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Nasoendoscopy of velopharynx before and during diagnostic therapy
Pegoraro-Krook, Maria Inês; Dutka-Souza, Jeniffer de Cassia Rillo; Marino, Viviane Cristina de Castro.
Afiliação
  • Pegoraro-Krook, Maria Inês; University of São Paulo. Bauru School of Dentistry. Department of Speech Pathology and Audiology. Bauru. BR
  • Dutka-Souza, Jeniffer de Cassia Rillo; University of São Paulo. Hospital for Rehabilitation of Craniofacial Anomalies. Bauru. BR
  • Marino, Viviane Cristina de Castro; São Paulo State University. Department of Speech Therapy. Marília. BR
J. appl. oral sci ; J. appl. oral sci;16(3): 181-188, May-June 2008. ilus, tab
Article em En | LILACS, BBO | ID: lil-483151
Biblioteca responsável: BR28.1
ABSTRACT
Nasoendoscopy is an important tool for assessing velopharyngeal function. The purpose of this study was to analyze velar and pharyngeal wall movement and velopharyngeal gap during nasoendoscopic evaluation of the velopharynx before and during diagnostic therapy. Nasoendoscopic recordings of 10 children with operated cleft lip and palate were analyzed according to the International Working Group Guidelines. Ratings of movement of velum and pharyngeal walls, and size, location and shape of gaps were analyzed by 3 speech-language pathologists (SLPs). Imaging was obtained during repetitions of the syllable /pa/ during a single nasoendoscopic evaluation (a) before diagnostic therapy, and (b) after the children were instructed to impound and increase intraoral air pressure (diagnostic therapy). Once the patients impounded and directed air pressure orally, the displacement of the velum, right, left and posterior pharyngeal walls increased 40, 70, 80, and 10%, respectively. Statistical significance for displacement was found only for right and left lateral pharyngeal walls. Reduction in gap size was observed for 30% of the patients and other 40% of the gaps disappeared. Changes in gap size were found to be statistically significant between the two conditions. In nasoendoscopic assessment, the full potential of velopharyngeal displacement may not be completely elicited when the patient is asked only to repeat a speech stimulus. Optimization of information can be done with the use of diagnostic therapy’s strategies to manipulate VP function. Assuring the participation of the SLP to conduct diagnostic therapy is essential for management of velopharyngeal dysfunction.
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Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS Assunto principal: Insuficiência Velofaríngea Tipo de estudo: Diagnostic_studies / Guideline Limite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J. appl. oral sci Assunto da revista: ODONTOLOGIA Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google
Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS Assunto principal: Insuficiência Velofaríngea Tipo de estudo: Diagnostic_studies / Guideline Limite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J. appl. oral sci Assunto da revista: ODONTOLOGIA Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil