Team Acceptance of Specific Recommendations for the Treatment of VPI as Provided by Speech Pathologists

Abstract

This retrospective study describes the frequency of one team's acceptance of speech pathologists' recommendations for specific secondary treatment procedures for the correction of VPI for 100 consecutive patients. In addition, assessment was made of the level of success in eliminating VPI relative to treatments utilized that were recommended by speech pathologists versus level of success when treatment other than that recommended by speech pathologists were used. For the 78 patients who received the treatment procedure recommended by speech pathologists, only 10 percent continued to demonstrate any clinically significant residual speech problem associated with VPI. However, for the 22 patients who received treatment other than that which had been recommended, 32 percent continued to demonstrate clinically significant speech problems associated with VPI. Data is presented on the success rate for correcting VPI relative to specific treatment recommendations including pharyngeal flap, palatal pushback, pharyngeal wall implant, tonsillectomy, prosthetic palatal lifts, and speech therapy.

Cerclage sphincter pharyngoplasty: A new technique for velopharyngeal insufficiency

“…During the last 10 years, there had been a movement toward tailoring the choice of surgical procedures for the correction of VPI to the defect exhibited by the patient and manner of closure [6]. This is not universally accepted and remains a debatable issue.…”

“…Although speech articulation errors may be corrected through speech therapy, the primary effects of VFI -nasal air escape and hypernasality -can only be corrected by restoring velopharyngeal competence [6].…”

Tamanho do véu e profundidade da nasofaringe em indivíduos com disfunção velofaríngea

“…A nasoendoscopia e a videofluoroscopia são técnicas amplamente utilizadas para a avaliação visual direta do MVF durante a produção de fala, permitindo a definição da melhor conduta para a correção da DVF (DIXON-WOOD; WILLIAMS; SEAGLE, 1991;WILLIAMS, 1984;GOLDING-KUSHNER et al, 1990;HAVSTAM et al, 2005;WILLIAMS, 1990;LAM et al, 2006 WILLIAMS; HENNINGSSON; PEGORARO- KROOK, 1997KROOK, , 2004.…”