Management of Congenital Buccopharyngeal Membrane

Author:

Bent John P.1,Klippert Frederick N.1,Smith Richard J. H.2

Affiliation:

1. Division of Otolaryngology, Medical College of Georgia, Augusta, Georgia.

2. Department of Otolaryngology, University of Iowa, Iowa City, Iowa.

Abstract

Objective: To describe our experience in treating congenital buccopharyngeal membranes and reflect on lessons learned managing this rare anomaly. Design: Case series of two patients followed 3 and 6 years, respectively. Setting: Two different academic tertiary-care medical centers. Patients: Two patients with congenital buccopharyngeal membranes. Intervention: Multiple pharyngoplasties, including the use of lasers, rotated mucosal flaps, and oropharyngeal stents. Results: The first patient has had her tracheotomy removed, but she still uses a gastrostomy tube and has an expressive speech delay. The second patient can eat well but has persistent speech and airway problems, largely due to his micrognathia. Conclusions: Centrally dehiscent buccopharyngeal membranes are rare and require carefully planned treatment. Associated anomalies worsen the prognosis. We propose a set of recommendations to assist in the management of this difficult problem.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Oral Surgery

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Persistent Buccopharyngeal Membrane – A Systematic Review of Case Reports and Case Series;The Cleft Palate Craniofacial Journal;2023-05-17

2. Cleft palate lateral synechia syndrome in two patients and literature review;International Journal of Oral and Maxillofacial Surgery;2021-08

3. Persistent buccopharyngeal membrane: a rare entity;British Journal of Oral and Maxillofacial Surgery;2018-07

4. Persistent buccopharyngeal membrane;Otolaryngology–Head and Neck Surgery;2007-06

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