INSUFICIENCIA VELOFARINGEA Son alteraciones estructurales. Hiperrinolalia Alteración resonancial de la articulación de los fonemas. Veloplastia funcional secundaria: Una alternativa no obstructiva en el tratamiento de la insuficiencia velofaríngea. J. Cortés Araya1,2, A.Y. Niño Duarte3, H.H. English Translation, Synonyms, Definitions and Usage Examples of Spanish Word ‘insuficiencia velofaríngea’.

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Cleft Palate J ; Although there have been efforts to improve 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.

Thus, it is doubly serious to use operative techniques that restrict the air passage by the upper airway and thus facilitate the appearance of obstructive respiratory disorders to a population that presents intrinsic characteristics of obstructive risk.

Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus. The disorders caused by velar dysfunction are grouped under the term of “Velopharyngeal insufficiencies. Suturing is continued, from front to back, thus moving the previously dissected soft palate musculature to a more posterior position than it previously had. Palate Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus.

J Ann Chir Plast ; 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.

In this way, we expose both hemivelums, the borders remaining reverted towards the middle line.

Análise perceptiva, nasométrica e aerodinâmica da fala de indivíduos submetidos à

A cleft palate is one of the most common causes of VPI. In the immediate postoperative period, the discomfort caused by the exposure and manipulation of the velofarinea tissues determined by the pharyngoplasty techniques are obviated insuficiencix a secondary functional veloplasty is performed for the velofarungea reason detailed in the previous point.

There is VFI having neurological etiology, as certain velar paralysis or inusficiencia idiopathic ones, such as some malformations that are expressed with agenesis or hypoplasy of the velopalatine sectors. Services on Demand Journal. Other ways of treating velopharyngeal insufficiency is by placing a posterior nasopharyngeal wall implant commonly cartilage or collagen or type of soft palate lengthening procedure i.


From the functional point of view, a pharyngoplasty produces different changes. Int J Epidemiol ; Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities.

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.

Skeletal growth after muscular reconstruction for cleft lip, alveolous and palate.


Clinically, they are known as open rhinolalia as the voice is affected, it becoming nasal, and on the other hand, we find hypoacusis, secondary to chronic otitis media, that affects middle ear ventilation.

A phonoaudiological examination was performed in each patient to evaluate the results. Generally, in these cases, the phonoaudiological therapy is limited and its results are often unsatisfactory. The procedure is based on the empiric verification that there is an anatomic substrate available in many velopharyngeal velotaringea, whose functionality can be rescued and reestablished although it does not function adequately since the muscles are often displaced, atrophic and deformed.

Velopharyngeal insufficiency or incompetency are related labels for this phenomenon, in addition to most common generic- velopharyngeal inadequacy. Evidence in infants with cleft palate that breast milk protects against otitis media.

Benign lymphoepithelial lesion Ectopic salivary gland tissue Frey’s syndrome HIV salivary gland disease Necrotizing sialometaplasia Mucocele Ranula Pneumoparotitis Salivary duct stricture Salivary gland aplasia Salivary gland atresia Salivary gland diverticulum Salivary gland fistula Salivary gland hyperplasia Salivary gland hypoplasia Salivary gland neoplasms Benign: The greatest advantage of the technique proposed is precisely that it returns the normal velar morphology and thus the capacity to the velopharyngeal structures to obtain competence, leaving this sector in conditions of being reeducated phonoaudiologically and thus achieving a correct voice free of nasalizations, preserving the caliber and functionality of the upper airway.

For the treatment of velopharyngeal insufficiency, several treatments have been tested, as, for example, phonoaudiological reeducation, which is really the base of insuficiencka therapy, by itself, or as a velofaringes to another procedure. Complete resolution was observed in smaller proportion of cases.

These other causes are outlined in the chart below:. Velopharyngeal insufficiency could be produced by a partial or inappropriate veloplasty performed to correct palate clefts. 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. This rights cover the whole data about this document as well as its contents.


Treatment dependent factors would thus not only be important among the factors to be considered in its appearance, but also constitutional factors, such as width and depth of the pharynx and quality of the tissues involved, among others.

Insuficiencia velofaríngea, disfagia neurogénica

These sequels are expressed as velar dysfunctions, affecting the voice and audition of the patients suffering it. Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Insuficirncia disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Torus gelofaringea.

Perceptual, nasometric and aerodynamic speech analysis in subjects undergoing pharyngeal flap surgery for velopharyngeal insufficiency. Any uses or copies of this document in whole or in part must include the author’s name.

The outcome of this evaluation has shown the effectiveness of this velofwringea technique. Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.

At the time of surgery, the patients were between 8 and 22 years of age and all were evaluated, prior to the surgical treatment by the same phonoaudiologists, the surgical decision being made jointly by the phonoaudiologist and the surgeon. A clarification of the surgical goals in cleft palate speech and the introduction of the insuticiencia port control l.

The aerophonoscopic studies were performed with an apparatus ” ” and the operation was done by the same phonoaudiologist in all the cases. While cleft is the most common cause of VPI, other significant etiologies exist.

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