keyword
MENU ▼
Read by QxMD icon Read
search

Velopharyngeal dysfunction

keyword
https://www.readbyqxmd.com/read/27712815/velopharyngeal-dysfunction-evaluation-and-treatment
#1
Jeremy D Meier, Harlan R Muntz
Velopharyngeal dysfunction (VPD) can significantly impair a child's quality of life and may have lasting consequences if inadequately treated. This article reviews the work-up and management options for patients with VPD. An accurate perceptual speech analysis, nasometry, and nasal endoscopy are helpful to appropriately evaluate patients with VPD. Treatment options include nonsurgical management with speech therapy or a speech bulb and surgical approaches including double-opposing Z-plasty, sphincter pharyngoplasty, pharyngeal flap, or posterior wall augmentation...
November 2016: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27703866/hypernasality-associated-with-basal-ganglia-dysfunction-evidence-from-parkinson-s-disease-and-huntington-s-disease
#2
Michal Novotný, Jan Rusz, Roman Čmejla, Hana Růžičková, Jiří Klempíř, Evžen Růžička
BACKGROUND: Although increased nasality can originate from basal ganglia dysfunction, data regarding hypernasality in Parkinson's disease (PD) and Huntington's disease (HD) are very sparse. The aim of the current study was to analyze acoustic and perceptual correlates of velopharyngeal seal closure in 37 PD and 37 HD participants in comparison to 37 healthy control speakers. METHODS: Acoustical analysis was based on sustained phonation of the vowel /i/ and perceptual analysis was based on monologue...
2016: PeerJ
https://www.readbyqxmd.com/read/27701628/effects-of-biofeedback-on-control-and-generalization-of-nasalization-in-typical-speakers
#3
Elizabeth S Heller Murray, Joseph O Mendoza, Simone V Gill, Joseph S Perkell, Cara E Stepp
Purpose: The purpose of this study was to determine the effects of biofeedback on control of nasalization in individuals with typical speech. Method: Forty-eight individuals with typical speech attempted to increase and decrease vowel nasalization. During training, stimuli consisted of consonant-vowel-consonant (CVC) tokens with the center vowels /a/ or /i/ in either a nasal or nonnasal phonemic context (e.g., /mim/ vs. /bib/), depending on the participant's training group...
October 4, 2016: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/27607112/long-term-surgical-and-speech-outcomes-following-palatoplasty-in-patients-with-treacher-collins-syndrome
#4
Michael S Golinko, Etoile M LeBlanc, Andrew M Hallett, Michael Alperovich, Roberto L Flores
BACKGROUND: Cleft palate is present in one-third of patients with Treacher-Collins syndrome. The authors present long-term speech and surgical outcomes of palatoplasty in this challenging patient population. METHODS: A retrospective review of all patients with Treacher-Collins syndrome and cleft palate was conducted over a 35-year period at a single institution. Demographics, palatal, mandibular, airway, and surgical outcomes were recorded. Speech outcomes were assessed by the same craniofacial speech pathologist...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27484234/perceptual-assessment-of-velopharyngeal-dysfunction-by-otolaryngology-residents
#5
Sydney C Butts, Alan Truong, Christina Forde, Dimitre G Stefanov, Eileen Marrinan
OBJECTIVE: To assess the ability of otolaryngology residents to rate the hypernasal resonance of patients with velopharyngeal dysfunction. We hypothesize that experience (postgraduate year [PGY] level) and training will result in improved ratings of speech samples. STUDY DESIGN: Prospective cohort study. SETTING: Otolaryngology training programs at 2 academic medical centers. SUBJECTS AND METHODS: Thirty otolaryngology residents (PGY 1-5) were enrolled in the study...
December 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27427931/size-of-velopharyngeal-structures-after-primary-palatoplasty
#6
Ana Flavia Rodrigues da Silva, Jeniffer de Cássia Rillo Dutka, Adna Maressa Pereira do Amaral, Maíra de Souza Périco, Maria Inês Pegoraro-Krook
OBJECTIVE:  To describe and compare measures of velar length, velar thickness, and depth of the nasopharynx between two groups of patients with velopharyngeal dysfunction after primary palatoplasty: one received the modified Langenbeck procedure and the other the Furlow procedure. DESIGN:  Comparative study involving a convenience sample of videofluoroscopic films established prospectively. SETTING:  Surgeries and videofluoroscopic assessments were conducted at a craniofacial center...
