Surgery for speech in cleft palate patients

Ysunza, Antonio; Pamplona, María Carmen; Molina, Fernando; Drucker, Mónica; Felemovicius, Jacobo; Ramírez, E. Román; Patiño, Carmeluza

doi:10.1016/j.ijporl.2004.06.010

Cited by 54 publications

(58 citation statements)

References 34 publications

(45 reference statements)

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“…An isolated submucous cleft or nonsyndromicsubmucous cleft causes VPI only in around 10% of the cases. In contrast, a submucous cleft associated with a chromosomal syndrome causes VPI in over 50% of the cases [11][12][13][14][15].…”

Section: Cleft Palate and Submucous Cleft Palatementioning

confidence: 99%

“…Certain articulation disorders are generallyregarded as compensatory behaviors secondary to VPI. These errors include dysfunctionnot only of the velopharyngeal sphincter, but also of the entire vocal tract and higher levels of articulation [4,11].…”

Section: Diagnosis Of Velopharyngeal Insufficiencymentioning

confidence: 99%

“…Thus, compensatory articulation has to be treated with speech pathology intervention. In contrast, VPI requires surgical or prosthetic treatment in the vast majority of cases [4,11,29].…”

Section: Diagnosis Of Velopharyngeal Insufficiencymentioning

confidence: 99%

“…The goal in treating velopharyngeal dysfunctionis to restore a functional seal between the nasopharynx and oropharynx so that normal speech articulation occurs. Even though the diagnosis of VPI is based upon clinical data, the best approachfor the analysis of an insufficient velopharyngeal port is the combination of video nasopharyngoscopy (VNP) and multi view video fluoroscopy (MVVF) [4,11,14,28].…”

Section: Management Of Velopharyngeal Insufficiency In Syndromic Casesmentioning

confidence: 99%

“…Shprintzen was the first to use the term ''tailor -made'' velopharyngeal surgery [11]. After this report, severalauthors have also described that using thevisual data provided by VNP & MVVF, it is possible toperform the planning of operations for correcting velopharyngeal insufficiency.…”

Section: Management Of Velopharyngeal Insufficiency In Syndromic Casesmentioning

confidence: 99%

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Diagnosis and Management of Velopharyngeal Insufficiency Associated with Chromosomal Syndromes

Ysunza

Craniofacial²,

Lozon³

2013

Clon Transgen

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All congenital structural defects in the body are the result of an error in morphogenesis. Morphogenesis takes place around 25 to 29 days of intrauterine life. Chromosomal syndromes involve a phenotypically significant structural and/or numerical chromosomal abnormality.An insufficient function of the velopharyngeal sphincter induces excessive nasal resonance during speech. This abnormal resonance is called hypernasality. A deficient seal of the velopharyngeal sphincter creates an airflow leaking into the rhinopharynx, resulting in abnormal air turbulence through the nasal cavities which can be easily perceived and is called nasal emission. Hypernasality and nasal emission are the clinical signs of velopharyngeal insufficiency (VPI). In other words, VPI is the velopharyngeal inability to create an efficient seal during speech.Most chromosomal syndromes cause VPI as a consequence of a cleft palate. However, when patients with a chromosomal abnormality and VPI are being clinically assessed, it is essential to keep in mind that an apparently and morphologically intact uvula and velum do not rule out the possibility of a sub mucous cleft palate.Several chromosomal syndromes can be associated with VPI, including: 22q11.2 deletion syndrome (22q11.2DS) or velocardiofacial syndrome among other names, Opitz G/BBB syndrome (OS), Kabuki syndrome (KS) and Jacobsen syndrome (JS). Pierre -Robin sequence (PRS) can be associated with some chromosomal syndromes. In these cases, PRS is referred as syndromic PRS.In this paper, the diagnosis and management of VPI in the most common chromosomal syndromes is discussed.

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Section: Cleft Palate and Submucous Cleft Palatementioning

confidence: 99%

Section: Diagnosis Of Velopharyngeal Insufficiencymentioning

confidence: 99%

“…Thus, compensatory articulation has to be treated with speech pathology intervention. In contrast, VPI requires surgical or prosthetic treatment in the vast majority of cases [4,11,29].…”

Section: Diagnosis Of Velopharyngeal Insufficiencymentioning

confidence: 99%

Section: Management Of Velopharyngeal Insufficiency In Syndromic Casesmentioning

confidence: 99%

Section: Management Of Velopharyngeal Insufficiency In Syndromic Casesmentioning

confidence: 99%

See 3 more Smart Citations