Die angeborene Gaumensegelinsuffizienz aus der Sicht des Hals-Nasen-Ohrenarztes

Velopharyngeal Insufficiency

“…blowing and sucking, and it appears that VP function for such reflex activities is more extensive and more gross than for speech activities [Morris, 1966]. In the course of swallowing the pharyngeal constrictors have a greater role in the VP closure mechanism than in speech [Bauer, 1966], and moreover, the mesial movement of the lateral pharyn geal wall is more marked during swallowing than during phonation [Isshiki et al. 1969], According to Sedldckovd [1967].…”

“…If VPI is the result ofconnatal anomaly or perinatal lesion, the symptoms manifest themselves in the first few hours or days after birth: weightedness in sucking or inability thereof, stasis of secretion in the pharynx, emesis through nose and mouth, frequent as piration, dyspnoea, recurring pneumonia, cardiorespiratory decompensation [Bauer, 1966;, The infant can often be fed only by aid of a probe for weeks or months on end, his gain in weight is poor and his growth is arrested. Disturbances in swallowing will gradually subside and then cease spontaneously; it is perhaps only the reflux through the nose of a moderate amount of liquid that can be noticed periodi cally, especially during fast eating [Ermens, 1984], Later, it is perhaps only the infantile type swallowing that will persist [Guerrier et al, 1978;Seghers-Groffils, 1984], as well as the disturbance of speech, which, however, appears at around 2 years of age at the earliest [Bauer, 1966].…”

“…Disturbances in swallowing will gradually subside and then cease spontaneously; it is perhaps only the reflux through the nose of a moderate amount of liquid that can be noticed periodi cally, especially during fast eating [Ermens, 1984], Later, it is perhaps only the infantile type swallowing that will persist [Guerrier et al, 1978;Seghers-Groffils, 1984], as well as the disturbance of speech, which, however, appears at around 2 years of age at the earliest [Bauer, 1966]. Thus it happens on numerous occasions that it is only several years later, during phoniatric examination made because of defective speech, that light is shed on the origin of the serious alimentary problems and asphyxial paroxysms in infancy [Hirschberg, 1983a].…”

“…According to Bauer [1966Bauer [ , 1984, it is of more frequent occurrence than the submu cous cleft. The soft palate is conspicuously short ( fig.…”