Invited commentary on the paper "Speech-language pathologists' opinions on the management of velopharyngeal
insufficiency." Cleft Palate Journal, 27, 70-71.
No primary or secondary hemorrhage or velopharyngeal
insufficiency was observed in any patient.
The duration of the velopharyngeal
closure was compared between real-time MRI and FEES, as it is the only event detectable by the latter.
Thirty consecutive patients undergoing pharyngeal flap procedures for velopharyngeal
insufficiency (VPI) were identified.
function was evaluated by videoendoscopy and polysomnography before surgery.
This is mainly achieved by a valve like functioning of velum and pharynx; velum moves posteriorly and superiorly and pharynx moves medially and superiorly to close velopharyngeal
gap, thus changing air flow.
Voicing continues (7) as the tip of the tongue closes against the middle (8) of the alveolar ridge, closing off the flow of air through the oral cavity, and almost simultaneously (9) the velopharyngeal
However, measuring this success is often considered complex as it requires the consideration of numerous factors such as velopharyngeal
function (speech) palate integrity (fistulas), nasolabial appearance, hearing capabilities, dentoskeletal development, quality of life, and the psychosocial adjustment of the patient.
Mandibular Repositioning or Advancement Devices (MRD / MAD) function by engaging one or both of dental arches to modify mandibular protrusion and improve the velopharyngeal
It describes the velopharyngeal
mechanism and resonance, articulation, and phonatory characteristics of speakers who have cleft palate, as well as hearing and other potential co-existing communication problems; the systematic assessment of communication problems associated with cleft palate; analysis of audio and video speech samples and case examples for various speech problems; treatment strategies; and referring to patient to a cleft palate team.
Non-operated cleft lip and palate (CLP) and velopharyngeal
dysfunction (VPD) after primary palatoplasty, can result in unwanted communication between the oral and nasal cavities causing speech disorders characterized by hypernasality, nasal air emission and weak intraoral pressure [1,2].
The main risks of surgery are velopharyngeal
incompetence, recurrence, and the risk of malignant transformation.