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http://dx.doi.org/10.22469/jkslp.2022.33.3.188

A Case of Sphincter Pharyngoplasty for Persistent Velopharyngeal Insufficiency After Submucosal Cleft Palate Surgery  

Yunhyung, Lee (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine)
Yeon Soo, Choi (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine)
Sungryeal, Kim (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine)
Jeong-Seok, Choi (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine)
Publication Information
Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics / v.33, no.3, 2022 , pp. 188-192 More about this Journal
Abstract
Velopharyngeal insufficiency (VPI) is a phenomenon that can occur due to anatomical or neurological causes of the soft palate. VPI can make the patient difficult to articulate through hypernasality and nasal emission. There has been needed the customized treatment, as VPI can occur for many causes. We present the case of 21-year-old male who took palate plastic surgery 20 years ago for congenital submucosal cleft palate. As he had poor contraction of both lateral side of velopharynx, he was diagnosed with coronal type VPI. Through sphincter pharyngoplasty, he can obtain improvement of articulation accuracy. We would like to share this challenged case.
Keywords
Velopharyngeal insufficiency; Palatoplasty; Articulation disorder; Hypernasal voice; Cleft palate;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Hirschberg J. Results and complications of 1104 surgeries for velopharyngeal insufficiency. ISRN Otolaryngol 2012;2012:181202.
2 Ko SO. Management of velopharyngeal dysfunction: What is the role of oral and maxillofacial surgeons? J Korean Assoc Oral Maxillofac Surg 2018;44(1):1-2.   DOI
3 Vale F, Paula AB, Travassos R, Nunes C, Ribeiro MP, Marques F, et al. Velopharyngeal insufficiency treatment in cleft palate patients: Umbrella review. Biomimetics (Basel) 2022;7(3):118.
4 Shin J, Kim SJ. Speech sound disorders 2nd Ed. Seoul; Sigmapress: 2020.
5 Purcell P, Sie KC. Velopharyngeal dysfunction, diagnosis and management. In: Kountakis SE, editor. Encyclopedia of Otolaryngology, Head and Neck Surgery. Berlin, Heidelberg: Springer Berlin Heidelberg;2013. p.2993-3002.
6 Kummer AW. Speech therapy for errors secondary to cleft palate and velopharyngeal dysfunction. Semin Speech Lang 2011;32(2):191-8.   DOI
7 Israel JM, Cook TA, Blakeley RW. The use of a temporary oral prosthesis to treat speech in velopharyngeal incompetence. Facial Plast Surg 1993;9(3):206-12.   DOI
8 Instrum R, Dzioba A, Dworschak-Stokan A, Husein M. Surgical interventions in velopharyngeal dysfunction: Comparative perceptual speech and nasometric outcomes for three techniques. J Otolaryngol Head Neck Surg 2022;51(1):3.
9 Gart MS, Gosain AK. Surgical management of velopharyngeal insufficiency. Clin Plast Surg 2014;41(2):253-70.   DOI