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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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On the one hand, it can treat the velopharyngeal insufficiency, improving the voice, an aspect that insuficeincia some unanimity 9 since a flap shifted from the pharynx mechanically prevents air passage to insuficiebcia nasal pits.

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.

Rev Stomatol Chir Maxillofac ; Teeth pulpdentinenamel. The result is that, in fact, air escape toward the nasal pits can be prevented, improving the rhinolalia but with the biological cost of a reduction in the diameter of the upper airway with the consequent respiratory reduction. Cleft palate hypernasality nasometry pharyngeal flap pressure-flow technique velopharyngeal insufficiency.

Retrieved from ” https: An anatomic evaluation of the furlow double opposing Z-plasty technique of cleft palate repair. Both this evaluation and the phonoaudiological examination were performed in the preoperative as well as postoperative period of each patient.

Velopharyngeal inadequacy – Wikipedia

In this situation, the maxillary occupies a more posterior and higher anatomic site in the upper floor of the face, impacted in an area that normally should be available for air passage towards the bronchi. Prevalence of sleep apnoea syndrome in the Spanish adult population.

By using this site, you agree to the Terms of Use and Privacy Policy. British Journal of Plastic Surgery ; However, this beneficial characteristic is also the origin of its greatest disadvantage: Ann Acad Med Singapore ; Oral and maxillofacial pathology K00—K06, K11—K14—, — Velopharyngeal insufficiency could be produced by a partial or inappropriate veloplasty performed to correct palate clefts. Presentamos nuestra experiencia basada en una serie de 15 casos tratados de esta nueva manera: The assessment of middle ear function and hearing by tympanometry in children before and after early cleft palate repair.

At this moment, the remaining muscular structures are identifyed, the palatal bone and nasal and buccal mucosa border are separated and are joined in a more posterior position of the contralaterals of the midline. The procedure is based on the empiric verification that there is an anatomic substrate available in many velopharyngeal incompetences, whose functionality can be rescued and reestablished although it does not function adequately since the muscles are often displaced, atrophic and deformed.


Until recently, snoring was not considered as a pathological clinical sign and Sleep Medicine had not appeared in the clinical discipline spectrum. Effect of primary surgery for cleft lip and palate on midfacial growth. Views Read Edit View history. After the surgery, patients were evaluated with a phonetic test and aerophonoscopy. Squamous cell papilloma Keratoacanthoma Malignant: Once this nasal and muscular functional plane is closed, the buccal plane is closed.

The disorders caused by velar dysfunction are grouped under the term of “Velopharyngeal insufficiencies. At this time, the possible fistulas are corrected or the adherences or folds existing are eliminated. Sorry, but Javascript is not enabled in your browser!

Along this reflexive line, our proposal is oriented to the recovery of the forms and function, searching for the recovery of normal anatomy and physiology of the zone with our technique.

Velopharyngeal inadequacy

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. Valopharyngeal insufficiency is a usual condition observed in those born with soft palate fissures and treated surgically, regardless of the technique used.

Santiago de Chile, Chile. Br J Oral Maxillofac Surg ; This antero-posterior lengthening is achieved on freeing the palatine aponeurosis with its tensor muscles and elevator of the soft palate from its insertions in the palate vault and once dissected, this is carried to a more posterior position, preserving the essential structures for its mobility, such as the pterygoid hooks.

Int J Epidemiol ; They do not respond to surgical treatment as that proposed since the indispensable substrate is not available: 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.

Insuficiencia velofaríngea, disfagia neurogénica

J Ann Chir Plast ; At this time, we dissect the muscular plane, searching for the elevator muscle of the soft palate or elevator muscle of the velum that should be uninserted from the bone palate and carried backwards, to then be joined in the middle line. To evaluate the effectiveness of pharyngeal flap surgery PFS for the correction of velopharyngeal insufficiency VPIby means of speech perceptual and instrumental assessment, and to verify the influence of preoperative hypernasality, age, surgeon and speech therapy on the results.


In these cases, pharyngoplasty seems to be the procedure of choice, velifaringea being several techniques published. In the immediate postoperative period, the discomfort caused by the exposure and manipulation of the pharyngeal tissues velofarnigea by the pharyngoplasty techniques are obviated when a secondary functional veloplasty is performed for the same reason detailed in the previous point.

Salivary glands 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: Generally, in these cases, the phonoaudiological therapy is limited and its results are often unsatisfactory.

Cementicle Cementoblastoma Gigantiform Cementoma Eruption cyst Epulis Pyogenic granuloma Congenital epulis Gingival enlargement Gingival cyst of the adult Gingival cyst of the newborn Gingivitis Desquamative Granulomatous Plasma cell Hereditary gingival fibromatosis Hypercementosis Hypocementosis Linear gingival erythema Necrotizing periodontal diseases Acute necrotizing ulcerative gingivitis Pericoronitis Peri-implantitis Periodontal abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Chronic Perio-endo lesion Teething.

Plast Reconstr Surg ; Although the definitions are similar, the etiologies correlated with each term differ slightly. Perceptual, nasometric and aerodynamic speech analysis in subjects undergoing pharyngeal insuficiebcia surgery for velopharyngeal insufficiency.

In these cases, the velum is, to a greater or lesser degree, shortened, atrophic and its muscular fibers are displaced from their normal insertion site, and are incapable of moving in order to contact with the pharyngeal wall as normally occurs. 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 velofwringea being reeducated phonoaudiologically and thus achieving a correct voice free of nasalizations, preserving the caliber and functionality of the upper airway.