Perceptual and Instrumental Assessment of Velopharyngeal Insufficiency

Eblen, Linda E.; Sie, Kathleen C.Y.; Furlow, Leonard T.

doi:10.1097/00006534-200206000-00072

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Assessment of VPI in cleft palate patients usually occurs by the age of 4, at which time a formal assessment of velopharyngeal closure is obtained. Speech characteristics, nasometric analysis, multi-view fluoroscopy and videonasalendoscopy are used to assess the pattern of velopharyngeal function [9][10][11]. Once the diagnosis of VPI is made and the patient is judged to have velopharyngeal incompetency, surgical intervention is tailored to the type of velopharyngeal closure [12].…”

Section: Introductionmentioning

confidence: 99%

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The occurrence of velopharyngeal insufficiency in Pierre Robin Sequence patients

Goudy¹,

Ingraham²,

Canady³

2011

International Journal of Pediatric Otorhinolaryngology

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Section: Introductionmentioning

confidence: 99%

“…We reviewed incidence of VPI, the need for secondary speech surgery, and speech outcomes post-operatively. Results: Secondary surgery to correct VPI was necessary in 3 of 21 (14.29%) PRS patients (2 Pharyngeal Flaps, 1 Z-plasty), vs 10. of 42 (23.81%) CPO (9 Pharyngeal Flaps, 1 Z-plasty) controls.…”

mentioning

confidence: 99%

The occurrence of velopharyngeal insufficiency in Pierre Robin Sequence patients

Goudy¹,

Ingraham²,

Canady³

2011

International Journal of Pediatric Otorhinolaryngology

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“…Most studies used the perceptual methodology and/or direct instrumental methods for evaluation velopharyngeal function, such as nasoendoscopy and videofluoroscopy 12, [19][20][21][22] . Two studies 12,21 , in particular, added nasometry to the other evaluations, as one of the methods for investigating nasality in speech and objectively comparing the results of the two surgeries, as was done in this study.…”

Section: Discussionmentioning

confidence: 99%

Comparação entre cirurgia do retalho faríngeo e esfincteroplastia: análise nasométrica e aerodinâmica

et al. 2015

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OBJETIVO: comparar o efeito do retalho faríngeo e da esfincteroplastia sobre a hipernasalidade da fala e o fechamento velofaríngeo no tratamento de indivíduos com insuficiência velofaríngea residual, por meio de avaliação instrumental. MÉTODOS: foram avaliados 30 pacientes, com fissura de palato±lábio reparada, submetidos à correção cirúrgica da insuficiência velofaríngea (15 com retalho faríngeo e 15 com esfincteroplastia), avaliados antes e, no mínimo, 1 ano após a cirurgia. A hipernasalidade foi estimada a partir dos escores de nasalância (correlato físico da nasalidade) obtidos por meio da nasometria, durante a leitura de 5 sentenças contendo, exclusivamente, sons orais, considerando como limite de normalidade o escore de 27%. O fechamento velofaríngeo foi aferido a partir da medida da área velofaríngea obtida por meio da técnica fluxo-pressão e foi classificado em: 0-4,9mm2=adequado; 5-19,9mm2=marginal e, >20mm2=inadequado. Diferenças entre as duas técnicas foram consideradas estatisticamente significantes ao nível de 5%. RESULTADOS: antes da cirurgia, os valores médios de nasalância foram de 43±8,4% e 45±14,2% e de área velofaríngea foram 51±35,4mm2, e 69±29,2mm2, para os grupos retalho faríngeo e esfincteroplastia, respectivamente. Após a cirurgia, os valores médios de nasalância reduziram para 27±10,1% e 31±14,2% e de área velofaríngea para 3,6±5,5mm2 e 24±32,7mm2 para os grupos retalho faríngeo e esfincteroplastia, respectivamente. A redução dos valores de nasalância e área velofaríngea foi estatisticamente significante nos dois grupos. CONCLUSÃO: estes resultados sugerem que o retalho faríngeo foi mais eficiente do que a esfincteroplastia na eliminação da hipernasalidade e adequação do fechamento velofaríngeo nos pacientes estudados.

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“…Initially, each of these patients is evaluated by a speech pathologist to assess the patient's speech patterns, nasality, and articulation disorders [11]. From there, they will undergo evaluation of their velopharyngeal port closure using multiview fluoroscopy and/or video nasoendoscopy [12, 13].…”

Section: Introductionmentioning

confidence: 99%

Noncleft Velopharyngeal Insufficiency: Etiology and Need For Surgical Treatment

Goudy

Ingraham

Canady

2012

International Journal of Otolaryngology

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Objective. Velopharyngeal insufficiency (VPI) occurs frequently in cleft palate patients. VPI also occurs in patients without cleft palate, but little is known about this patient population and this presents a diagnostic dilemma. Our goal is to review the etiology of noncleft VPI and the surgical treatment involved. Design/Patients. A retrospective review of VPI patients from 1990 to 2005. Demographic, genetic, speech, and surgical data were collected. We compared the need for surgery and outcomes data between noncleft and cleft VPI patients using a Student's t-test. Results. We identified 43 patients with noncleft VPI, of which 24 were females and 19 were males. The average age at presentation of noncleft VPI was 9.6 years (range 4.5–21). The average patient age at the time of study was 13.4 years. The etiology of VPI in these noncleft patients was neurologic dysfunction 44%, syndrome-associated 35%, postadenotonsillectomy 7%, and multiple causes 14%. The need for surgical intervention in the noncleft VPI group was 37% (15/43) compared to the cleft palate controls, which was 27% (12/43). There was not a statistical difference between these two groups (P > 0.5). Conclusion. Noncleft VPI often occurs in patients who have underlying neurologic disorders or have syndromes. The rate of speech surgery to address VPI is similar to that of cleft palate patients. We propose that newly diagnosed noncleft VPI patients should undergo a thorough neurologic and genetic evaluation prior to surgery.

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Perceptual and Instrumental Assessment of Velopharyngeal Insufficiency

Cited by 4 publications

References 3 publications

The occurrence of velopharyngeal insufficiency in Pierre Robin Sequence patients

The occurrence of velopharyngeal insufficiency in Pierre Robin Sequence patients

Comparação entre cirurgia do retalho faríngeo e esfincteroplastia: análise nasométrica e aerodinâmica

Noncleft Velopharyngeal Insufficiency: Etiology and Need For Surgical Treatment

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