Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

PHARYNGOPLASTY WITH MODIFIED HOGAN METHOD IN VELOPHARYNGEAL INCOMPETENCE

Modified Hogan 법을 이용한 범인두 부전 환자의 인두피판 성형술

  • Lee, Hyun-Sang (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chonbuk National University) ;
  • Ko, Seung-O (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chonbuk National University) ;
  • Jeong, Gi-Beom (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chonbuk National University) ;
  • Jin, Woo-Jeong (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chonbuk National University)
  • 이현상 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 고승오 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 정기범 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 진우정 (전북대학교 치과대학 구강악안면외과학교실)
  • Published : 1996.12.31
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Abstract

A competent velopharyngeal sphincter is essential for intelligible speech. If the velopharyngeal incompetence exist, the seal will not be complete during speech, with a resultant hypernasal speech quality. The patient with velopharyngeal incompetence(VPI) may develope other compensatory speech problems. There are many approaches available to correct velopharyngeal incompetence, which include speech therapy, push back palatorrhaphy, pharyngeal wall implants and pharyngoplasty. This is cases report of velopharyngeal incompetence, which were successfully treated by superiorly based pharyngeal flap, covered with splitted hinge flap of nasal lining mucosa of the soft palate, named modified Hogan method. The advantages of this method are precision in the approximation of the flap due to pentagonal shaped flap design, good blood supply due to omission of the midsagittal incision on nasal lining mucosa, and simplicity than Hogan method.

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