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Войти в исследования International journal of pediatric otorhinolaryngology · 2026
Surgical correction of unilateral soft palate and faucial pillar dysplasia: A systematic review & case report.
Клинический случайСтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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Adebagbo Oluwaseun D, Dong Gary, Kumar Raghav, Adepoju Jubril, Bharathi Ramya, Scott Andrew R, Marston Alexander P
Аннотация
BACKGROUND: Unilateral soft palate and faucial pillar dysplasia is a rare anomaly distinct from typical cleft palate.
OBJECTIVE: Among patients with these anatomic findings, this study aims to define the consistent diagnostic features, assess surgical techniques for repair and speech outcomes.
METHODS: A systematic review of PubMed and Embase was conducted using the PRISMA protocol. A descriptive synthesis on patient demographics, surgical interventions, and outcomes was performed. A select patient case treated at the authors' institution is presented.
RESULTS: Fifteen studies comprising 32 patients were included. All patients had unilateral soft palate deficiency with either dysplastic or absent faucial pillars. Twenty-six patients underwent surgical correction at a mean age of 33 months. The most common technique included soft palate dissection plus the addition of an adjacent interpolated flap. Twenty patients experienced improved speech; however, outcome only 53% of patients had follow-up >12 months. Four of 26 (15%) required revision surgery.
CONCLUSION: Unilateral soft palate and faucial pillar dysplasia demands surgical techniques distinct from traditional cleft palate repair methods. Due to the hypoplasia of the unilateral velum and faucial pillars, the use of adjacent flaps may represent an important feature of successful surgical treatment.
OBJECTIVE: Among patients with these anatomic findings, this study aims to define the consistent diagnostic features, assess surgical techniques for repair and speech outcomes.
METHODS: A systematic review of PubMed and Embase was conducted using the PRISMA protocol. A descriptive synthesis on patient demographics, surgical interventions, and outcomes was performed. A select patient case treated at the authors' institution is presented.
RESULTS: Fifteen studies comprising 32 patients were included. All patients had unilateral soft palate deficiency with either dysplastic or absent faucial pillars. Twenty-six patients underwent surgical correction at a mean age of 33 months. The most common technique included soft palate dissection plus the addition of an adjacent interpolated flap. Twenty patients experienced improved speech; however, outcome only 53% of patients had follow-up >12 months. Four of 26 (15%) required revision surgery.
CONCLUSION: Unilateral soft palate and faucial pillar dysplasia demands surgical techniques distinct from traditional cleft palate repair methods. Due to the hypoplasia of the unilateral velum and faucial pillars, the use of adjacent flaps may represent an important feature of successful surgical treatment.