Management of velopharyngeal insufficiency in the presence of enlarged tonsils

comparing a one-stage versus two-stage treatment result

Tai Lin Hu, Claudia Yun, Ruby Wang, Philip K T Chen, Lun Jou Lo

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Alterations in velopharyngeal function after removal of enlarged tonsils were noted. However, the changes varied from previous reports. The purposes of this study were to examine the effect of tonsillectomy on velopharyngeal function and to look for proper management of velopharyngeal insufficiency in the presence of enlarged tonsils. Thirty patients who received tonsillectomy at one craniofacial centre were reviewed. The influence of tonsillectomy on velopharyngeal function was examined and correlations to nasopharyngoscopic or videofluoroscopic findings were made. The outcomes between simultaneous and staged tonsillectomy and velopharyngeal surgery were compared. Tonsillectomy was found to either improve or impair velopharyngeal function in a small proportion of patients; however, it did not alter the surgical management of velopharyngeal insufficiency. Nasopharyngoscopic or videofluoroscopic findings did not predict the influence of tonsillectomy on velopharyngeal function. Finally, simultaneous tonsillectomy and velopharyngeal surgery had an efficacy and complication rate comparable to that of the staged approach.

Original languageEnglish
Pages (from-to)883-888
Number of pages6
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume61
Issue number8
DOIs
Publication statusPublished - Aug 1 2008
Externally publishedYes

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Velopharyngeal Insufficiency
Tonsillectomy
Palatine Tonsil
Therapeutics

Keywords

  • Enlarged tonsils
  • Tonsillectomy
  • Velopharyngeal insufficiency

ASJC Scopus subject areas

  • Surgery

Cite this

Management of velopharyngeal insufficiency in the presence of enlarged tonsils : comparing a one-stage versus two-stage treatment result. / Hu, Tai Lin; Yun, Claudia; Wang, Ruby; Chen, Philip K T; Lo, Lun Jou.

In: Journal of Plastic, Reconstructive and Aesthetic Surgery, Vol. 61, No. 8, 01.08.2008, p. 883-888.

Research output: Contribution to journalArticle

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