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Suzzi C, Baylon H, Tramini P, et al. Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years. J Craniofac Surg. 2021;doi: 10.1097/SCS.0000000000007845.
Suzzi, C., Baylon, H., Tramini, P., & Captier, G. (2021). Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years. The Journal of craniofacial surgery, . https://doi.org/10.1097/SCS.0000000000007845
Suzzi, Chiara, et al. "Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years." The Journal of craniofacial surgery vol. (2021). doi: https://doi.org/10.1097/SCS.0000000000007845
Suzzi C, Baylon H, Tramini P, Captier G. Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years. J Craniofac Surg. 2021 Sep 10; doi: 10.1097/SCS.0000000000007845. Epub 2021 Sep 10. PMID: 34510057.
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J Craniofac Surg. 2021 Sep 10; doi: 10.1097/SCS.0000000000007845. Epub 2021 Sep 10.

Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years.

The Journal of craniofacial surgery

Chiara Suzzi, Helene Baylon, Paul Tramini, Guillaume Captier

Affiliations

  1. EA2415, Montpellier University, Montpellier Paediatric Orthopaedic and Plastic Surgery, University Hospital of Montpellier, University of Montpellier Dental Public Health Service, Hospital and University of Montpellier, France.

PMID: 34510057 DOI: 10.1097/SCS.0000000000007845

Abstract

ABSTRACT: The authorspresent a retrospective observational cohort study of 47 French speaking consecutive patients treated with retropharyngeal wall filling with autologous fat graft from 2006 to 2019 in a single tertiary center, to assess with a long-term follow-up, the best tailored treatment to recovery speech for velopharyngeal insufficiency, and to stress the importance of early treatment with minimally invasive procedure with retropharyngeal wall fat grafting. In preoperative setting, a clinical and instrumental evaluation with aerophonoscope is completed by a palatal closure assessment with nasal endoscopy. All patients were classified according with Borel Maisonny score pre- and post-operatively. Sixty three fat injections were performed. In 4 cases a pharyngeal flap was performed after fat graft for an insufficient speech result. The authors had no complications. Patients with less than 7 years of age obtained a complete recovery of their velopharyngeal incompetence (P = 0.03) compared to older patients. In conclusion, the authors can state that this tailored surgical technique needs a multidisciplinary approach. Many variables can affect postoperative results: fat reabsorption, concurrently performed surgery, pattern of pharyngeal closure, hearing impairment. None of these factors affected our result. Early treatment plays a crucial role to achieve better results. Patients with less of 7 years showed a better result in this functional treatment.

Copyright © 2021 by Mutaz B. Habal, MD.

Conflict of interest statement

The authors report no conflicts of interest.

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