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Isomura ET, Matsukawa M, Yokota Y, Tanaka N, Sugiyama C, Nohara K. Clinical application of endoscopic soft palate augmentation in the treatment of velopharyngeal insufficiency. Int J Oral Maxillofac Surg 2023:S0901-5027(23)00005-X. [PMID: 36669931 DOI: 10.1016/j.ijom.2023.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 10/25/2022] [Accepted: 01/10/2023] [Indexed: 01/20/2023]
Abstract
Velopharyngeal structure augmentation with the injection of autologous fat tissue into the nasal mucosa of the soft palate has been reported previously. However, as the injection points in the velopharyngeal space cannot be observed directly, these injections may be difficult to perform accurately. This report describes a new endoscope-assisted approach in which the materials for velopharyngeal structure augmentation are administered while observing the injection points directly, also enabling adjustment of the amount of material injected. A case series of five patients aged 8-16 years who underwent endoscopic soft palate augmentation under general anaesthesia is reported. Autologous fat tissue was injected into the nasal mucosa of the soft palate using a needle-type device of an endoscope, and the effects of the treatment were evaluated. The injections were performed successfully, and the velopharyngeal function was improved. This new technique of endoscopy-assisted augmentation was useful for the treatment of velopharyngeal insufficiency.
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Affiliation(s)
- E T Isomura
- First Department of Oral and Maxillofacial Surgery, Osaka University, Graduate School of Dentistry, Suita City, Osaka, Japan; Center for Cleft Lip and Palate Treatment, Osaka University Dental Hospital, Suita City, Osaka, Japan.
| | - M Matsukawa
- First Department of Oral and Maxillofacial Surgery, Osaka University, Graduate School of Dentistry, Suita City, Osaka, Japan; Center for Cleft Lip and Palate Treatment, Osaka University Dental Hospital, Suita City, Osaka, Japan
| | - Y Yokota
- First Department of Oral and Maxillofacial Surgery, Osaka University, Graduate School of Dentistry, Suita City, Osaka, Japan; Center for Cleft Lip and Palate Treatment, Osaka University Dental Hospital, Suita City, Osaka, Japan
| | - N Tanaka
- Center for Cleft Lip and Palate Treatment, Osaka University Dental Hospital, Suita City, Osaka, Japan; Division of Oral and Facial Disorders, Osaka University Dental Hospital, Suita City, Osaka, Japan
| | - C Sugiyama
- Center for Cleft Lip and Palate Treatment, Osaka University Dental Hospital, Suita City, Osaka, Japan; Division of Oral and Facial Disorders, Osaka University Dental Hospital, Suita City, Osaka, Japan
| | - K Nohara
- Center for Cleft Lip and Palate Treatment, Osaka University Dental Hospital, Suita City, Osaka, Japan; Division of Oral and Facial Disorders, Osaka University Dental Hospital, Suita City, Osaka, Japan
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