Carotid artery mobilization prior to pharyngeal flap inset for patients with 22q11.2 deletion syndrome.
Int J Pediatr Otorhinolaryngol
; 141: 110573, 2021 Feb.
Article
em En
| MEDLINE
| ID: mdl-33359933
ABSTRACT
The management of velopharyngeal insufficiency (VPI) in patients with 22q11.2 deletion syndrome (22q11DS) poses a significant clinical challenge due to presence of a large velopharyngeal gap and a relatively high rate of internal carotid artery (ICA) medialization. To our knowledge, we are the first group to have successfully managed VPI in a series of seven pediatric patients with 22q11DS with medialized ICAs via a novel surgical technique involving carotid artery mobilization followed by pharyngeal flap insertion. Thus far, we have found this technique to be reliably safe with no significant morbidity and caregivers have reported postoperative improvement in speech, swallowing and nasal regurgitation symptoms. Herein, we provide a detailed description of our novel surgical approach, including an instructional video, for correction of VPI in patients with medialized ICAs, who have previously had limited management options.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Insuficiência Velofaríngea
/
Síndrome de DiGeorge
Tipo de estudo:
Etiology_studies
Limite:
Child
/
Humans
Idioma:
En
Revista:
Int J Pediatr Otorhinolaryngol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos