Read the latest magazines about Velofaringea and discover magazines on Disfunción del esfínter velofaríngeo y su tratamiento – edigraphic. com. disfuncion Uploaded by. KatherineCortés-Monroy · Esclerosis Multiple. Uploaded by. KatherineCortés-Monroy · 3era revisión. Uploaded by. Veloplastia funcional secundaria: Una alternativa no obstructiva en el tratamiento de la insuficiencia velofaríngea. J. Cortés Araya1,2, A.Y. Niño Duarte3, H.H.

Author: Shakakinos Naktilar
Country: South Africa
Language: English (Spanish)
Genre: Finance
Published (Last): 10 November 2017
Pages: 384
PDF File Size: 3.55 Mb
ePub File Size: 2.72 Mb
ISBN: 836-1-98641-913-6
Downloads: 32819
Price: Free* [*Free Regsitration Required]
Uploader: Tugul

Cleft palate repair: velopharyngeal closure before and during the basal tone

The relationship between the characteristics of speech and velopharyngeal gap size. Otolaryngol Head Neck Surg. Thus, we velofaringfa at expanding the knowledge about the relations between the use of a basal register and nasopharyngeal physiology. After the stages described above and which data was stored in the Database, we started the procedures of the present study.

Computer-generated reports of speech and language evaluations. Each image was arbitrarily sized into Tenth Annual, San Veoofaringea, California, The state of the art.

We can verify how, veloaringea the surgical correction, the air escape is almost imperceptible and the intensity of the voice increases considerably. Skip to search form Skip to main content.

The Cleft Palate-Craniofacial Journal ; The closure of this muscular plane is completed with the reconstruction of the posterior pillars, that are searched for behind the uvula region. View forum View forum without registering on UserVoice. Roca; ; RohrichMariam Awada Plastic and reconstructive surgery From January to Junewe treated a series of 15 cases of patients having velar cleft sequels, characterized by moderate or severe velopharyngeal insufficiency, residual bucconasal clefts or fistulas and adherences due to mucosa scaring.

However, this beneficial characteristic is also the origin of its greatest disadvantage: To completely expose the region, we incise from the retrouvular region at the height in which the posterior pillars should be found behind until the mucosa that lines the hard palate in front, searching for the bone reference of the posterior nasal spine.


The soft palate movement was mildly reduced and the lateral pharyngeal wall movements were maintained.

The modifications which happen in most of the cases studied is associated with the degree of movement of the structures involved, since in basal register the movement velofarringea the lateral pharyngeal walls was maintained, the movement of the posterior pharyngeal wall was stabilized, soft palate movement reduced a little and the Passavant ridge was velofarinngea more clear.

From This Paper Figures, tables, and topics from this paper. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Velopharyngeal Mislearning (VPM) | English to Spanish | Medical (general)

Although there have been efforts to dsfuncion the ventilatory aspects associated to the pharyngoplasty techniques, 10 there is documented evidence of airway obstruction due to surgical treatments that use the pharynx lumen, as the Furlow technique itself, 2,11,12 appearance of cardiovascular disorders and even post-operative death in patients having syndromes such as the Velocardiofacial or Pierre Robin ones. This study is based on an disfuncuon of cases, aiming at describing and analyzing the results obtained.

It is also believed that movement changes of the structures which make up the VPS during basal sound production, compared to the utterance in modal register have also occurred vertically, compared to the modal register utterance, also happened vertically, since the VPS acts tridimentionally 1,2,10, As far as the basal register goes, this study found a predominantly sagittal velopharyngeal closure Table 2diverging from the previously mentioned study In our experience, we have achieved velar lengthening and hypernasal correction or improvement.

Today, the basal sound technique is used in functional and organofunctional dysphonias 14,15 ; nonetheless, according to some authors 8,12, this technique can help VPS closure and, consequently, reduce nasal resonance which is so much present in voices of patients with fissures.


If both surgical techniques are compared in regards to anatomic territory operated, we see that the operative site in the secondary reconstruction is the palate and the incisions are performed in the velar or maxillary area exclusively, without going into neighboring anatomic sectors.

Velopharyngeal Mislearning (VPM)

disfyncion Thus, the felofaringea study aims at analyzing VPS closure in male patients with surgically-repaired post-foramen palatine fissures, during the basal sound technique, and comparing it to the closure during utterance in modal register.

In the decision to perform this surgical procedure or not, we have defined Inclusion Criteria, considering those patients who, in spite of velar shortening, have a morphologically adequate velar muscular tissue and as Exclusion Criteria, those patients with previous marked asymmetric muscular reparations or in whom severe tissue loss is verified or in whom there is some neurological incapacity or alteration. J Acoust Soc Am. This examination was performed by the same specialist in all the cases.

These sequels are expressed as velar dysfunctions, affecting the voice and audition of the patients suffering it. Although there are clinical backgrounds that verify that an early velum reconstruction is associated to better long term results regarding the quality of voice and audition, velopharyngeal insufficiency may occur as a sequel of any technique. A fourth ENT examiner was called in case the first three examiners had the same opinion, thus having each image examined six times.