A Review of the Evaluation and Management of Velopharyngeal Insufficiency in Children

Otolaryngologic Clinics of North America

Volumn 45, Issue 3, 2012, Pages 653-669

  Ruda, James M ^a   Krakovitz, Paul ^b   Rose, Austin S ^a  

^a UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^b LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Nasal endoscopy; Perceptual speech analysis; Pharyngoplasty; Videofluoroscopy; VPI

Indexed keywords

ADENOIDECTOMY; AUGMENTATION PHARYNGOPLASTY; CHILDHOOD DISEASE; CLEFT PALATE; EVALUATION; HUMAN; PALATOPHARYNGEAL INCOMPETENCE; PATIENT REFERRAL; PHARYNX RECONSTRUCTION; PHARYNX SURGERY; PHONATION; PROSTHESIS; REVIEW; SPEECH DISORDER; SPEECH PERCEPTION; SPEECH THERAPY; SPHINCTER PHARYNGOPLASTY; SUBMUCOUS CLEFT PALATE; SURGICAL APPROACH; SURGICAL TECHNIQUE; TREATMENT DURATION; TREATMENT INDICATION; TREATMENT OUTCOME; VELOCARDIOFACIAL SYNDROME; Z PLASTY;

CEPHALOMETRY; CHILD; CLEFT PALATE; DIGEORGE SYNDROME; ENDOSCOPY; FLUOROSCOPY; HUMANS; MAGNETIC RESONANCE IMAGING; MEDICAL HISTORY TAKING; MOBIUS SYNDROME; MUSCULAR DYSTROPHIES; MYASTHENIA GRAVIS; NASAL CAVITY; NERVOUS SYSTEM DISEASES; OTORHINOLARYNGOLOGIC SURGICAL PROCEDURES; PALATAL MUSCLES; PALATE, SOFT; PHYSICAL EXAMINATION; SPEECH; SPEECH PRODUCTION MEASUREMENT; VELOPHARYNGEAL INSUFFICIENCY; VIDEO RECORDING;

EID: 84860897371     PISSN: 00306665     EISSN: 15578259     Source Type: Journal    
DOI: 10.1016/j.otc.2012.03.005     Document Type: Review

References (40)

