Velopharyngeal Insufficiency Induced by a Postoperative Palatal Fistula during Articulation Development Period: A Case Report
Journal of the Korean Society of Plastic and Reconstructive Surgeons
;
: 175-177, 2010.
Article
in Korean
| WPRIM
| ID: wpr-32876
ABSTRACT
PURPOSE:
Velopharyngeal insufficiency(VPI) during articulation development period can cause compensatory articulation like glottal stop, which can maintain VPI symptoms such as hypernasality and nasal emission despite of recovered velopharyngeal function.METHODS:
A girl visited our department with speech problems such as hypernasality, compensatory articulation patterns, and nasal air emission. She had history of post-palatoplasty fistula which was repaired after 1 year follow-up.RESULTS:
After treated with speech therapy without surgery, her hypernasal speech problem was corrected. From this, we could assume that the fistula during articulation development period induced VPI, which leads to glottal substitution and this compensatory articulation maintained VPI though the fistula was repaired.CONCLUSION:
In this report, we could observe that palatal fistula in articulation development period can have detrimental effect on articulation, and also we could confirm that evaluation of soft palate mechanism with using speech sample without compensatory articulations prevent the patient from unnecessary operation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Palate, Soft
/
Speech Therapy
/
Velopharyngeal Insufficiency
/
Follow-Up Studies
/
Fistula
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Year:
2010
Type:
Article
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