What is a pharyngeal flap used for?
The goal of the pharyngeal flap operation is to suture the musculomucosal flap to the soft palate and to narrow the nasopharyngeal cavity. It is desirable that the space left on both sides postoperatively opens during respiration and nasal speech, and closes during phonation.
What is a common secondary surgical procedure for correction of Velopharyngeal insufficiency?
The most common surgical procedures for correcting VPI are pharyngeal flap and sphincter pharyngoplasty and it has been reported that with either of these surgical techniques a successful outcome can be achieved in around 90% of the cases.
What is VPI surgery?
Surgery is commonly needed to improve VPI. The most common types of surgery for VPI are furlow palatoplasty, sphincter pharyngoplasty, pharyngeal flap, or a posterior pharyngeal wall injection augmentation. The size and shape of the velopharyngeal gap will dictate the type of surgery that is necessary.
What is the CPT code for pharyngeal flap?
The pharyngeal reconstruction should be included in code 15757, as it would for wherever the flap was inserted. In addition, the inclusion of the flap closure should be considered as part of the work included in the basic closure of the primary resection site. This basic closure is inclusive of code 15757.
What is velopharyngeal incompetence?
Velopharyngeal insufficiency (VPI) happens when the velum (the soft palate) and nearby parts of the mouth can’t close itself to the nasopharynx. The nasopharynx separates the oral and nasal cavities. You use it to make the sounds of consonants when you speak.
How is VPI treated?
VPI is treated with surgery or a special speech appliance that your child wears in their mouth. VPM is treated with speech therapy. VP incompetence is treated with speech therapy and sometimes with a speech appliance or surgery.
What is the CPT code for insertion of thoracic duct cannula?
40.61 Cannulation of thoracic duct.
What are pharyngeal structures?
pharynx, (Greek: “throat”) cone-shaped passageway leading from the oral and nasal cavities in the head to the esophagus and larynx. The pharynx chamber serves both respiratory and digestive functions. Thick fibres of muscle and connective tissue attach the pharynx to the base of the skull and surrounding structures.
What is the CPT code for forehead flap?
CPT code 15734, 15732, 15740 – Muscle, mycoutaneos procedure. 15570* Formation of direct or tubed pedicle, with or without transfer; trunk. 15731* Forehead flap with preservation of vascular pedicle (e.g., axial pattern flap, paramedian forehead flap)
What is the CPT code for flap closure?
A: According to CPT guidelines, when an adjacent tissue transfer (the rhomboid flap closure) is necessary to close a secondary defect, it is reported separately. See code range 14000–14350. However, if it is performed to close the primary defect (from the original excision), then it is included in code 11772.
What is the CPT code for skin flap closure?
Flaps (Skin and/or Deep Tissues) Procedures CPT Code range 15570- 15738. The Current Procedural Terminology (CPT) code range for Surgical Repair (Closure) Procedures on the Integumentary System 15570-15738 is a medical code set maintained by the American Medical Association.
What is gingival flap surgery?
A Gingival Flap Surgery is performed to treat gum disease (periodontitis), to prevent the gum infection from spreading, and for improving one’s cosmetic appearance. What are some Alternative Choices for the Procedure? A Gingival Flap Surgery is performed when medical therapy has failed.