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’.
|Published (Last):||8 November 2015|
|PDF File Size:||7.70 Mb|
|ePub File Size:||9.70 Mb|
|Price:||Free* [*Free Regsitration Required]|
Whatever they are, they have the common factor of the use of pharyngeal flaps that determine a reduction of the upper airway diameter with the consequent risk of generating obstructive sleep disorder. Services on Demand Journal. These other causes are outlined in the chart below:. VPI can either be congenital or acquired later in life. Hypernasality, assessed by perceptual ratings and by means of nasalance scores provided by nasometry, and velopharyngeal function, assessed perceptually and by means of velopharyngeal orifice area provided by pressure-flow technique, before 1 to 4 days and after 6 to 48 months surgery.
The results did not differ among surgeons. After the surgery, patients were evaluated with a phonetic test and aerophonoscopy. An anatomic evaluation of the furlow double opposing Z-plasty technique of cleft palate repair.
insuficiencia velofaríngea – English Translation – Word Magic Spanish-English Dictionary
Cleft palate is an anatomical abnormality that occurs in utero and is present at birth. To completely expose the region, we incise from the retrouvular region at the height in which the posterior pillars should be found behind until the mucosa that lines the hard palate in front, searching for the bone reference of the posterior nasal spine.
Until recently, snoring was not considered as a pathological clinical sign and Sleep Medicine had not appeared in the clinical discipline spectrum. British Journal of Plastic Surgery ; From the functional point of view, a pharyngoplasty produces different changes. Santiago de Chile, Chile.
A common method to treat Velopharyngeal insufficiency is isnuficiencia flap surgerywhere tissue from the back of the mouth is used to close part of the gap. Orofacial soft tissues — Soft tissues around the mouth.
In order to make the study of the results objective, the examination included an instrumental evaluation using an aerophonoscope. Several studies show that this deterioration in respiratory capacity affects children more seriously than adults. From Wikipedia, the free encyclopedia. Velopharyngeal 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.
Phonoaudiologic therapy is often limited, and generally only obtains partial results. Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease.
These sequels are expressed as velar dysfunctions, affecting the voice and audition of the patients suffering it. 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 pharyngoplasty classically presents as the procedure of choice in these cases, many techniques having been described Fig. Evidence in infants with cleft palate that breast milk protects against otitis media. Secondary funtional repair of velocaringea velar cleft. If both surgical techniques are compared in regards to anatomic territory operated, we see that the operative site in the velofaringew reconstruction is the palate and the incisions are performed in the velar or maxillary area exclusively, velofadingea going into neighboring anatomic sectors.
In the immediate postoperative period, the discomfort caused by the exposure and manipulation of the pharyngeal tissues determined by the pharyngoplasty techniques are obviated when a secondary functional veloplasty is performed for the same reason detailed in the previous point.
Velopharyngeal inadequacy – Wikipedia
When this mechanism is impaired in some way, the valve inshficiencia not fully close, and a condition known as ‘velopharyngeal iinsuficiencia can develop. In these cases, pharyngoplasty seems to be the procedure of choice, there being several techniques published.
Treatment dependent factors would thus not only be important among the factors to be considered in its appearance, but also constitutional factors, such as width and depth of the pharynx and quality of the tissues involved, among others.
Squamous cell papilloma Keratoacanthoma Malignant: Sung Hsieh 4B. Any uses or copies of this document in whole or in part must include insuriciencia author’s name. 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.
Articles which use infobox templates with no data rows Infobox medical condition new.
On the other hand, there are deformities in the facial skeleton in relationship to the frequent structural characteristics observed in cleft patients. J Ann Chir Plast ; Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.
This period is easier, there not only being less breathing difficulty, since there is no type of airway restriction, but also fewer eating and speaking restrictions, since there are no invasive zones exposed, as occurs, on the contrary, in the postoperative of the pharyngoplasties.
The outcome of this evaluation has shown the effectiveness of this surgical technique.
Thus, it is doubly serious to use operative techniques that restrict the air passage by the velifaringea airway and thus facilitate the appearance of obstructive respiratory disorders to a population that presents intrinsic characteristics of obstructive risk.
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.
At the time of surgery, the patients were between 8 and 22 years of age and all were evaluated, prior to the surgical treatment by the same phonoaudiologists, the surgical decision being made jointly by the phonoaudiologist and the surgeon. Presentamos nuestra experiencia basada en una serie de 15 casos tratados de esta nueva manera: Velopharyngeal insufficiency or incompetency are related labels for this phenomenon, in addition to most common generic- velopharyngeal inadequacy.
The Cleft Palate-Craniofacial Journal ; In the upper half of the figure, an improper air escape through the nose due to failure in the occlusion of the velar sphincter can be seen and the intensity of the phoneme emission can be seen in the lower half. 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 syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.
From January to Junewe treated a series of 15 cases of patients having velar cleft sequels, characterized by moderate or severe velopharyngeal insufficiency, residual bucconasal clefts or fistulas and adherences due to mucosa scaring. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.