1. Rowe M.R., D'Antonio L.L. Velopharyngeal dysfunction: evolving developments in evaluation. Curr Opin Otolaryngol Head Neck Surg 2005, 13(6):366-370. Grade B.
2. Dworkin J.P., Marunick M.T., Krouse J.H. Velopharyngeal dysfunction: speech characteristics, variable etiologies, evaluation techniques, and differential treatments. Lang Speech Hear Serv Sch 2004, 35(4):333-352. Grade B.
3. Azzam N.A., Kuehn D.P. The morphology of musculus uvulae. Cleft Palate J 1977, 14(1):78-87. Grade B.
4. Pigott R.W., Bensen J.F., White F.D. Nasendoscopy in the diagnosis of velopharyngeal incompetence. Plast Reconstr Surg 1969, 43(2):141-147. Grade B.
5. van Aalst J.A., Kolappa K.K., Sadove M. MOC-PSSM CME article: nonsyndromic cleft palate. Plast Reconstr Surg 2008, 121(Suppl 1):1-14. Grade B.
6. Rudnick E.F., Sie K.C. Velopharyngeal insufficiency: current concepts in diagnosis and management. Curr Opin Otolaryngol Head Neck Surg 2008, 16(6):530-535. Grade B.
7. Conley S.F., Gosain A.K., Marks S.M., et al. Identification and assessment of velopharyngeal inadequacy. Am J Otolaryngol 1997, 18(1):38-46. Grade B.
8. Johns D.F., Rohrich R.J., Awada M. Velopharyngeal incompetence: a guide for clinical evaluation. Plast Reconstr Surg 2003, 112(7):1890-1897. [quiz: 1898, 1982]. Grade B.
9. Willging J.P. Velopharyngeal insufficiency. Curr Opin Otolaryngol Head Neck Surg 2003, 11(6):452-455. Grade B.
10. Marsh J.L. Velo-pharyngeal dysfunction: evaluation and management. Indian J Plast Surg 2009, 42(Suppl):S129-S136. Grade B.
11. Marsh J.L. Management of velopharyngeal dysfunction: differential diagnosis for differential management. J Craniofac Surg 2003, 14(5):621-628. [Erratum appears in: J Craniofac Surg 2003;14(6):936], [discussion: 629]. Grade B.
12. Gosain A.K., Conley S.F., Marks S., et al. Submucous cleft palate: diagnostic methods and outcomes of surgical treatment. Plast Reconstr Surg 1996, 97(7):1497-1509. Grade B.
13. Pigott R.W. An analysis of the strengths and weaknesses of endoscopic and radiological investigations of velopharyngeal incompetence based on a 20 year experience of simultaneous recording. Br J Plast Surg 2002, 55(1):32-34. Grade B.
14. Pigott R.W. Velopharyngeal (speech) disorder (VP(S)D) without overt cleft palate. Br J Plast Surg 1994, 47(4):223-229. Grade B.
15. Veerapandiyan A., Blalock D., Ghosh S., et al. The role of cephalometry in assessing velopharyngeal dysfunction in velocardiofacial syndrome. Laryngoscope 2011, 121(4):732-737. Grade B.
16. Shprintzen R.J., Marrinan E. Velopharyngeal insufficiency: diagnosis and management. Curr Opin Otolaryngol Head Neck Surg 2009, 17(4):302-307. Grade B.
17. Perry J.L., Kuehn D.P. Magnetic resonance imaging and computer reconstruction of the velopharyngeal mechanism. J Craniofac Surg 2009, 20(Suppl 2):1739-1746. Grade B.
18. Silver A.L., Nimkin K., Ashland J.E., et al. Cine magnetic resonance imaging with simultaneous audio to evaluate pediatric velopharyngeal insufficiency. Arch Otolaryngol Head Neck Surg 2011, 137(3):258-263. Grade B.
19. Tweedie D.J., Skilbeck C.J., Wyatt M.E., et al. Partial adenoidectomy by suction diathermy in children with cleft palate, to avoid velopharyngeal insufficiency. Int J Pediatr Otorhinolaryngol 2009, 73(11):1594-1597. Grade B.
20. Abyholm F., D'Antonio L., Davidson, et al. Pharyngeal flap and sphincterplasty for velopharyngeal insufficiency have equal outcome at 1 year postoperatively: results of a randomized trial. Cleft Palate Craniofac J 2005, 42(5):501-511. Grade B.
21. Calnan J. Submucous cleft palate. Br J Plast Surg 1954, 6(4):264-282. Grade B.
22. Reiter R., Brosch S., Wefel H., et al. The submucous cleft palate: diagnosis and therapy. Int J Pediatr Otorhinolaryngol 2011, 75(1):85-88. Grade B.
23. Andreassen M.L., Leeper H.A., MacRae D.L., et al. Aerodynamic, acoustic, and perceptual changes following adenoidectomy. Cleft Palate Craniofac J 1994, 31(4):263-270. Grade B.
24. Finkelstein Y., Berger G., Nachmani A., et al. The functional role of the adenoids in speech. Int J Pediatr Otorhinolaryngol 1996, 34(1-2):61-74. Grade B.
25. Haapanen M.L., Ignatius J., Rihkanen H., et al. Velopharyngeal insufficiency following palatine tonsillectomy. Eur Arch Otorhinolaryngol 1994, 251(3):186-189. Grade B.
26. Saunders N.C., Hartley B.E., Sell D., et al. Velopharyngeal insufficiency following adenoidectomy. Clin Otolaryngol Allied Sci 2004, 29(6):686-688. Grade B.
27. Shprintzen R.J., Goldberg R.B., Lewin M.L., et al. A new syndrome involving cleft palate, cardiac anomalies, typical facies, and learning disabilities: velo-cardio-facial syndrome. Cleft Palate J 1978, 15(1):56-62. Grade B.
28. Cuneo B.F. 22q11.2 deletion syndrome: DiGeorge, velocardiofacial, and conotruncal anomaly face syndromes. Curr Opin Pediatr 2001, 13(5):465-472. Grade B.
29. Sell D. Issues in perceptual speech analysis in cleft palate and related disorders: a review. Int J Lang Commun Disord 2005, 40(2):103-121. Grade B.
30. Armour A., Fischbach S., Klaiman P., et al. Does velopharyngeal closure pattern affect the success of pharyngeal flap pharyngoplasty?. Plast Reconstr Surg 2005, 115(1):45-52.
31. Witt P.D., Marsh J.L. Advances in assessing outcome of surgical repair of cleft lip and cleft palate. Plast Reconstr Surg 1997, 100(7):1907-1917. Grade B.
32. Swanson E.W., Sullivan S.R., Ridgway E.B., et al. Speech outcomes following pharyngeal flap in patients with velocardiofacial syndrome. Plast Reconstr Surg 2011, 127(5):2045-2053. Grade B.
33. Wójcicki P., Wójcicka K. Prospective evaluation of the outcome of velopharyngeal insufficiency therapy after pharyngeal flap, a sphincter pharyngoplasty, a double Z-plasty and simultaneous Orticochea and Furlow operations. J Plast Reconstr Aesthet Surg 2011, 64(4):459-461. Grade B.
34. Lypka M., Bidros R., Rizvi M., et al. Posterior pharyngeal augmentation in the treatment of velopharyngeal insufficiency: a 40-year experience. Ann Plast Surg 2010, 65(1):48-51. Grade B.
35. Brigger M.T., Ashland J.E., Hartnick C.J. Injection pharyngoplasty with calcium hydroxylapatite for velopharyngeal insufficiency. Arch Otolaryngol Head Neck Surg 2010, 136(7):666-670. Grade B.
36. Leuchter I., Schweizer V., Hohlfeld J., et al. Treatment of velopharyngeal insufficiency by autologous fat injection. Eur Arch Otorhinolaryngol 2010, 267:977-983. Grade B.
37. Cantarella G., Mazzola R.F., Mantovani M., et al. Treatment of velopharyngeal insufficiency by pharyngeal and velar fat injections. Otolaryngol Head Neck Surg 2011, 145(3):401-403. Grade B.
38. Cole P., Banerji S., Hollier L., et al. Two hundred twenty-two consecutive pharyngeal flaps: an analysis of postoperative complications. J Oral Maxillofac Surg 2008, 66:745-748. Grade B.
39. Saint Raymond C., Bettega G., Deschaux C., et al. Sphincter pharyngoplasty as a treatment of velopharyngeal incompetence in young people: a prospective evaluation of effects on sleep structure and sleep respiratory disturbances. Chest 2004, 125(3):864-871. Grade B.
40. Orticochea M. Construction of a dynamic muscle sphincter in cleft palates. Plast Reconstr Surg 1968, 41(4):323-327. Grade B.