Comparison of videonasoendoscopy and auditory-perceptual evaluation of speech in individuals with cleft lip/palate

• Autor(a) principal: Paniagua,Lauren Medeiros
• Data de Publicação: 2013
• Outros Autores: Signorini,Alana Verza, Costa,Sady Selaimen da, Collares,Marcus Vinicius Martins, Dornelles,Sílvia
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: International Archives of Otorhinolaryngology
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300006
• topic: Cleft Palate; Velopharyngeal Sphincter; Communication Disorders; Evaluation

INTRODUCTION: The velopharyngeal sphincter (VPS) is a muscle belt located between the oropharynx and the nasopharynx. Investigations of velopharyngeal function should include an auditory-perceptual evaluation and at least 1 instrument-based evaluation such as videonasoendoscopy. AIM: To compare the findings of auditory-perceptual evaluation (hypernasality) and videonasoendoscopy (gap size) in individuals with cleft lip/palate. METHOD: This was a retrospective, cross-sectional study assessing 49 subjects, of both sexes, with cleft lip/palate followed up at the Otorhinolaryngology Service and the Speech Therapy outpatient clinic of Hospital de Clínicas de Porto Alegre (HCPA). The results from the auditory-perceptual evaluation and the videonasoendoscopy test were compared with respect to the VPS gap size. RESULTS: Subjects with moderate/severe hypernasality had more severe velopharyngeal closure impairment than those with a less severe condition. The interaction between hypernasality severity and the presence of other speech disorders (p = 0.035), whether compensatory and/or obligatory, increased the likelihood of having a moderate-to-large gap in the velopharyngeal closure. CONCLUSIONS: We observed an association between the findings of these 2 evaluation methods.