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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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In fact, performing a secondary functional veloplasty not only implies reduction of the operative time but also economy in the means necessary to obtain the objective: A surgical technique has been designed that aims to make the anatomical reconstruction of the soft palate based on the muscular elements available and that can be identified, dissected and functionally recovered.

VPI can either be congenital or acquired later in life.

For the treatment of velopharyngeal insufficiency, several treatments have been tested, as, for example, phonoaudiological reeducation, which is really the base of any therapy, by itself, or as a complement to another procedure. 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.

Presentamos nuestra experiencia basada en una serie de 15 casos tratados de esta nueva manera: 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.

Rev Stomatol Chir Maxillofac ; 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.

Views Read Edit View history. 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.

Secondary functional veloplasty: a non-obstructive approach to valopharyngeal insufficiency

Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. J Ann Chir Plast ; Velopharyngeal insufficiency is the inability of the velopharyngeal sphincter to sufficiently separate the nasal cavity from the oral cavity during speech. Squamous cell papilloma Keratoacanthoma Malignant: How to cite this insuficoencia.


Effect of primary surgery for cleft lip and palate on midfacial growth.

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: Once this nasal and muscular functional plane is closed, the buccal plane is closed.

Periapical, mandibular and maxillary hard tissues — Bones of jaws. Incidence and severity of obstructive sleep apnea following pharyngeal flap surgery in patients with cleft palate. While cleft is the most common cause of VPI, other significant etiologies exist. British Journal of Plastic Surgery ; The pharyngoplasty classically presents as the procedure of choice in these cases, many techniques having been described Fig.

On the other hand, there are deformities in the facial skeleton in relationship to the frequent structural characteristics observed veloaringea cleft patients.

Insuficiencia velofaríngea, disfagia neurogénica

Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal velofaeingea Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans. The state of the art. This page was last edited on 17 Novemberat Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures.

Articles which use infobox templates with no data rows Infobox medical condition new. Then the mucosa of the nasal side of the hard palate is identified and sutured with its contralateral side, thus establishing a clear separation between the nasal and buccal cavities. However, in the field of medical professionals these terms are typically used interchangeably.

To inskficiencia expose the region, we incise from the retrouvular region at the height in which the posterior pillars should be found behind until the mucosa ineuficiencia lines the hard palate in front, searching for the bone reference of the posterior nasal spine. Cleft Palate J ; The disorders caused by velar dysfunction are grouped under the term of “Velopharyngeal insufficiencies.

Posterior pharyngeal flap and sphincter pharyngoplasty: An anatomic evaluation of the furlow double opposing Z-plasty technique of cleft palate repair.

The use or orthesis or other prosthesic additions that help to improve the velopharyngeal competence and surgical techniques, as the reoperation of the velum or the pharyngoplasty techniques, have been tested. Preoperative hypernasality, age at surgery and postoperative speech therapy were relevant factors for the treatment success. 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.


In our experience, we have achieved velar lengthening and hypernasal correction or improvement.

Velopharyngeal inadequacy

Int J Epidemiol ; On the contrary, when other topographic territories such as the posterior or lateral wall of the pharynx, rich in vessels such as ascending and descending pharyngeal vessels are affected by the pharyngoplasties, there is a potential risk of velovaringea bleeding and even more so in the cases that present anatomic variations, as for example, the Shprintzen Syndrome or Velocardiofacial Syndrome, that does not occur in secondary functional veloplasty since it has a different anatomic substrate.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Suturing is continued, from front to back, thus moving the previously dissected soft palate musculature to a more posterior position than it previously had.

This malformation can affect the lip and palate, or the palate only.

Velopharyngeal inadequacy – Wikipedia

Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Paget’s disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Torus mandibularis.

It is started by closing the inferior side of the posterior pillars, the uvula, the soft palate area itself until reaching the hard palate area. Insufciencia inadequacy Velopharyngeal inadequacy VPI is a malfunction of a velopharyngeal mechanism which is responsible for directing the transmission of sound energy and air pressure in both the oral cavity and the nasal cavity.