Investigation of postoperative hypernasality after superiorly based posterior pharyngeal flap / 대한악안면성형재건외과학회지
Maxillofacial Plastic and Reconstructive Surgery
;
: 23-2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-741557
ABSTRACT
BACKGROUND:
Velopharyngeal insufficiency that accompanies speech resonance and articulation disorders can be managed through several intervention methods such as speech-language therapy, prosthetic aids, and surgery. However, for patients with severe hypernasality, surgical interventions are highly recommended. Among available surgical techniques, the posterior pharyngeal flap is most common. CASE PRESENTATION Two adult males with high nasalance scores underwent superiorly based posterior pharyngeal flap surgery, followed by speech testing by an expert speech-language therapist. Nasalance scores and articulation accuracy were assessed up until 1 year after the surgery. Nasalance scores were measured five times using a nasometer, after which the average value was calculated.CONCLUSIONS:
Consistent declines in hypernasality over time are not easy to explain since the pedicled pharyngeal flap narrowed over time, secondary to cicatrization. However, scar tethering of the soft palate in a posterior direction could reduce the velopharyngeal port size over time. Therefore, long-term follow-up with intensive speech therapy is suggested for patients with severe hypernasality.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Palato Mole
/
Transtornos da Articulação
/
Fonoterapia
/
Insuficiência Velofaríngea
/
Seguimentos
/
Fissura Palatina
/
Cicatriz
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Maxillofacial Plastic and Reconstructive Surgery
Ano de publicação:
2018
Tipo de documento:
Artigo
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