Symptoma

Congenital Velopharyngeal Incompetence

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Abstract Treatment results in 31 patients with congenital velopharyngeal incompetence (CVPI) compared with 30postoperative cleft palate patients showing velopharyngeal incompetence were presented. The results are as follows. 1. [jstage.jst.go.jp]

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  • Surgical Procedure

    Your surgeon will determine if you or your child is a candidate for a surgery and will determine which surgical procedure can provide the best outcome. Often speech therapy is also needed. [tahiriplasticsurgery.com]

    In ten studies the outcomes of multiple surgical procedures were reported. In three of these studies the speech assessor was blinded to the surgical procedure [24], [45], [46]. [journals.plos.org]

    The surgical procedure to be used depends on the treatment protocol and type of defect detected by nasofibroscopy. [rbcp.org.br]

    There are several surgical procedures that can be performed to correct the physical malfunction. They include: Pharyngeal flap procedure that moves the skin flap from the pharynx to the soft palate. [medical-dictionary.thefreedictionary.com]

    Posterior pharyngeal flap — This surgical procedure involves taking tissue from the back of the throat and attaching it to the soft palate. This prevents air from leaking out of the nose during speech. [chop.edu]

  • Nasal Congestion

    enlarged adenoid pad, nasal congestion) Mixed resonance: combination of both hypernasality and hyponasality perceived by a listener. [plasticsurgerykey.com]

  • Absent Tonsils

    Convert to ICD-10-CM : 750.29 converts directly to: 2015/16 ICD-10-CM Q38.8 Other congenital malformations of pharynx Approximate Synonyms Absent tonsils Asymmetric tonsils, congenital Borderline congenital velopharyngeal dysfunction Cleft velopharyngeal [icd9data.com]

  • Decrease in Height

    Decreased posterior height of maxilla was seen in the cleft group as compared to the non cleft group. Length of maxilla was smaller and retropositioned in cleft as compared to non-cleft. [jisppd.com]

  • Cleft Lip and-or Palate

    Treatment for Older Children Cleft lip or cleft palate treatment can be fine-tuned for older children. [dukehealth.org]

    RESULTS Twenty patients with cleft lip and cleft palate aged 5 to 60 years (average: 23.1 years) underwent palatoplasty with buccal flaps. [rbcp.org.br]

    Although cleft lips and palates are not regularly seen in general dental practice, their number is not negligible. [sidj.org]

    FIGURE 1-20 A 4-month-old boy with bilateral symmetric cleft lip and palate. FIGURE 1-21 ( A ) Frontal view. ( B ) Lateral view. A 14-year-old boy with unrepaired bilateral cleft lip and cleft palate. [plasticsurgerykey.com]

    Documentation of cleft lip, alveolus, and palate. In: Bardach J, Morris H eds. Multidisciplinary management of cleft lip and palate. Philadelphia: Saunders; 1990, pp. 127-33. 4. Spina, V, Psillakis JM, Lapa FS, Ferreira MC. [arquivosdeorl.org.br]

  • Headache

    Provides updated coverage of: Aesthetic reconstruction of the nose; Orbito-maxillary reconstruction; Cheek and lip reconstruction; Facial paralysis; Facial transplant; and Surgical management of migraine headaches. [books.google.de]

    Headache It is estimated that 50 million Americans suffer from headache. Headaches can be classified into 4 distinct categories -- vascular, tension, traction, and inflammatory. [aetna.com]

  • Trigeminal Neuralgia

    trigeminal neuralgia). Attacks last from a few days to several months and often occur after dental care or sinus manipulation, but examination of the teeth, nose, sinuses, ears, and temporomandibular joints seldom reveals any abnormalities. [juniordentist.com]

Workup Doppler echocardiography to estimate severity of AR, confirmed by aortography. [medical-dictionary.thefreedictionary.com]

If velopharyngeal dysfunction (VPD) is identified, a VPD workup, including nasopharyngoscopy and video fluoroscopy, is performed. If the degree of VPD is significant, speech therapy is undertaken at approximately 3 years of age. [plasticsurgerykey.com]

