TY - JOUR
T1 - Regenerative Approach to Velopharyngeal Incompetence with Fat Grafting
AU - Mazzola, Riccardo F.
AU - Cantarella, Giovanna
AU - Mazzola, Isabella C.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Surgical management of velopharyngeal incompetence (VPI) aims at improving voice resonance and correcting nasal air escape by restoring a competent velopharyngeal sphincter. Assessment of VPI requires the examination of multiple variables. The dynamic study of movements of the velopharyngeal port during speech and the quantification of the closure gap, using flexible videonasoendoscopy and/or videofluoroscopy, is essential. Autologous fat injection represents a minimally invasive alternative to major surgery in the management of mild to moderate VPI that minimizes the risk of complications and sequelae, and can be performed without modifying the anatomy of the velopharyngeal port.
AB - Surgical management of velopharyngeal incompetence (VPI) aims at improving voice resonance and correcting nasal air escape by restoring a competent velopharyngeal sphincter. Assessment of VPI requires the examination of multiple variables. The dynamic study of movements of the velopharyngeal port during speech and the quantification of the closure gap, using flexible videonasoendoscopy and/or videofluoroscopy, is essential. Autologous fat injection represents a minimally invasive alternative to major surgery in the management of mild to moderate VPI that minimizes the risk of complications and sequelae, and can be performed without modifying the anatomy of the velopharyngeal port.
KW - Fat grafting
KW - Hypernasality
KW - Nasal air escape
KW - Nasoendoscopy
KW - Regenerative medicine
KW - Submucous cleft
KW - Velopharyngeal incompetence
UR - http://www.scopus.com/inward/record.url?scp=84937522950&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84937522950&partnerID=8YFLogxK
U2 - 10.1016/j.cps.2015.03.002
DO - 10.1016/j.cps.2015.03.002
M3 - Article
C2 - 26116942
AN - SCOPUS:84937522950
VL - 42
SP - 365
EP - 374
JO - Clinics in Plastic Surgery
JF - Clinics in Plastic Surgery
SN - 0094-1298
IS - 3
ER -