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Post-operative Continuous Positive Airway Pressure (CPAP) Therapy in Velopharyngeal Insufficiency Patient  

Kim, Kyu Nam (Department of Plastic Surgery, University of Ulsan, College of Medicine)
Koh, Kyung Suck (Department of Plastic Surgery, University of Ulsan, College of Medicine)
Jung, Seung Eun (Department of Rehabilitation Medicine, University of Ulsan, College of Medicine)
Ha, Seung Hee (Division of Speech Pathology and Audiology, Hallym University)
Park, Mi Kyung (Department of Plastic Surgery, Seoul National University Bundang Hospital)
Publication Information
Archives of Craniofacial Surgery / v.11, no.2, 2010 , pp. 73-76 More about this Journal
Abstract
Purpose: There are several surgical methods for correcting a velopharyngeal insufficiency (VPI) but in some cases, it is not possible to achieve complete recovery of the velopharyngeal function. This paper introduces a new therapy for treating hypernasality without further surgery using continuous positive airway pressure (CPAP). Methods: CPAP therapy was applied to seven VPI patients for eight weeks from April of 2007 to September of 2009. All patients underwent palatoplasty for the cleft palate and six patients underwent palatal lengthening for VPI before CPAP therapy. A speech pathologist performed an auditory perceptual evaluation to evaluate the improvement in hypernasality after 8-week CPAP therapy. Results: Six patients showed an improvement in hypernasality after CPAP therapy according to the auditory perceptual evaluation. One patient with severe hypernasality responded to the early part of therapy but the hypernasality did not improve after therapy. Conclusion: CPAP therapy might be effective in reducing the hypernasality in patients with VPI by providing resistance training to strengthen the velopharyngeal closure muscles. In particular, CPAP therapy could be more effective for patients who show mild to moderate hypernasality after surgery.
Keywords
Continuous positive airway pressure (CPAP); Hypernasality; Velopharyngeal insufficiency;
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1 Kuehn DP: New therapy for treating hypernasal speech using continuous positive airway pressure (CPAP). Plast Reconstr Surg 88: 959, 1991   DOI   ScienceOn
2 Kuehn DP, Moon JB, Folkins JW: Levator veli palatini muscle activity in relation to intranasal air pressure variation. Cleft Palate Craniofac J 30: 361, 1993   DOI   ScienceOn
3 Kuehn DP, Imrey PB, Tomes L, Jones DL, O'Gara MM, Seaver EJ, Smith BE, Van Demark DR, Watchtel JM: Efficacy of continuous positive airway pressure for treatment of hypernasality. Cleft Palate Craniofac J 39: 267, 2002   DOI   ScienceOn
4 Cahill LM, Turner AB, Stabler PA, Addis PE, Theodoros DG, Murdoch BE: An evaluation of continuous positive airway pressure (CPAP) therapy in the treatment of hypernasality following traumatic brain injury: a report of 3 cases. J Head Trauma Rehabil 19: 241, 2004   DOI   ScienceOn