Management and Outcome As manometry of the pharynx is not widely available, and as manometry is necessary to detect failed UES relaxation, the initial workup of the patient with suspected failed UES relaxation is similar to that of any case of presumed [nature.com]

Indication of surgical treatment should be decided according to the results of these treatments. [jstage.jst.go.jp]

His research interest focused on improving surgical-orthodontic treatment planning for cleft lip and palate children as well as those with other craniofacial anomalies. Dr. [books.google.de]

Apply the latest treatment options in pediatric care with new chapters on pediatric sleep disorders, pediatric infectious disease, and evaluation and management of the infant airway. [books.google.com]

Prognosis The combination of surgery to correct the insufficiency and speech therapy to retrain the voice successfully alleviate velopharyngeal insufficiency. Key terms Adenoids — Lymph glands just above the tonsils and the palate. [medical-dictionary.thefreedictionary.com]

With consideration of commonly poor treatment compliance of children, this rate was quite high and it suggests that early intensive treatment could improve the prognosis. [jkamprs.springeropen.com]

[…] improve velopharyngeal function and is also important in correcting compensatory articulation habits that develop as a result of longstanding VPI. 1 A multidisciplinary approach when used for the treatment of any deep rooted pathology often gives good prognosis [synapse.koreamed.org]

Almost half of all cleft palates have a syndromic cause; the most common syndrome is VCF syndrome (del 22q11.2). [13] VPD occurs in approximately 20% of children who undergo palatoplasty. [14] Prognosis Several studies have been published in support of [thehealthscience.com]

Am J Med Genet 62: 305-317. de Buys Roessingh AS, Herzog G, Cherpillod J, Trichet-Zbinden C, Hohlfeld J (2008) Speech prognosis and need of pharyngeal flap for non syndromic vs syndromic Pierre Robin Sequence. J Pediatr Surg 43: 668-674. [omicsonline.org]

A family history may reveal other affected individuals, also pointing to a genetic etiology. [thehealthscience.com]

An overview of common etiologies follows. Overt cleft palate, either before or after repair, is by far the most common cause of VPD. This condition occurs in approximately 1 of 2000 live births. [emedicine.medscape.com]

Causes [ edit ] While cleft is the most common cause of VPI, other significant etiologies exist. [en.wikipedia.org]

Ultrasound waves break up the stones, and the fragments flush out of the salivary duct. [ 2 ] Diseases of Uncertain Etiology Chronic nonspecific parotitis: This term is generally used for patients in whom no definite etiology is found. [thefullwiki.org]

Epidemiology Because VPD is multifactorial, the frequency is unknown. For functional causes, determining the frequency is impossible, because some etiologies are acquired and some are congenital. [thehealthscience.com]

To better understand facial clefts and their related syndromes, the embryologic, epidemiologic, and genetic aspects of isolated cleft lip and cleft palate are reviewed in the following subsections. [plasticsurgerykey.com]

In the other hand, the pathophysiology of the speech of labiopalatine cleft affected is well described and referenced in the literature. [arquivosdeorl.org.br]

Pathophysiology Oral resonance (as contrasted to nasal resonance) is obtained by means of VPC, which creates a seal between the nasopharynx and the oral cavity. [thehealthscience.com]

Pathophysiology of Regurgitation There are a number of candidate mechanisms of esophagopharyngeal regurgitation ( Table 2 ). [nature.com]

Irregular adenoids - Deep indentation or cleft in adenoid tissue prevents tight seal & leads to nasal air emission during speech; May occur after adenoidectomy 6. [ucs.louisiana.edu]

Called also myocardial ischemia. ileocecal insufficiency inability of the ileocecal valve to prevent backflow of contents from the cecum into the ileum. placental insufficiency dysfunction of the placenta, with reduction in the area of exchange of nutrients [medical-dictionary.thefreedictionary.com]

The early diagnosis and management are fundamental to prevent undesirable sequels in all these aspects. [arquivosdeorl.org.br]

[…] hole, the pharynx is too wide, or the muscles in the velum or pharynx are not strong enough to close Terminology Velopharyngeal Inadequacy - general term for velopharyngeal dysfunction Velopharyngeal Insufficiency - anatomical or structural defect that prevents [en.wikibooks.org]