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Can MRI Replace Nasopharyngoscopy in the Evaluation of Velopharyngeal Insufficiency?
Williams, Jessica L; Perry, Jamie L; Snodgrass, Taylor D; Singh, Davinder J; Temkit, M'hamed; Sitzman, Thomas J.
Afiliación
  • Williams JL; Phoenix Children's Center for Cleft and Craniofacial, Phoenix Children's Hospital, Phoenix, AZ, USA.
  • Perry JL; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, AZ, USA.
  • Snodgrass TD; Program of Speech and Hearing Science, College of Health Solutions, Arizona State University, Tempe, AZ, USA.
  • Singh DJ; Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC, USA.
  • Temkit M; Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC, USA.
  • Sitzman TJ; Phoenix Children's Center for Cleft and Craniofacial, Phoenix Children's Hospital, Phoenix, AZ, USA.
Cleft Palate Craniofac J ; : 10556656241239459, 2024 Mar 15.
Article en En | MEDLINE | ID: mdl-38490221
ABSTRACT

OBJECTIVE:

To investigate whether flexible nasopharyngoscopy, when performed in addition to magnetic resonance imaging (MRI), influences the type of surgery selected or success of surgery in patients with velopharyngeal insufficiency (VPI).

DESIGN:

Cohort study.

SETTING:

A metropolitan children's hospital. PATIENTS Patients with non-syndromic, repaired cleft palate presenting for management of VPI.

INTERVENTIONS:

MRI and nasopharyngoscopy or MRI alone for preoperative imaging of the velopharyngeal mechanism. MAIN OUTCOME

MEASURES:

(1) Surgical selection and (2) resolution of hypernasality. All speech, MRI, and nasopharyngoscopy measurements were performed by raters blinded to patients' medical and surgical history.

RESULTS:

Of the 25 patients referred for nasopharyngoscopy, 76% completed the exam. Of the 41 patients referred for MRI, the scan was successfully completed by 98% of patients. Completion of nasopharyngoscopy was significantly (p=0.01) lower than MRI. Surgical selection did not significantly differ (p=0.73) between the group receiving MRI and nasopharyngoscopy and the group receiving MRI alone, nor was there a significant difference between these groups in the proportion of patients achieving resolution of hypernasality postoperatively (p=0.63). Percent total velopharyngeal closure assessments on nasopharyngoscopy and MRI were strongly correlated (r=0.73).

CONCLUSIONS:

In patients receiving MRI as part of their preoperative VPI evaluation, the addition of nasopharyngoscopy did not result in a difference in surgical selection or resolution of hypernasality. Routine inclusion of nasopharyngoscopy may not be necessary for the evaluation of velopharyngeal anatomy when MRI is available.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cleft Palate Craniofac J Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cleft Palate Craniofac J Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos