Speech Outcomes of Treatment for Velopharyngeal Insufficiency

Nam, Seung Min; Kim, Yong Bae; Park, Kyong Chan; Park, Eun Soo; Choi, Chang Yong; Gyu, Han; Jung, Se A

doi:10.1097/sap.0000000000003038

Cited by 6 publications

(1 citation statement)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of Furlow palatoplasty to treat SMCP can increase the risk of oronasal fistula due to incision on the intact nasal side muscosa and Z-plasty 11,12 . To overcome these complications of pharyngeal flap and Furlow palatoplasty, we consider the possibility of treating SMCP using overlapping intravelar veloplasty (IVVP) based on our successful experiences in correcting velopharyngeal insufficiency using this method 13 . Therefore, the purpose of this retrospective study was to evaluate the speech outcomes of overlapping IVVP for the treatment of patients with SMCP.…”

mentioning

confidence: 99%

Overlapping Intravelar Veloplasty Improves the Speech Outcomes in Submucous Cleft Palate

et al. 2023

Self Cite

View full text Add to dashboard Cite

Background: Submucous cleft palate (SMCP) is a subgroup of cleft palate that can present as velopharyngeal insufficiency due to muscle displacement. The pharyngeal flap and Furlow palatoplasty have been introduced to correct SMCP patient with velopharyngeal insufficiency. However, pharyngeal flap and Furlow palatoplasty can occur various complications. We consider the overlapping intravelar veloplasty (IVVP) can overcome these complications. Therefore, we present the speech outcomes of overlapping IVVP for the treatment of patients with SMCP. Methods: We retrospectively reviewed 12 patients with SMCP underwent overlapping IVVP between April 2016 and October 2018. The patients who underwent speech evaluation, nasometry, and nasoendoscopy before and after surgery and who were followed up for >18 months were enrolled in this study Results: The average age of the patients was 5 years (range, 3-11 years) and the postoperative follow-up period ranged from 18 to 24 months (mean, 20 months). The preoperative perceptual speech evaluation was moderate and the postoperative evaluation was normal ( P < 0.01). The preoperative and postoperative nasalance scores obtained using a nasometer were 37.00 and 12.50, respectively, ( P < 0.01). Preoperative and postoperative velopharyngeal movements were grades 3 and 0, respectively, ( P < 0.01). Conclusions: Our study showed that overlapping IVVP could provide successful correction of velopharyngeal insufficiency in patients with SMCP, including relatively old patients.

show abstract

mentioning

confidence: 99%