Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea

Detalhes bibliográficos
Autor(a) principal: Yamashita, Renata Paciello
Data de Publicação: 2012
Outros Autores: Carvalho, Ester Luisa Leite, Fukushiro, Ana Paula, Zorzetto, Neivo Luiz [UNESP], Trindade, Inge Elly Kiemle
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/S1516-18462011005000040
http://hdl.handle.net/11449/212969
Resumo: PURPOSE: to check the effect of secondary palatoplasty performed with intravelar veloplasty on the nasality and nasalance of patients with repaired cleft palate and velopharyngeal insufficiency (VPI) and compare the outcome among these patients, according to the degree of velopharyngeal closure as analyzed by nasopharyngoscopy. METHOD: prospective study with 40 patients of both genders, aged from 4 to 48 years, with repaired cleft palate and residual VPI, evaluated for 3 days before and 8 months after palatoplasty, on average, divided into two groups: one with 25 patients with minor defect (group I) and the other with 15 patients with medium to large defect (group II) in velopharyngeal closure. Hypernasality was evaluated perceptually and nasalance was assessed by nasometry. Differences between groups and stages were considered to be significant at the 5% level. The local Ethics Committee for Human Research approved the study. RESULTS: after surgery, we observed a reduction of hypernasality in 84% of the patients from group I, and in 73% of the patients from group II. Reduction of nasalance scores were observed in 52% of the group I cases and in 43% of the group II. CONCLUSION: secondary palatoplasty performed with intravelar veloplasty led to improvement in nasality in most of the analyzed patients. The results further demonstrated that surgery was more effective in patients with minor defects in velopharyngeal closure.
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spelling Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngeaEffect of intravelar veloplasty on nasality in patients with velopharyngeal insufficiencySpeechCleft PalateVelopharyngeal InsufficiencyFalaFissura PalatinaInsuficiência VelofaríngeaPURPOSE: to check the effect of secondary palatoplasty performed with intravelar veloplasty on the nasality and nasalance of patients with repaired cleft palate and velopharyngeal insufficiency (VPI) and compare the outcome among these patients, according to the degree of velopharyngeal closure as analyzed by nasopharyngoscopy. METHOD: prospective study with 40 patients of both genders, aged from 4 to 48 years, with repaired cleft palate and residual VPI, evaluated for 3 days before and 8 months after palatoplasty, on average, divided into two groups: one with 25 patients with minor defect (group I) and the other with 15 patients with medium to large defect (group II) in velopharyngeal closure. Hypernasality was evaluated perceptually and nasalance was assessed by nasometry. Differences between groups and stages were considered to be significant at the 5% level. The local Ethics Committee for Human Research approved the study. RESULTS: after surgery, we observed a reduction of hypernasality in 84% of the patients from group I, and in 73% of the patients from group II. Reduction of nasalance scores were observed in 52% of the group I cases and in 43% of the group II. CONCLUSION: secondary palatoplasty performed with intravelar veloplasty led to improvement in nasality in most of the analyzed patients. The results further demonstrated that surgery was more effective in patients with minor defects in velopharyngeal closure.OBJETIVO: verificar o efeito da palatoplastia secundária realizada com veloplastia intravelar sobre a nasalidade e nasalância dos pacientes com fissura de palato reparada e insuficiência velofaríngea (IVF) e comparar os resultados entre estes pacientes, de acordo com o grau de fechamento velofaríngeo aferido na nasofaringoscopia. MÉTODO: estudo prospectivo com 40 pacientes de ambos os sexos, com idades entre 4 e 48 anos, com fissura de palato reparada e IVF residual, avaliado 3 dias antes e 8 meses após a palatoplastia, em média, divididos em dois grupos: um com 25 pacientes com falhas pequenas (grupo I) e outro com 15 pacientes com falhas médias a grandes (grupo II) no fechamento velofaríngeo. A hipernasalidade foi avaliada perceptivamente e nasalância foi avaliada por meio da nasometria. Diferenças entre grupos e etapas foram consideradas significativas ao nível de 5%. O estudo foi aprovado pelo Comitê de Ética para Pesquisa com Seres Humanos da Instituição. RESULTADOS: após a cirurgia, verificou-se redução da hipernasalidade em 84% dos pacientes do grupo I e em 73% dos pacientes do grupo II. Redução da nasalância foi observada em 52% dos casos do grupo I e em 43% dos pacientes do grupo II. CONCLUSÃO: a palatoplastia secundária com veloplastia intravelar levou à melhora da nasalidade na maioria dos pacientes analisados. Os resultados também demonstraram que a cirurgia foi mais efetiva nos pacientes que apresentavam falhas pequenas no fechamento velofaríngeo.Universidade de São Paulo, Faculdade de OdontologiaUniversidade de São Paulo, Hospital de Reabilitação de Anomalias CraniofaciaisUniversidade Estadual Paulista, Faculdade de Filosofia e CiênciasUniversidade de São Paulo, HRACUniversidade Estadual Paulista, Faculdade de Filosofia e CiênciasABRAMO Associação Brasileira de Motricidade OrofacialUniversidade de São Paulo (USP)Universidade Estadual Paulista (Unesp)Yamashita, Renata PacielloCarvalho, Ester Luisa LeiteFukushiro, Ana PaulaZorzetto, Neivo Luiz [UNESP]Trindade, Inge Elly Kiemle2021-07-14T10:47:54Z2021-07-14T10:47:54Z2012-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article603-609application/pdfhttp://dx.doi.org/10.1590/S1516-18462011005000040Revista CEFAC. São Paulo, SP, Brazil: ABRAMO Associação Brasileira de Motricidade Orofacial, v. 14, n. 4, p. 603-609, 2012.1516-18461982-0216http://hdl.handle.net/11449/21296910.1590/S1516-18462011005000040S1516-18462012000400002S1516-18462012000400002.