Comparison of videonasoendoscopy and auditory-perceptual evaluation of speech in individuals with cleft lip/palate

Abstract

Summary Introduction: The velopharyngeal sphincter (VPS) is a muscle belt located between the oropharynx and the nasopharynx. Investigations of velopharyngeal function should include an auditory-perceptual evaluation and at least 1 instrument-based evaluation such as videonasoendoscopy. Aim: To compare the findings of auditory-perceptual evaluation (hypernasality) and videonasoendoscopy (gap size) in individuals with cleft lip/palate. Method: This was a retrospective, cross-sectional study assessing 49 subjects, of both sexes, with cleft lip/palate followed up at the Otorhinolaryngology Service and the Speech Therapy outpatient clinic of Hospital de Clínicas de Porto Alegre (HCPA). The results from the auditory-perceptual evaluation and the videonasoendoscopy test were compared with respect to the VPS gap size. Results: Subjects with moderate/severe hypernasality had more severe velopharyngeal closure impairment than those with a less severe condition. The interaction between hypernasality severity and the presence of other speech disorders (p = 0.035), whether compensatory and/or obligatory, increased the likelihood of having a moderate-to-large gap in the velopharyngeal closure. Conclusions: We observed an association between the findings of these 2 evaluation methods.

Effect of Vocal Fry on Voice and on Velopharyngeal Sphincter

“…Nasopharyngoscopy was conducted in two stages, while the subjects were sitting down. The first stage occurred when the subjects produced the emission of the vowel / a: / in their regular pitch and loudness for at least three seconds prior to performing the technique 2 8 11 17 18 19 and the second stage after using the technique, under the same pre-technical conditions. 6 17 18 …”

Dermal Matrix Graft Effects on Facial Growth in a Veau–Wardill–Kilner Palatoplasty Model: An Experimental Study in Rats

“…Techniques that bare the palatine bone are mostly considered harmful to facial growth, although we find contradictory results in the literature. [4][5][6][7][8] Experimental animal studies were carried out to investigate the effects of CP repair on maxillary growth and development, showing the feasibility of using this model to study facial and 1 Division of Plastic Surgery, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil 2 Student at Universidade Federal do Rio Grande do Sul Medical School, Porto Alegre, RS, Brazil 3 Head of Plastic Surgery Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil maxillary growth. 9 The non-crosslinked two-layer bioabsorbable collagen matrix Mucograft ™ (Geistlich Pharma AG, Wolhusen, Switzerland) is a potential tool to aid in wound closure in a second-intention healing situation, therefore, having the potential to influence the outcome of these interventions.…”

“…9 The non-crosslinked two-layer bioabsorbable collagen matrix Mucograft ™ (Geistlich Pharma AG, Wolhusen, Switzerland) is a potential tool to aid in wound closure in a second-intention healing situation, therefore, having the potential to influence the outcome of these interventions. [4][5][6][7][8][9] Objective…”

“…Techniques that bare the palatine bone are mostly considered harmful to facial growth, although we find contradictory results in the literature. 4–8…”