Respiratory failure after superior-based pharyngeal flap for velopharyngeal insufficiency: A rare complication Article

Full Text via DOI: 10.1016/j.ijporl.2015.04.036 PMID: 25953454 Web of Science: 000357242100042

Cited authors

  • Lawlor, Claire M.; Riley, Charles A.; Hildrew, Douglas M.; Guarisco, J. Lindhe


  • Velopharyngeal insufficiency (VPI) is an uncommon pediatric disorder often associated with congenital syndromes. After speech therapy, surgery is the standard management. Many surgical approaches to VPI repair have been reported and the complications of these procedures are well documented. To date, there have been no published cases of respiratory failure secondary to pneumomediastinum, pneumopericardium, and bilateral pneumothoraces with associated subcutaneous emphysema after superior-based pharyngeal flap. We present the first case in the literature. Our proposed etiology for the respiratory failure is air tracking from the flap donor site to the pleural spaces of the thoracic cavity via the visceral or prevertebral fascia following positive pressure ventilation. (C) 2015 Elsevier Ireland Ltd. All rights reserved.


Publication date

  • 2015

International Standard Serial Number (ISSN)

  • 0165-5876

Start page

  • 1155

End page

  • 1157


  • 79


  • 7