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Pharyngeal bulb prosthesis and speech outcome in patients with cleft palate.
Pegoraro-Krook, Maria Inês; Rosa, Raquel Rodrigues; Aferri, Homero C; Andrade, Laura Katarine Félix de; Dutka, Jeniffer de C R.
Afiliação
  • Pegoraro-Krook MI; Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Fonoaudiologia, Bauru, SP, Brazil; Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Serviço de Prótese de Palato, Bauru, SP, Brazil. Electronic address: mikrook@usp.br.
  • Rosa RR; Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Fonoaudiologia, Bauru, SP, Brazil.
  • Aferri HC; Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Serviço de Prótese de Palato, Bauru, SP, Brazil.
  • Andrade LKF; Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Pós-Graduação em Ciências da Reabilitação, Bauru, SP, Brazil.
  • Dutka JCR; Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Fonoaudiologia, Bauru, SP, Brazil; Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Serviço de Prótese de Palato, Bauru, SP, Brazil.
Braz J Otorhinolaryngol ; 88(2): 187-193, 2022.
Article em En | MEDLINE | ID: mdl-32771435
INTRODUCTION: Individuals with cleft palate can present with velopharyngeal dysfunction after primary palatoplasty and require a secondary treatment due to insufficiency. In these cases, the pharyngeal bulb prosthesis can be used temporarily while awaiting secondary surgery. OBJECTIVE: This study aimed to investigate the outcome of treatment of hypernasality with pharyngeal bulb prosthesis in patients with history of cleft palate presenting with velopharyngeal insufficiency after primary palatal surgery. We hypothesized that the use of the pharyngeal bulb prosthesis is an effective approach to eliminate hypernasality related to velopharyngeal insufficiency in patients with cleft palate. METHODS: Thirty speakers of Brazilian Portuguese (15 males and 15 females) with operated cleft palate, ages ranging from 6 to 14 years (mean: 9 years; SD = 1.87 years), participated in the study. All patients were fitted with a pharyngeal bulb prosthesis to manage velopharyngeal insufficiency while they were awaiting corrective surgery to be scheduled. Auditory-perceptual analysis of speech recorded in the conditions with and without pharyngeal bulb prosthesis were obtained from three listeners who rated the presence or absence of hypernasality for this study. RESULTS: Seventy percent of the patients eliminated hypernasality while employing the pharyngeal bulb prosthesis, while 30% still presented with hypernasality. The comparison was statistically significant (p < 0.001). CONCLUSION: The use of the pharyngeal bulb prosthesis is an effective approach to eliminate hypernasality related to velopharyngeal insufficiency.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Insuficiência Velofaríngea / Distúrbios da Voz / Doenças Nasais / Fissura Palatina Tipo de estudo: Etiology_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Braz J Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Insuficiência Velofaríngea / Distúrbios da Voz / Doenças Nasais / Fissura Palatina Tipo de estudo: Etiology_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Braz J Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de publicação: Brasil