July 18, 2016: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/27260592/speech-characteristics-after-articulation-therapy-in-children-with-cleft-palate-and-velopharyngeal-dysfunction-a-single-case-experimental-design
#7
Fatemeh Derakhshandeh, Mohammadreza Nikmaram, Hedieh Hashemi Hosseinabad, Mehrdad Memarzadeh, Masoud Taheri, Mohammadreza Omrani, Shohreh Jalaie, Mahmood Bijankhan, Debbie Sell
OBJECTIVE: The aim of this study was to investigate the impact of an intensive 10-week course of articulation therapy on articulation errors in cleft lip and palate patients who have Velopharyngeal Insufficiency (VPI), non-oral and passive cleft speech characteristics. METHODS: Five children with cleft palate (+/-cleft lip) with VPI and non-oral and passive cleft speech characteristics underwent 40 intensive articulation therapies over 10 weeks in a single case experimental design...
July 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27218023/postoperative-speech-outcomes-and-complications-in-submucous-cleft-palate-patients
#8
Tae Seo Park, Yong Chan Bae, Su Bong Nam, Kyung Dong Kang, Ji Yoon Sung
BACKGROUND: The postoperative speech outcomes of submucous cleft palate (SMCP) surgery are known to be poorer than those of other types of cleft palate. We attempted to objectively characterize the postoperative complications and speech outcomes of the surgical treatment of SMCP through a comparison with the outcomes of incomplete cleft palate (ICP). METHODS: This study included 53 SMCP patients and 285 ICP patients who underwent surgical repair from 1998 to 2015...
May 2016: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/27198193/a-human-model-of-restricted-upper-esophageal-sphincter-opening-and-its-pharyngeal-and-ues-deglutitive-pressure-phenomena
#9
Hongmei Jiao, Ling Mei, Tarun Sharma, Mark Kern, Patrick Sanvanson, Reza Shaker
Oropharyngeal dysphagia due to upper esophageal sphincter (UES) dysfunction is commonly encountered in the clinical setting. Selective experimental perturbation of various components of the deglutitive apparatus can provide an opportunity to improve our understanding of the swallowing physiology and pathophysiology. The aim is to characterize the pharyngeal and UES deglutitive pressure phenomena in an experimentally induced restriction of UES opening in humans. We studied 14 volunteers without any dysphagic symptoms (7 men, 66 ± 11 yr) but with various supraesophageal reflux symptoms...
July 1, 2016: American Journal of Physiology. Gastrointestinal and Liver Physiology
https://www.readbyqxmd.com/read/27150305/diagnosis-and-management-of-velopharyngeal-dysfunction
#10
REVIEW
Robert S Glade, Randolph Deal
Velopharyngeal dysfunction (VPD) describes any condition whereby the velopharyngeal valve does not properly close during the production of oral sounds. VPD contains multiple causes, including velopharyngeal mislearning (nasopharyngeal sound substitution for an oral sound), velopharyngeal incompetence (neurolophysiologic dysfunction causing poor pharyngeal movement), and velopharyngeal insufficiency (a structural or anatomic defect prevents velopharyngeal closure). Evaluation for VPD is best performed within the context of a multidisciplinary team and consists of history and physical examination, perceptual speech evaluation, and instrumental assessment of speech with either video nasoendoscopy or multiview speech fluoroscopy...
May 2016: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/27097137/state-of-the-art-in-treating-velopharyngeal-dysfunction
#11
Ryan Belcher, Anita Deshpande, Steven Goudy
Velopharyngeal dysfunction (VPD) is a condition that can greatly impact a child's quality of life. The initial evaluation and workup of patients presenting with VPD is generally straightforward, consisting of history taking and physical examination, perceptual speech analysis, and objective techniques such as nasometry and speech endoscopy. However, there is no standardized treatment option. Multiple surgical and nonsurgical techniques have been described, all with varying approaches to correction of the defect and similarly, with varying risks and outcomes...
April 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27070673/contributions-of-the-musculus-uvulae-to-velopharyngeal-closure-quantified-with-a-3-dimensional-multimuscle-computational-model
#12
Joshua M Inouye, Kant Y Lin, Jamie L Perry, Silvia S Blemker
The convexity of the dorsal surface of the velum is critical for normal velopharyngeal (VP) function and is largely attributed to the levator veli palatini (LVP) and musculus uvulae (MU). Studies have correlated a concave or flat nasal velar surface to symptoms of VP dysfunction including hypernasality and nasal air emission. In the context of surgical repair of cleft palates, the MU has been given relatively little attention in the literature compared with the larger LVP. A greater understanding of the mechanics of the MU will provide insight into understanding the influence of a dysmorphic MU, as seen in cleft palate, as it relates to VP function...
February 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/26910716/reply-progressive-tightening-of-the-levator-veli-palatini-muscle-improves-velopharyngeal-dysfunction-in-early-outcomes-of-primary-palatoplasty
#13
LETTER
Dennis C Nguyen, Kamlesh B Patel, Albert S Woo
No abstract text is available yet for this article.
March 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26890516/reply-progressive-tightening-of-the-levator-veli-palatini-muscle-improves-velopharyngeal-dysfunction-in-early-outcomes-of-primary-palatoplasty
#14
Dennis C Nguyen, Kamlesh B Patel, Albert S Woo
No abstract text is available yet for this article.
