Clinical Study

Results and Complications of 1104 Surgeries for Velopharyngeal Insufficiency

Table 5

Complications of surgery for velopharyngeal insufficiency in several publications.

Author(s), publication time Number of patientsDiagnosisMean age Type of operation Complications

Valniček et al. 1994 [36] 219 (1985–1992) VPI9.6 yearsSup.based flapbleeding: 18, reintub: 3,
airway obstruction: 20,
OSAS: 9, death: 1

Pena et al. 2000 [37] 88 (1983–1997) VPIFlap palatoplastyairway obstruction: 7,
OSAS: 1, apnea: 1, death: 1, aspiration: 2

Sie et al. 2001 [38] 48CP, VPI syndromes6.5 yearsFurlowpalatal fistula: 2

Hofer et al. 2002 [39] 275 (10 years)Sup. and inf. based flapbleeding: 2, reintub.: 1, dehiscence of flap: 9

Nakamura et al. 2003 [40] 15CP, VPIIntravelar veloplastypartial flap necrosis: 2

Morita et al. 2004 [41] 18CP, VPIchildrenSup.bas.flapOSAS: 2, tracheot.:1

Chegar et al. 2007 [42] 54 (1996–2003) VPIchildrenSup.bas.flapbleeding: 3, transf: 1, snoring: 4, OSAS: 0

Cole et al. 2008 [43] 222 VPI6.4 yearsSup.phar. flapinfection: 1, bleeding: 3, OSAS: 5

Keuning et al. 2009 [33] 130 VPISup.bas.flapbleeding: 1, dehiscences: 3

Ysunza et al. 2009 [44] 29 (2000–2007) VCFSFlap: 20, Sphincter: 9no complications

Leuchter et al. 2010 [45] 18 (2004–2007)mild VPIAugmentation, diff. implantshematoma: 1,
cervical pain: 1

Sullivan et al. 2010 [46] 104 (1981–2008)CP, VPI8.6 yearsSup.bas.flapOSAS: 2

Kilpatrick et al. 2010 [47] 36 (2003–2009)CP,VCFS8.1 yearsSphincteroplastyfever: 2, bleeding: 1,
allergy: 1, O2 therapy: 4