Tags

Type your tag names separated by a space and hit enter

Management of velopharyngeal insufficiency: development of a protocol and modifications of sphincter pharyngoplasty.
Facial Plast Surg. 2007 May; 23(2):128-39.FP

Abstract

Velopharyngeal closure is required for normal speech production. Incomplete velopharyngeal closure manifests as resonance disorders and nasal air escape. Management of velopharyngeal insufficiency requires a general knowledge of speech production as well as a more detailed understanding of the velopharyngeal mechanism. Comprehensive evaluation by a velopharyngeal insufficiency team includes medical assessment focusing on airway obstructive symptoms, perceptual speech analysis, and instrumental assessment, which is utilized to characterize the velopharyngeal gap. Options for intervention include speech therapy, intraoral prosthetic devices, and surgery. Surgical interventions can be categorized as palatal, palatopharyngeal, or pharyngeal procedures. The therapeutic challenge lies in achieving velopharyngeal closure during speech production while maintaining patency of the upper airway. We present our protocol for evaluation of velopharyngeal function with a focus on indications for palatoplasty and pharyngoplasty. We also discuss surgical modifications of sphincter pharyngoplasty.

Authors+Show Affiliations

Pediatric Otolaryngology-Head and Neck Surgery, Children's Hospital and Regional Medical Center, University of Washington, Seattle, WA 98105, USA.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17516340

Citation

Sie, Kathleen C Y., and Eunice Y. Chen. "Management of Velopharyngeal Insufficiency: Development of a Protocol and Modifications of Sphincter Pharyngoplasty." Facial Plastic Surgery : FPS, vol. 23, no. 2, 2007, pp. 128-39.
Sie KC, Chen EY. Management of velopharyngeal insufficiency: development of a protocol and modifications of sphincter pharyngoplasty. Facial Plast Surg. 2007;23(2):128-39.
Sie, K. C., & Chen, E. Y. (2007). Management of velopharyngeal insufficiency: development of a protocol and modifications of sphincter pharyngoplasty. Facial Plastic Surgery : FPS, 23(2), 128-39.
Sie KC, Chen EY. Management of Velopharyngeal Insufficiency: Development of a Protocol and Modifications of Sphincter Pharyngoplasty. Facial Plast Surg. 2007;23(2):128-39. PubMed PMID: 17516340.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of velopharyngeal insufficiency: development of a protocol and modifications of sphincter pharyngoplasty. AU - Sie,Kathleen C Y, AU - Chen,Eunice Y, PY - 2007/5/23/pubmed PY - 2007/6/26/medline PY - 2007/5/23/entrez SP - 128 EP - 39 JF - Facial plastic surgery : FPS JO - Facial Plast Surg VL - 23 IS - 2 N2 - Velopharyngeal closure is required for normal speech production. Incomplete velopharyngeal closure manifests as resonance disorders and nasal air escape. Management of velopharyngeal insufficiency requires a general knowledge of speech production as well as a more detailed understanding of the velopharyngeal mechanism. Comprehensive evaluation by a velopharyngeal insufficiency team includes medical assessment focusing on airway obstructive symptoms, perceptual speech analysis, and instrumental assessment, which is utilized to characterize the velopharyngeal gap. Options for intervention include speech therapy, intraoral prosthetic devices, and surgery. Surgical interventions can be categorized as palatal, palatopharyngeal, or pharyngeal procedures. The therapeutic challenge lies in achieving velopharyngeal closure during speech production while maintaining patency of the upper airway. We present our protocol for evaluation of velopharyngeal function with a focus on indications for palatoplasty and pharyngoplasty. We also discuss surgical modifications of sphincter pharyngoplasty. SN - 0736-6825 UR - https://www.unboundmedicine.com/medline/citation/17516340/Management_of_velopharyngeal_insufficiency:_development_of_a_protocol_and_modifications_of_sphincter_pharyngoplasty_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-979282 DB - PRIME DP - Unbound Medicine ER -