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporRevista CEFACinfo:eu-repo/semantics/openAccess2023-10-20T06:04:20Zoai:repositorio.unesp.br:11449/212969Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T15:24:05.081113Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea
Effect of intravelar veloplasty on nasality in patients with velopharyngeal insufficiency
title Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea
spellingShingle Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea
Yamashita, Renata Paciello
Speech
Cleft Palate
Velopharyngeal Insufficiency
Fala
Fissura Palatina
Insuficiência Velofaríngea
title_short Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea
title_full Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea
title_fullStr Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea
title_full_unstemmed Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea
title_sort Efeito da veloplastia intravelar sobre a nasalidade em indivíduos com insuficiência velofaríngea
author Yamashita, Renata Paciello
author_facet Yamashita, Renata Paciello
Carvalho, Ester Luisa Leite
Fukushiro, Ana Paula
Zorzetto, Neivo Luiz [UNESP]
Trindade, Inge Elly Kiemle
author_role author
author2 Carvalho, Ester Luisa Leite
Fukushiro, Ana Paula
Zorzetto, Neivo Luiz [UNESP]
Trindade, Inge Elly Kiemle
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade de São Paulo (USP)
Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Yamashita, Renata Paciello
Carvalho, Ester Luisa Leite
Fukushiro, Ana Paula
Zorzetto, Neivo Luiz [UNESP]
Trindade, Inge Elly Kiemle
dc.subject.por.fl_str_mv Speech
Cleft Palate
Velopharyngeal Insufficiency
Fala
Fissura Palatina
Insuficiência Velofaríngea
topic Speech
Cleft Palate
Velopharyngeal Insufficiency
Fala
Fissura Palatina
Insuficiência Velofaríngea
description PURPOSE: to check the effect of secondary palatoplasty performed with intravelar veloplasty on the nasality and nasalance of patients with repaired cleft palate and velopharyngeal insufficiency (VPI) and compare the outcome among these patients, according to the degree of velopharyngeal closure as analyzed by nasopharyngoscopy. METHOD: prospective study with 40 patients of both genders, aged from 4 to 48 years, with repaired cleft palate and residual VPI, evaluated for 3 days before and 8 months after palatoplasty, on average, divided into two groups: one with 25 patients with minor defect (group I) and the other with 15 patients with medium to large defect (group II) in velopharyngeal closure. Hypernasality was evaluated perceptually and nasalance was assessed by nasometry. Differences between groups and stages were considered to be significant at the 5% level. The local Ethics Committee for Human Research approved the study. RESULTS: after surgery, we observed a reduction of hypernasality in 84% of the patients from group I, and in 73% of the patients from group II. Reduction of nasalance scores were observed in 52% of the group I cases and in 43% of the group II. CONCLUSION: secondary palatoplasty performed with intravelar veloplasty led to improvement in nasality in most of the analyzed patients. The results further demonstrated that surgery was more effective in patients with minor defects in velopharyngeal closure.
publishDate 2012
dc.date.none.fl_str_mv 2012-08
2021-07-14T10:47:54Z
2021-07-14T10:47:54Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S1516-18462011005000040
Revista CEFAC. São Paulo, SP, Brazil: ABRAMO Associação Brasileira de Motricidade Orofacial, v. 14, n. 4, p. 603-609, 2012.
1516-1846
1982-0216
http://hdl.handle.net/11449/212969
10.1590/S1516-18462011005000040
S1516-18462012000400002
S1516-18462012000400002.pdf
url http://dx.doi.org/10.1590/S1516-18462011005000040
http://hdl.handle.net/11449/212969
identifier_str_mv Revista CEFAC. São Paulo, SP, Brazil: ABRAMO Associação Brasileira de Motricidade Orofacial, v. 14, n. 4, p. 603-609, 2012.
1516-1846
1982-0216
10.1590/S1516-18462011005000040
S1516-18462012000400002
S1516-18462012000400002.pdf
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista CEFAC
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 603-609
application/pdf
dc.publisher.none.fl_str_mv ABRAMO Associação Brasileira de Motricidade Orofacial
publisher.none.fl_str_mv ABRAMO Associação Brasileira de Motricidade Orofacial
dc.source.none.fl_str_mv SciELO
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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