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  Contents > Previous page > Article detail print Order
o Issue N# 5 - 2017 o

PHONIATRICS

Autologous fat graft for posterior pharyngeal wall augmentation for velar insufficiency in children


Authors : Lagier A, Niddam J, Moreddu E, Pech C, Gallucci A, Dégardin N, Bardot J. (Marseille)

Ref. : Rev Laryngol Otol Rhinol. 2017;138,5:181-184.

Article published in french
Downloadable PDF document french



Summary : Introduction: This study aimed at evaluating the percep­tual and objective aerodynamical results of the surgical techni­que of the posterior pharyngeal wall augmentation with auto­logous fat graft in the treatment of velo-pharyngeal insuffi­cien­cy in children. Materials and Methods: This is a retrospective study of patients undergoing this technique. The results of the phoniatric examination were collected pre­operatively and at least 3 months after surgery. Results: An improvement in nasa­lity was present for both perceptual and objective analyses for 9/10 patients. One patient did not present lasting improve­ment in his voice and underwent a classical technique of pharyngo­plasty with flaps. Conclusion: The technique of the autologous fat graft augmentation of the posterior pharyngeal wall is minimally invasive, and reliable in the context of mild to moderate velo-pharyngeal insufficiency. The importance of speech therapy pre- and post-operative is emphasized, as well as the collaboration with a phoniatrician who performs the perceptual and objective analyses of the voice, and the anato­mi­cal assessment (nasofibroscopy) used to determine the surgical indication.

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