Carotid artery mobilization prior to pharyngeal flap inset for patients with 22q11.2 deletion syndrome.

xloma.fota.13 shared this article with you from Inoreader Carotid artery mobilization prior to pharyngeal flap inset for patients with 22q11.2 deletion syndrome. Via International journal of pediatric otorhinolaryngology,http://goo.gl/4YdRhz Related Articles Carotid artery mobilization prior to pharyngeal flap inset for patients with 22q11.2 deletion syndrome. Int J Pediatr Otorhinolaryngol. 2020 Dec 19;141:110573 Authors: Patel KR, Partain M, Ryan DP, Hersh C, Goldenberg P, Hartnick CJ Abstract The management of velopharyngeal insufficiency (VPI) in patients with 22q11.2 deletion syndrome (22q11DS) poses a significant clinical challenge due to presence of a large velopharyngeal gap and a relatively high rate of internal carotid artery (ICA) medialization. To our knowledge, we are the first group to have successfully managed VPI in a series of seven pediatric patients with 22q11DS with medialized ICAs via a novel surgical technique involving carotid artery mobilization followed by pharyngeal flap insertion. Thus far, we have found this technique to be reliably safe with no significant morbidity and caregivers have reported postoperative improvement in speech, swallowing and nasal regurgitation symptoms. Herein, we provide a detailed description of our novel surgical approach, including an instructional video, for correction of VPI in patients with medialized ICAs, who have previously had limited management options. PMID: 33359933 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.