OBJECTIVES Speech intelligibility is severely affected in children with congenital profound hearing loss. Hypernasality is a problem commonly encountered in their speech. Auditory information received from cochlear implants is expected to be far superior to that from hearing aids. Our study aimed at comparing the percentages of nasality in the speech of the cochlear implantees with hearing aid ...

BACKGROUND Velopharyngeal insufficiency (VPI) may persist after primary repair of the cleft palate, and surgical correction is necessary in many cases. The purpose of this study is to evaluate the effect of double opposing Z-plasty (DOZ) in cleft palate patients suffering from VPI after primary two-flap palatoplasty. METHODS Between March 1999 and August 2005, we identified 82 patients who un...

OBJECTIVE To identify children who may benefit from calcium hydroxylapatite (CaHA) injection pharyngoplasty for symptomatic velopharyngeal insufficiency (VPI). DESIGN Retrospective review of children with VPI who underwent injection pharyngoplasty with CaHA. SETTING Multidisciplinary pediatric aerodigestive center. PATIENTS Children with symptomatic VPI as defined by abnormal speech assoc...

INTRODUCTION Surgical treatment of velopharyngeal insufficiency (VPI) in 22q11.2 deletion syndrome is often warranted. In this patient population, VPI is characterized by poor palatal elevation and muscular hypotonia with an intact palate. We hypothesize that 22q11.2 deletion patients are at greater risk of obstructive sleep apnea (OSA) after surgical correction of VPI, due, in part, to their f...

A lthough the management of cleft lip and palate has improved significantly during the last years, repairing oronasal fistulae is still a challenge. Reports of the incidence of postoperative fistu-lae following palate repair range from 10% to 20%. 1 Several techniques are reported for the treatment of oronasal fistula, such as local mucoperiosteal flap, V-Y 2-layer repair, superior lip mucosal ...

1 Koichi Ueda, MD, PhD Takashi Nuri, MD, PhD Yuki Otsuki, MD, PhD Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka, Japan Sir, I soft tissue with muscle is resected because of tumor invasion, muscle function is lost. The face has soft tissues with free borders, for example, lips, eyelids, and soft palate. If they are reconstructed without functional moveme...

We present the case of a 40-year-old woman who experienced dysarthria and, numbness in her upper extremities and posterior region of her neck. Upon admission to our hospital, neurological examination revealed rhinolalia aperta and an incomplete palatoplegia; however, muscle strength in the neck and limbs was satisfactorily preserved, tendon reflexes were normal, and pathological reflexes were n...

Morén, S. 2018. Unilateral Cleft Lip and Palate. Speech, Voice and Nasal Function in Adults. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1423. 89 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-513-0224-9. Cleft lip and palate (CLP) is the most common craniofacial malformation. Even after repair of the cleft there may be persistent symptoms aff...

A 28 year old man with a repaired cleft palate presenting with symptoms of a patulous eustachian tube (PET) unilaterally after uneventful Le Fort I maxillary osteotomy is reported. PET is a rare condition which is unknown in relation to orthognathic surgery and may represent a rare complication. Introduction. Under normal circumstances, the Eustachian tube (ET) remains closed at rest but is ope...