Surgery for Pediatric Velopharyngeal Insufficiency 1st Edition by Raol, Hartnick, Bradley 9783318027877 3318027871

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ISBN 10: 3318027871
ISBN 13: 9783318027877
Author: Raol, Hartnick, Bradley

This surgical atlas describes the multidisciplinary approach to treating pediatric velopharyngeal insufficiency (VPI) and reviews the diagnostic and therapeutic modalities involved. The publication begins with a review of the key anatomic features of children with VPI and focuses on a clinically relevant approach to surgical anatomy. How to perform nasal endoscopy and how to decide between different surgical treatments are key diagnostic questions when treating VPI, which are discussed in detail in this volume. Included with the published text are 5- to 7-minute-long narrated audio/video recordings of each surgery. The videos show the key surgical steps as well as the pearls and pitfalls of each surgical intervention. This publication gives an excellent overview of the various types of procedures, and it should prove to be essential reading for VPI surgeons, both the novice and experienced, who need to understand the relevant anatomy and the pearls and pitfalls of each of the various surgical procedures.

Surgery for Pediatric Velopharyngeal Insufficiency 1st Table of contents:

1. Preface
2. Anatomy and Physiology of Velopharyngeal Closure and Insufficiency
3. Abstract
4. Anatomy
5. Normal Physiology
6. Physiology in Velopharyngeal Dysfunction
7. Velopharyngeal Insufficiency
8. Velopharyngeal Incompetence
9. Velopharyngeal Mislearning
10. Pearls and Pitfalls
11. References
12. Nasometry, Videofluoroscopy, and the Speech Pathologist’s Evaluation and Treatment
13. Abstract
14. Introduction
15. Assessment
16. Clinical Speech and Resonance Evaluation
17. Nasometry
18. Videofluoroscopy
19. Clinical Decision Making: Therapy Versus Surgery
20. Controversy over the Surgical Management Timeline
21. Specific Populations
22. Diagnostic Therapy and Treatment
23. Pearls and Pitfalls
24. Acknowledgment
25. Financial Disclosure
26. References
27. Nasal Endoscopy: New Tools and Technology for Accurate Assessment
28. Abstract
29. Introduction
30. Patient Selection and Purpose of Exam
31. Nasopharyngoscopy: Technique and Standardized Reporting
32. Golding-Kushner Scale
33. Tailoring Surgical Treatment
34. Reliability of Nasopharyngoscopy
35. Limitations
36. New Technology
37. Pearls and Pitfalls
38. References
39. New Technology: Use of Cine MRI for Velopharyngeal Insufficiency
40. Abstract
41. Introduction
42. Cine Magnetic Resonance Imaging
43. Patient Selection
44. Technique
45. Limitations
46. Clinical Pearls
47. References
48. Validated Patient-Reported Outcome Instruments for Velopharyngeal Insufficiency
49. Abstract
50. Introduction
51. Patient-Reported Instrument Assessment
52. Pediatric Voice Outcomes Survey
53. VPI Effects on Life Outcomes
54. Effect Size: Comparison of Instruments
55. Administering the Instruments
56. Pearls
57. References
58. Prosthodontics Rehabilitation in Velopharyngeal Insufficiency
59. Abstract
60. Prosthetic Terminology
61. Palatal Pharyngeal Landmarks
62. Construction and Fabrication of the Velopharyngeal Insufficiency Prosthesis
63. Support
64. Retention
65. Stability
66. Obturator/Speech Aid Prosthesis
67. The Palatal Lift Prosthesis
68. Clinical Pearls: How to Choose the Best Fit for the Right Patient
69. References
70. Superiorly Based Pharyngeal Flap
71. Abstract
72. Introduction
73. Patient Evaluation
74. Indications
75. Contraindications
76. Anesthesia Considerations
77. Materials
78. Set-Up
79. Procedure
80. Postoperative Care
81. Surgical Pearls
82. References
83. Sphincter Pharyngoplasty
84. Abstract
85. Introduction
86. Patient Evaluation
87. Indications
88. Contraindications
89. Anesthesia Considerations
90. Materials
91. Set-Up
92. Procedure
93. Postoperative Care
94. Surgical Pearls
95. References
96. Furlow Double-Opposing Z-Plasty
97. Abstract
98. Introduction
99. Patient Evaluation
100. Indications
101. Contraindications
102. Anesthesia Considerations
103. Materials
104. Set-Up
105. Procedure
106. Postoperative Care
107. Surgical Pearls
108. References
109. Posterior Pharyngeal Wall Augmentation
110. Abstract
111. Introduction
112. Patient Evaluation
113. Indications
114. Contraindications
115. Materials
116. Set Up
117. Procedure
118. Postoperative Care
119. Pearls/Pitfalls
120. Financial Disclosure
121. References
122. Persistent Velopharyngeal Insufficiency
123. Abstract
124. Background
125. Indications for Revision Procedures
126. Revision Procedures
127. Options for Patients Who Have Undergone Pharyngeal Flap Surgery
128. Redo Flap (Lining the Flap)
129. Procedure
130. Injection Pharyngoplasty
131. Procedure
132. Repositioning the Flap With or Without Mucosal Advancement
133. Procedure
134. Options for Patients Who Have Undergone Sphincter Pharyngoplasty
135. Options for Patients Who Have Undergone Posterior Pharyngeal Wall Augmentation
136. Pearls and Pitfalls
137. Obstructive Sleep Apnea
138. Abstract
139. Background
140. Indications for Surgical Correction of Obstructive Sleep Apnea
141. Increasing the Size of the Ports
142. Procedure
143. Flap Takedown
144. Procedure
145. Pearls and Pitfalls
146. Increasing the Size of the Ports
147. Flap Takedown
148. Author Index
149. Subject Index

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