This book is an excellent how-to guide that otolaryngologists, facial plastic & reconstructive surgeons, plastic surgeons, oral maxillofacial surgeons, and speech pathologists will read cover-to-cover and refer to whenever they need a refresher on how to tackle a particular cleft or velopharyngeal
insufficiency is one of the most consistent features of this syndrome and is usually confirmed in conjunction with a speech examination.
Although concerns with velopharyngeal
incompetence (VPI) resulting from MMA have not been substantiated in recently published studies, that possibility should be considered and, if indicated, appropriate assessment may be conducted prior to advancement surgery.
closure, muscle treatment, nasal emission, hypernasality.
It may be that the different genetic forms of CLP respond to surgery and therapies differently, with higher or lower complication rates, such as residual velopharyngeal
insufficiency or maxillary underdevelopment.
Complications from UPPP include nasal regurgitation, velopharyngeal
incompetence, hypernasal speech, palatal stenosis, and residual OSA.
Based on the patients' medical diagnosis, subjects are assigned to one diagnostic category 1) cleft lip and palate (N = 32), 2) cleft palate (N = 35), 3) cleft lip (N = 9), 4) speech disorder typically velopharyngeal
incompetency with no structural defect) (N = 12), or (5) facial deformity (typically a handicapping malocclusion) (N = 16).
study found that chief residents were significantly less comfortable with issues such as management of craniofacial anomalies, excision of large lymphatic malformations, cochlear implantation, laryngotracheal reconstruction, and surgical correction of velopharyngeal
insufficiency than they were with other aspects of pediatric otolaryngology.
According to the perceptual assessment, the patient demonstrated laryngeal, lingual, and velopharyngeal
weaknesses at baseline.
A 23-year-old oboe player was found to have velopharyngeal
incompetence after complaining of a 6-year history of "nasal snorting" that would begin after 10 minutes of continued playing.
Clinical implications of the velopharyngeal
blood supply: A fresh cadaveric study.
His history was negative for relevant trauma, surgery, cauterization, tuberculosis, syphilis, velopharyngeal