Title:
Autologous costochondral cartilage implant in two cases of velopharyngeal insufficiency
Authors:
O. Desgain*, C. de Burbure** N. Mazy*, P. J. Verheyden*, J. P. Monnoye* and P. Levie*
Institutions:
*Ear, Nose and Throat Department, SteAnne-St Remi Hospital, Brussels, Belgium; **Morphology Department, St Luc Teaching Hospital, Université catholique de Louvain, Brussels
Keywords:
Velopharyngeal insufficiency; pharyngeal augmentation; implant
Pages:
39 - 42
Abstract:
Autologous costochondral cartilage implant in two cases of velopharyngeal insufficiency.The velopharyngeal sphincter is critical in enabling the functions of speaking and swallowing. Velopharyngeal insufficiency (VPI) results in hypernasal speech and nasal regurgitation.A frequent cause ofVPI is congenital cleft palate, but otolaryngologists some- times encounter iatrogenic VPI after surgery. Treatment of VPI with prostheses is often successful but not always well tolerated. Many surgical procedures have been proposed to correct palatal length or to enlarge the posterior pharyngeal wall. We report two cases in which autologous costochondral cartilage was used as implant augmentation. This approach is indicated and efficient when the velopharyngeal deficit is less than 5 mm. An autologous costochondral cartilage implant procedure is safe and reversible and can be expected to incite minimal host reaction.
Issue:
Vol. 2, 2006, 1st trimester


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Autologous costochondral cartilage implant in two cases of velopharyngeal insufficiency