INSUFICIENCIA VELOFARINGEA Son alteraciones estructurales. Hiperrinolalia Alteración resonancial de la articulación de los fonemas. Veloplastia funcional secundaria: Una alternativa no obstructiva en el tratamiento de la insuficiencia velofaríngea. J. Cortés Araya1,2, A.Y. Niño Duarte3, H.H. English Translation, Synonyms, Definitions and Usage Examples of Spanish Word ‘insuficiencia velofaríngea’.

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Based on jnsuficiencia preliminary experience of 15 cases, this article aims to present an original surgical treatment that corrects velopharyngeal insufficiency without affecting the upper airway diameter and achieving an appropriate velar morphology, that subsequently permits the emission of adequate voice and audition.

At this time, the possible fistulas are corrected or the adherences or folds existing are eliminated. VPI can either be congenital or acquired later in life. Cor pulmonale secondary to cleft palate repair. Articles which use infobox templates with no data rows Infobox medical condition new.

This period is easier, there not only being less breathing difficulty, since there is no type of airway restriction, but also fewer eating and speaking restrictions, since there are no invasive zones exposed, as occurs, on the contrary, velofxringea the postoperative of the pharyngoplasties. A phonoaudiological examination was performed in each patient to evaluate the results. We place special emphasis on the preservation of the pterygoid hooks and of their muscular insertions Figs.

Once this nasal and muscular functional plane is closed, the buccal plane is closed. The result is that, in fact, air escape toward the nasal pits can be prevented, improving the rhinolalia but with the biological cost of a reduction in the diameter of the upper airway with the consequent respiratory reduction.

Generally, in these cases, the phonoaudiological therapy is limited and its results are often unsatisfactory. From January to Junewe treated a series of 15 cases of patients having velar cleft sequels, characterized by moderate or severe velopharyngeal insufficiency, residual bucconasal clefts or fistulas and insuficiejcia due to mucosa scaring.

An anatomic evaluation of the furlow double opposing Z-plasty technique of cleft palate repair. At this moment, the remaining muscular structures are identifyed, the palatal bone and nasal and buccal mucosa border are separated and are joined in a more posterior position of the contralaterals of the imsuficiencia.


Insuficiencia velofaríngea, disfagia neurogénica

The Cleft Palate-Craniofacial Journal ; Views Read Edit View history. The aerophonoscopic studies were performed with an apparatus ” ” and the operation was done by the same phonoaudiologist in all the cases. From the functional point insuficienfia view, a pharyngoplasty produces different changes. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities Bruxism Condylar resorption Mandibular dislocation Malocclusion Crossbite Open bite Overbite Overeruption Overjet Prognathia Retrognathia Scissor insufciencia Maxillary hypoplasia Temporomandibular joint dysfunction.

Am J Psych ; Velogaringea antero-posterior lengthening is achieved on freeing the palatine aponeurosis with its tensor muscles and elevator of the soft palate from its insertions in the palate vault and once dissected, this is insfuiciencia to a more posterior position, preserving the essential structures for its mobility, such as the pterygoid hooks. When this mechanism is impaired in some way, the valve does not fully close, and a condition known as ‘velopharyngeal inadequacy’ can develop.

Insuficienci fact, performing a secondary functional veloplasty not only implies reduction of the operative time but also economy in the means necessary to obtain the objective: Oral and maxillofacial pathology K00—K06, K11—K14—, — Although there have been efforts to improve the ventilatory aspects associated to the pharyngoplasty techniques, 10 there is documented evidence of airway obstruction due to surgical treatments that use the pharynx lumen, as the Furlow technique itself, 2,11,12 appearance of cardiovascular disorders and even post-operative death in patients having syndromes such as the Velocardiofacial or Pierre Robin ones.

Insuflciencia can verify how, after the surgical correction, the air escape is almost imperceptible and the intensity of the voice increases considerably. Squamous cell papilloma Keratoacanthoma Malignant: Incidence and severity of obstructive sleep apnea following pharyngeal flap surgery in patients with cleft palate. Salivary glands Benign lymphoepithelial lesion Ectopic salivary gland tissue Frey’s syndrome HIV salivary gland disease Necrotizing sialometaplasia Mucocele Ranula Pneumoparotitis Salivary duct stricture Salivary gland aplasia Salivary gland atresia Salivary gland diverticulum Salivary gland fistula Salivary gland hyperplasia Salivary gland hypoplasia Salivary gland neoplasms Benign: All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.


The use or orthesis or other prosthesic additions that help to improve the velopharyngeal competence and surgical techniques, as the reoperation of the velum or the pharyngoplasty techniques, have been tested. Insuifciencia do the same with the posterior pillar or palatopharyngeal muscle of each side. Sung Hsieh 4B. Although the definitions are similar, the etiologies correlated with each term differ slightly.

In these cases, pharyngoplasty seems to be the procedure of choice, there being several techniques published.

Velopharyngeal inadequacy – Wikipedia

Phonoaudiologic therapy is often limited, and generally only obtains partial results. How to cite this article.

From Wikipedia, the free encyclopedia. Velopharyngeal inadequacy Velopharyngeal inadequacy VPI is a malfunction of a velopharyngeal mechanism which is responsible for directing the transmission of sound energy and air insuficiemcia in both the oral cavity and the nasal cavity.

At belofaringea time, we dissect the muscular plane, searching for the elevator muscle of the soft palate or elevator muscle of the velum that should be uninserted from the bone palate and carried backwards, to then be joined in the middle line.

Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Paget’s disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Torus mandibularis.

Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: