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Velopharyngeal Dysfunction Evaluation and Treatment.
Facial Plast Surg Clin North Am. 2016 Nov; 24(4):477-485.FP

Abstract

Velopharyngeal dysfunction (VPD) can significantly impair a child's quality of life and may have lasting consequences if inadequately treated. This article reviews the work-up and management options for patients with VPD. An accurate perceptual speech analysis, nasometry, and nasal endoscopy are helpful to appropriately evaluate patients with VPD. Treatment options include nonsurgical management with speech therapy or a speech bulb and surgical approaches including double-opposing Z-plasty, sphincter pharyngoplasty, pharyngeal flap, or posterior wall augmentation.

Authors+Show Affiliations

Division of Otolaryngology, University of Utah School of Medicine, 50 North Medical Drive, Room 3C120 SOM, Salt Lake City, UT 84132, USA.Division of Otolaryngology, University of Utah School of Medicine, 50 North Medical Drive, Room 3C120 SOM, Salt Lake City, UT 84132, USA. Electronic address: Harlan.muntz@imail.org.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27712815

Citation

Meier, Jeremy D., and Harlan R. Muntz. "Velopharyngeal Dysfunction Evaluation and Treatment." Facial Plastic Surgery Clinics of North America, vol. 24, no. 4, 2016, pp. 477-485.
Meier JD, Muntz HR. Velopharyngeal Dysfunction Evaluation and Treatment. Facial Plast Surg Clin North Am. 2016;24(4):477-485.
Meier, J. D., & Muntz, H. R. (2016). Velopharyngeal Dysfunction Evaluation and Treatment. Facial Plastic Surgery Clinics of North America, 24(4), 477-485. https://doi.org/10.1016/j.fsc.2016.06.016
Meier JD, Muntz HR. Velopharyngeal Dysfunction Evaluation and Treatment. Facial Plast Surg Clin North Am. 2016;24(4):477-485. PubMed PMID: 27712815.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Velopharyngeal Dysfunction Evaluation and Treatment. AU - Meier,Jeremy D, AU - Muntz,Harlan R, PY - 2016/10/8/entrez PY - 2016/10/8/pubmed PY - 2017/5/10/medline KW - Double-opposing Z-plasty KW - Hypernasality KW - Pharyngeal flap KW - Speech endoscopy KW - Sphincter pharyngoplasty KW - Velopharyngeal dysfunction SP - 477 EP - 485 JF - Facial plastic surgery clinics of North America JO - Facial Plast Surg Clin North Am VL - 24 IS - 4 N2 - Velopharyngeal dysfunction (VPD) can significantly impair a child's quality of life and may have lasting consequences if inadequately treated. This article reviews the work-up and management options for patients with VPD. An accurate perceptual speech analysis, nasometry, and nasal endoscopy are helpful to appropriately evaluate patients with VPD. Treatment options include nonsurgical management with speech therapy or a speech bulb and surgical approaches including double-opposing Z-plasty, sphincter pharyngoplasty, pharyngeal flap, or posterior wall augmentation. SN - 1558-1926 UR - https://www.unboundmedicine.com/medline/citation/27712815/Velopharyngeal_Dysfunction_Evaluation_and_Treatment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1064-7406(16)30071-2 DB - PRIME DP - Unbound Medicine ER -