Two-stage cleft palate closure by our treatment algorithm in complete unilateral cleft lip and palate: Results of velopharyngeal function

Matsui, Yoshihito; Kurita, K.; Imaoka, Koki; Hanai, Hiroyuki; Mizuno, Shoya; Maeda, Masahito; Nakayama, Atsushi; Inoue, Chiharu

doi:10.1016/j.ajoms.2018.12.002

Cited by 4 publications

(1 citation statement)

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“…It functions to elevate the nasopharynx, effectively closing the communication from the nasopharynx to the oropharynx. 1 The velopharynx is a complex structure that is responsible for the separation of the oral and nasal cavities during speech production and swallowing. 2 Velopharyngeal closure refers to the normal opposition of the soft palate, or velum, with the posterior and lateral pharyngeal walls.…”

Section: Introductionmentioning

confidence: 99%

Evaluation and Management of Velopharyngeal Incompetence

Srinath¹,

Kishore²,

Reddy³

et al. 2019

IJCMSR

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Palatoplasty for cleft lip and palate is associated with two major complications speech development disorders, including velopharyngeal insufficiency, and maxillary growth disturbance. Current study aimed to assess velopharyngeal incompetence and anatomical factors contributing to incomplete closure following cleft palate repair and to evaluated the patients after the surgical procedure and attempted to recommend an appropriate management strategy. Materials and Methods: A prospective observational study was conducted from January 2011 to January-2013. A total of 28 patients with operated cleft palate having clinical features of velopharyngeal insufficiency were included in the study. Patients were evaluated by history, physical examination, Video fluoroscopy, Nasoendoscopy. Velopharyngeal gap size and closure pattern were taken into account based on the endoscopy report. Velopharyngeal gap size was rated on a four-point scale. Results: Among our study participants, 9 (32%) were aged between 11 to 15 years, and 16 (57%) were males. Out of 28 cases with velopharyngeal incompetence, who were assessed endoscopically, the distribution of closure pattern was circular in 20(72%) cases. There were no patients found with sagittal closure pattern. Conclusion: Our study concluded that Surgical correction of VPI improves speech and patients are advised speech therapy to improve the compensatory articulations.

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Section: Introductionmentioning

confidence: 99%