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"My Voice Sounds Different": A Case of Acute Idiopathic Velopharyngeal Insufficiency.
Cureus
November 2024
Pediatrics, Unidade Local de Saúde do Alto Minho, Viana do Castelo, PRT.
This report details a case of acute idiopathic velopharyngeal insufficiency in a previously healthy eight-year-old girl, presenting with sudden voice alteration and nasal regurgitation following mild respiratory symptoms. Physical examination identified unilateral velar paralysis with open rhinolalia, without additional neurological deficits. Extensive diagnostic evaluation, including nasopharyngoscopy, cerebral and cervical imaging, and infectious serologies, yielded unremarkable findings.
View Article and Find Full Text PDFSpeech disorders related to cleft lip and palate exhibit different degrees of involvement and can occur even after primary palate repair. Hypernasality can be present as a result of velopharyngeal insufficiency, as well as nasal emission, weak pressure, articulatory errors and facial grimace, affecting speech intelligibility. Palatoplasty outcomes can be variable, and among the influencing factors are the surgical technique, the surgeon's experience, the postoperative care, and the patient/cleft characteristics.
View Article and Find Full Text PDFAssessment of the efficacy and analysis of prognostic factors of flap division for postoperative airway obstruction following posterior pharyngeal flap.
Hua Xi Kou Qiang Yi Xue Za Zhi
December 2024
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Objectives: Flap division is the primary method for treating postoperative airway obstruction following pharyngeal flap surgery. However, a discussion on the treatment effectiveness and prognosis of this surgery is lacking. Therefore, this study aims to explore the effectiveness of flap division in improving airway obstruction and hyponasality after pharyngoplasty and to analyze the risk factors for postoperative complications.
View Article and Find Full Text PDFThe impact of surgical technique and cleft width on the rate of secondary surgery and velopharyngeal function in children with UCLP at 5 years of age.
J Plast Reconstr Aesthet Surg
December 2024
Department of Surgical Sciences, Plastic Surgery, Uppsala University, Uppsala, Sweden.
Several factors may influence speech outcome and the rate of secondary palatal surgery in patients with cleft palate. The aim of this study was to evaluate different types of intra-velar veloplasty within an otherwise uniform surgical protocol. The impact of cleft width and the surgeon's experience on outcome measurements was examined.
View Article and Find Full Text PDFReliability of Variables of Consonant Production and Velopharyngeal Competence in 10-year-olds with Cleft Palate Using Multiple Raters.
Cleft Palate Craniofac J
October 2024
Medical Unit Speech and Language Pathology and Department of Plastic Surgery and Craniofacial Surgery, Karolinska University Hospital, Stockholm, Sweden.
Article Synopsis
- - The study evaluated the reliability of speech data from the Swedish quality registry for children with cleft lip and palate (CLP) at age 10, using a retrospective design involving 121 participants.
- - Six independent raters compared audio recordings against registry data to assess factors like the percentage of consonants correct (PCC) and velopharyngeal competence (VPC), using statistical methods to measure agreement.
- - Results showed excellent reliability for PCC and non-oral speech errors, with good to excellent rankings for quality indicators, while VPC showed varying levels of reliability that warrant cautious interpretation in research contexts.
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