89 Velopharyngeal insufficiency (VPI) is a condition in which the velopharyngeal structures fail to close the nasal cavity while the patient is speaking. VPI usually presents in association with cleft palate, submucous cleft palate, palatal fistulae, adenoidectomy, and neuromuscular disorders; after cleft palate surgery; or after the removal of tumors. Adult onset VPI is uncommon, and relativel...

UNLABELLED The use of prosthetic devices for correction of velopharyngeal insufficiency (VPI) is an alternative treatment for patients with conditions that preclude surgery and for those individuals with a hypofunctional velopharynx (HV) with a poor prognosis for the surgical repair of VPI. Understanding the role and measuring the outcome of prosthetic treatment of velopharyngeal dysfunction re...

Referenciar este material como: MIGUEL. H. C.; GENARO. K. F.; TRINDADE. I. E. K.Avaliação perceptiva e instrumental da função velofaríngea na fissura de palato submucosa assintomática. Pró-Fono Revista de Atualização Científica, Barueri (SP), v. 19, n. 1, p. 105-112, jan.-abr. 2007. Abstract Background: submucous cleft palate (SMCP) may or may not be associated to symptoms of velopharyngeal dys...

OBJECTIVES/HYPOTHESIS Evaluate the effect of topical application of autologous platelet-rich plasma (PRP) in primary repair of complete cleft palate and then compare the result with another group of patients using the same surgical technique, without application of PRP with regard to the incidence of oronasal fistula, velopharyngeal closure, and grade of nasality. STUDY DESIGN Case control st...

OBJECTIVES/HYPOTHESIS The aim of this study was to assess the effect of the central inset pharyngeal flap, used for correcting persistent velopharyngeal incompetence after cleft palate repair, on Eustachian tube (ET) function. METHODS This study included 28 patients who were diagnosed with persistent velopharyngeal insufficiency following primary cleft palate repair, together with otitis medi...

1Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Davis, CA 95817, USA 2Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC 29425, USA 3Department of Otolaryngology-Head and Neck Surgery, University of Calgary, Calgory, AB, Canada T2N 1N4 4Department of Otolaryngology-Head and Neck Surgery, Vanderbilt Univer...

Learning Objectives: After studying this article, the participant should be able to: 1. Understand the mechanism of speech production. 2. Recognize the specific cause of a speech abnormality (structural deficit, neurogenic deficit, misarticulation, or mechanical interference). 3. Perform a thorough clinical assessment using an intraoral examination and speech production analysis. 4. Understand ...