speech results in our patient population with minimal and acceptable rates of fistula formation, velopharyngeal insufficiency, and the need for additional corrective surgery.

scholarly journals Perioperative Management of Cleft Palate Repair in a Patient with Williams Syndrome: A Case Report

2013 ◽  
Vol 03 (01) ◽  
pp. 57-60
Author(s):  
Balaji Asegaonkar ◽  
Jiten J. Kulkarni ◽  
Rajgopal J. Totla ◽  
Pulkeshi Kulkarni ◽  
Shilpa Asegaonkar ◽  
...  
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Williams Syndrome ◽  
Perioperative Management ◽  
Cleft Palate Repair ◽  
Palate Repair

Outcomes of Cleft Palate Repair in Patients with Pierre Robin Sequence

2016 ◽  
Vol 137 (3) ◽  
pp. 927-935 ◽  
Author(s):  
Joseph T. Hardwicke ◽  
Helen Richards ◽  
Louise Cafferky ◽  
Imogen Underwood ◽  
Britt ter Horst ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Pierre Robin Sequence ◽  
Robin Sequence ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Pierre Robin
Sign in / Sign up

Export Citation Format

Share Document