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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Insuficiencia velofaríngea, disfagia neurogénica

Hypernasality, assessed by perceptual ratings and by means of nasalance scores provided by nasometry, insuficidncia velopharyngeal function, assessed perceptually and by means of velopharyngeal orifice area provided by pressure-flow technique, velofaringex 1 to 4 days and after 6 to 48 months surgery. In the decision to perform this surgical procedure or not, we have defined Inclusion Criteria, considering those patients who, in spite of velar shortening, have a morphologically adequate velar muscular tissue and as Exclusion Criteria, those patients with previous marked asymmetric muscular reparations or in whom severe tissue loss is verified or in whom there is some neurological incapacity or alteration.

Based on our preliminary experience velofarongea 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. In this situation, the maxillary occupies a more posterior and higher anatomic site in the upper floor of the face, impacted in an area that normally should be available for air passage towards the bronchi.

Thus, it is doubly serious to use operative techniques that restrict the air passage by the upper airway and thus facilitate the appearance of obstructive respiratory disorders to a population that presents intrinsic characteristics of obstructive risk. To completely expose the region, we incise from the retrouvular region at the height in which the posterior pillars should be found behind until the mucosa that lines the hard palate in front, searching for the bone reference of the posterior nasal spine.


From the functional point of view, a pharyngoplasty produces different changes. Periapical, mandibular and maxillary hard tissues — Bones of jaws Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: Plast Reconstr Surg ; Travesera de Gracia,Barcelona, Barcelona, ES, maxilo elsevier.

Thus, this vvelofaringea is a secondary functional reconstruction of the soft palete or secondary functional veloplasty, inspired by the functional principles of Delaire.

Learn what derived works are clicking here. In order to make the study of the results objective, the examination included an instrumental evaluation using an aerophonoscope.

Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. Teeth pulpdentinenamel. From Wikipedia, the free encyclopedia. Services on Demand Journal.

Velopharyngeal inadequacy – Wikipedia

While cleft is the most common cause of VPI, other significant etiologies exist. We do the same with the posterior pillar or palatopharyngeal muscle of each side. Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease.

Once this nasal and muscular functional plane is closed, the buccal plane is closed. The procedure is based on the empiric verification that there is an anatomic substrate available in many velopharyngeal incompetences, whose functionality can be rescued and reestablished although it does not function adequately since the muscles are often displaced, atrophic and deformed.

At this moment, the remaining inxuficiencia structures are identifyed, the palatal bone and nasal and buccal mucosa border insuficiendia separated and are joined in a more posterior position of the contralaterals of the midline. The latter may be the surgical technique used by the greatest number of surgeon who deal with the management and treatment of this condition.


A clarification of the surgical goals in cleft palate speech and the introduction of the lateral port control l. Then the mucosa of the nasal side of the hard palate is identified and sutured with its contralateral side, thus establishing a clear separation between the nasal and buccal cavities.

Plast Reconstr Surg ; Whatever they are, they have the common factor of the use of velofarinhea flaps that determine a reduction of the upper airway diameter with the consequent risk of generating obstructive sleep disorder.

In these cases, pharyngoplasty seems to be the procedure of choice, there being several techniques published. Sung Hsieh 4B. We can verify how, after the surgical correction, the air escape is almost imperceptible and the intensity of the voice increases considerably. A cleft palate is one of the most common causes of VPI. At this 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.

This rights cover the whole data about this document as well as its contents. Squamous cell papilloma Keratoacanthoma Malignant: It is started by closing the inferior side of the posterior pillars, the uvula, the soft palate area itself until reaching the hard palate area.