June 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26890511/a-new-technique-to-improve-velopharyngeal-dysfunction-by-combining-the-radical-intravelar-veloplasty-and-overlapping-intravelar-veloplasty-for-primary-palatoplasty
#15
Pin Ha, Bing Shi, Cheng-Hao Li
No abstract text is available yet for this article.
June 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26868604/preliminary-evaluation-of-functional-swallow-after-total-laryngectomy-using-high-resolution-manometry
#16
Dylan Lippert, Matthew R Hoffman, Christopher J Britt, Corinne A Jones, Jodi Hernandez, Michelle R Ciucci, Timothy M McCulloch
INTRODUCTION: Understanding of swallowing pressures after total laryngectomy (TL) and what constitutes a "functional" swallow are limited. Mobile structures are altered or removed after TL, with consequent effects on pressure profiles. High-resolution manometry (HRM) can characterize these pressures. METHODS: Six TL subjects without dysphagia and 6 controls underwent pharyngeal HRM. Timing and pressure variables for the velopharynx, mesopharynx, and upper esophageal sphincter (UES) were compared...
July 2016: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/26722340/correlation-of-vocal-intensity-with-velopharyngeal-closing-mechanism-in-individuals-with-and-without-complaint-of-velopharyngeal-dysfunction
#17
Karina Girelli, Sady Selaimen de Costa, Marcus Vinícius Martins Collares, Silvia Dornelles
Introduction Velopharyngeal sphincter is a portion of the muscle of the palatopharyngeal arch that is capable of separating the oral cavity from the nasal cavity. It has not been determined yet whether voice intensity has an influence on this capacity. Velopharyngeal sphincter closure is accomplished by elevating and retracting the soft palate at the same time as the nasopharyngeal walls are constricted. Objective This study aims to correlate voice intensity with velopharyngeal sphincter closure in individuals without velopharyngeal dysfunction and patients with cleft lip and palate...
January 2016: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/26648218/comparative-analysis-of-velopharyngeal-activity-assessed-by-acoustic-rhinometry-and-rhinomanometry
#18
COMPARATIVE STUDY
Alícia Graziela Noronha Silva Salgueiro, Andressa Sharllene Carneiro da Silva, Bruna Mara Adorno Marmontel Araújo, Renata Paciello Yamashita, Inge Elly Kiemle Trindade
PURPOSE: To analyze the velopharyngeal (VP) activity of subjects with velopharyngeal dysfunction (VPD) by acoustic rhinometry, as compared to rhinomanometry. METHODS: This was a prospective clinical study conducted in 41 adults, both genders, with repaired cleft palate, with or without a previously repaired cleft lip, and residual VPD on clinical assessment, without compensatory articulations for [p], [t], and [k]. The outcome measures were as follows: (1) on acoustic rhinometry, nasopharyngeal volumetric change (ΔV) during [p], [t], and [k], relatively to rest condition (decreases by <3 cm3 considered as absence of VP activity); (2) on modified anterior rhinomanometry, VP orifice area (areas ≥0...
September 2015: CoDAS
https://www.readbyqxmd.com/read/26605035/acute-dystonia-in-a-patient-with-22q11-2-deletion-syndrome
#19
Konstantinos Kontoangelos, Antonis Maillis, Maria Maltezou, Sofia Tsiori, Charalambos C Papageorgiou
The 22q11.2 deletion syndrome (di George syndrome) is one of the most prevalent genetic disorders. The clinical features of the syndrome are distinct facial appearance, velopharyngeal insufficiency, conotruncal heart disease, parathyroid and immune dysfunction; however, little is known about possible neurodegenerative diseases. We describe the case of an 18-year old patient suffering from 22q11.2 deletion syndrome. Since adolescence, he presented with behavioral disorders, recommended treatment with 2 mg aloperidin and he presented cervical dystonia and emergence of torticollis and trunk dystonia...
September 30, 2015: Mental Illness
https://www.readbyqxmd.com/read/26562846/the-effect-of-loudness-variation-on-velopharyngeal-function-in-children-with-22q11-2-deletion-syndrome-a-pilot-study
#20
Caitlin Cummings, Rebecca McCauley, Adriane Baylis
OBJECTIVE: Children with 22q11.2 deletion syndrome (22qDS) often require surgical intervention to treat velopharyngeal dysfunction (VPD). Although some studies have documented improved velopharyngeal (VP) closure under increased speaking effort, currently no studies have examined the effect of similar behavioral speech modifications on VP closure in children with 22qDS. The purpose of this pilot study was to explore the effect of loudness on VP closure during speech in children with 22qDS and persisting VPD...
2015: Folia Phoniatrica et Logopaedica
keyword
keyword
29834
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"