{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:04:33Z","timestamp":1777532673119,"version":"3.51.4"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T00:00:00Z","timestamp":1652054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T00:00:00Z","timestamp":1652054400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009367","name":"Mansoura University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009367","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To assess the efficacy of posterior pharyngeal wall augmentation using septal or conchal cartilages with other bulks\u2014according to the persistent gap and the individual anatomy of each patient\u2014in improving velopharyngeal function in patients who acquired persistent velopharyngeal insufficiency (VPI) post-adenoidectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Observational descriptive prospective case series of 24 patients (their ages ranged between 3 and 26\u00a0years) who developed persistent VPI post-adenoidectomy (more than 3\u00a0months) although they had normal speech resonance before adenoidectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The present study demonstrated that statistically significant improvement in auditory perceptual assessment (APA) was found regarding all obligatory speech disorders and unintelligibility of speech. Significant improvement was observed in the degree of velar mobility, size of the persistent gap, and the gap distance between velum and posterior pharyngeal wall at rest and during phonation in post-operative evaluation versus pre-operative. A significant change was observed in the closure pattern of the velopharyngeal port (VPP) as all patients turned to coronal closure.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Posterior pharyngeal wall augmentation could be used in VPI post-adenoidectomy up to 7\u00a0mm and lead to better speech outcomes. Also, it revealed that using conchal and\/or septal cartilage as a graft regardless of the patient\u2019s age is a safe procedure.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-022-07406-7","type":"journal-article","created":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T02:02:31Z","timestamp":1652061751000},"page":"4605-4615","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Posterior pharyngeal wall augmentation in post-adenoidectomy velopharyngeal insufficiency"],"prefix":"10.1007","volume":"279","author":[{"given":"Ayman","family":"Amer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anas Magdy","family":"Saqr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0015-4969","authenticated-orcid":false,"given":"Ahmed Mohamed","family":"Zayed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"El-Kotb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Elsobki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,5,9]]},"reference":[{"key":"7406_CR1","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1097\/SCS.0000000000005164","volume":"65","author":"J Collins","year":"2012","unstructured":"Collins J, Cheung K, Farrokhyar F, Strumas N (2012) Pharyngeal flap versus sphincter pharyngoplasty for treating velopharyngeal insufficiency: a meta-analysis. 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Approval was granted by the institutional research board of Mansoura University (MS\/17.01.24).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed written consent was obtained from adult patients and the parents of children before the start of the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}