Avaliaçäo e tratamento da incompetência velofaríngea: tendências atuais no Japäo / Evaluation and treatment of velopharyngeal incompetence: present trends in Japan

The present article describes the approach developed at the Cleft Palate Clinic of Kyoto University Hospital, aiming at introducing assessment and treatment for velopharyngeal function currently in use in Japan. A multi-view approach with the main emphasis given to the fluorocideography and to the nasopharyngofiberscopy permits accurate analysis and evaluation of dynamic velopharyngeal gesture and facilitates the selection of adequated treatment. The article describes the surgical treatment, the speech therapy procedures, and presentes a case study reporting the therapeutic approach to the articulation disorders combined with sligth velopharyngeal incompetence