Permanent nasal escape in speech after adenoidectomy

Calnan, James

doi:10.1016/s0007-1226(71)80041-3

Cited by 27 publications

(2 citation statements)

References 10 publications

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“…Other less common causes of VPI are submucous cleft palate (Calnan, 1954;Crikelair et al, 1970;Weatherley-White et al, 1972;Kaplan, 1975;Abyholm, 1976), neuromuscular abnormalities (which can be congenital or acquired), adenoidectomy (Calnan, 1971), and congenital VPI of unknown etiology.…”

mentioning

confidence: 99%

Posterior Pharyngeal Flap and Sphincter Pharyngoplasty: The State of the Art

Sloan¹

2000

The Cleft Palate-Craniofacial Journal

137

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Surgical management of velopharyngeal insufficiency by attachment of posterior pharyngeal flap or construction of sphincter pharyngoplasty is reviewed. Posterior pharyngeal flap surgery is well established, with a long history dating back to the 19th century. Flaps have been based superiorly, inferiorly, or laterally. There have been reports of airway obstruction and obstructive sleep apnea associated with posterior pharyngeal flap surgery. The concept of surgical creation of a dynamic sphincter pharyngoplasty to provide velopharyngeal closure was first introduced by Hynes in 1950. Hynes and others have proposed several subsequent anatomic modifications. Airway dysfunction has also been reported following sphincter pharyngoplasty, but may not be as frequent or severe as with posterior pharyngeal flap. While several studies have compared posterior pharyngeal flap and sphincter pharyngoplasty in terms of speech outcome or complications, there is not, as yet, a consensus regarding the specific choice of one versus the other for surgical management of velopharyngeal insufficiency.

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mentioning

confidence: 99%

Posterior Pharyngeal Flap and Sphincter Pharyngoplasty: The State of the Art

Sloan¹

2000

The Cleft Palate-Craniofacial Journal

137

View full text Add to dashboard Cite

show abstract

“…52 Most children exhibit velo-adenoidal closure where the soft palate abuts the adenoid pad, which is positioned on the posterior pharyngeal wall in the area of usual velar contact. pharyngeal or nasal fricatives and glottal stops) and other secondary speech patterns, including hoarseness and low speech volume, which can significantly compromise speech intelligibility.…”

Section: Velopharyngeal Dysfunctionmentioning

confidence: 99%