Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822015000300267&lng=en&nrm=iso&tlng=en http://hdl.handle.net/11449/127507 |
Resumo: | To investigate the correlation among velopharyngeal closure, hypernasality, audible nasal air emission (NAE) and nasal rustle (NR), in individuals with repaired cleft palate. METHODS: One hundred patients with repaired cleft palate and lip, submitted to pressure-flow study for measurement of velopharyngeal orifice area (velopharyngeal area) and speech sample recordings. Velopharyngeal area was estimated during the production of the sound /p/ inserted in a sentence, and the velopharyngeal closure was classified as adequate, borderline or inadequate. Hypernasality was rated using a 4-point scale, NAE and NR were rated as absent or present, by three speech language pathologists, using recorded speech samples. Inter and intra-judge agreements were established. Statistical analysis was performed using the Spearman correlation coefficient considering p<0.05. An ordinal logistic regression model was developed to investigate whether the characteristics of speech can predict velopharyngeal closure. For this, the speech samples included in this analysis were those that obtained 100% agreement among raters as to the degree of hypernasality (43 out of 100). RESULTS: Significant correlation was found between hypernasality and velopharyngeal area; audible NAE and velopharyngeal area. A negative correlation was observed between the NR and velopharyngeal area. The regression analysis showed that the perceptual speech characteristics contributed significantly to predict the velopharyngeal closure. CONCLUSION: There is significant correlation between velopharyngeal closure and hypernasality, NAE and NR. It suggests that the perceptual speech characteristics can predict velopharyngeal closure, favoring the diagnosis and the definition of treatment conduct of velopharyngeal dysfunction. |
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Repositório Institucional da UNESP |
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Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palateCorrelação entre o fechamento velofaríngeo, hipernasalidade, emissão de ar nasal e ronco nasal em indivíduos com fissura de palato reparadaCleft PalateVelopharyngeal InsufficiencySpeechRhinomanometryEvaluationFissura PalatinaInsuficiência VelofaríngeaFalaRinomanometriaAvaliaçãoTo investigate the correlation among velopharyngeal closure, hypernasality, audible nasal air emission (NAE) and nasal rustle (NR), in individuals with repaired cleft palate. METHODS: One hundred patients with repaired cleft palate and lip, submitted to pressure-flow study for measurement of velopharyngeal orifice area (velopharyngeal area) and speech sample recordings. Velopharyngeal area was estimated during the production of the sound /p/ inserted in a sentence, and the velopharyngeal closure was classified as adequate, borderline or inadequate. Hypernasality was rated using a 4-point scale, NAE and NR were rated as absent or present, by three speech language pathologists, using recorded speech samples. Inter and intra-judge agreements were established. Statistical analysis was performed using the Spearman correlation coefficient considering p<0.05. An ordinal logistic regression model was developed to investigate whether the characteristics of speech can predict velopharyngeal closure. For this, the speech samples included in this analysis were those that obtained 100% agreement among raters as to the degree of hypernasality (43 out of 100). RESULTS: Significant correlation was found between hypernasality and velopharyngeal area; audible NAE and velopharyngeal area. A negative correlation was observed between the NR and velopharyngeal area. The regression analysis showed that the perceptual speech characteristics contributed significantly to predict the velopharyngeal closure. CONCLUSION: There is significant correlation between velopharyngeal closure and hypernasality, NAE and NR. It suggests that the perceptual speech characteristics can predict velopharyngeal closure, favoring the diagnosis and the definition of treatment conduct of velopharyngeal dysfunction.Investigar a correlação entre as dimensões do orifício velofaríngeo, hipernasalidade, emissão de ar nasal (EAN) audível e ronco nasal (RN), em indivíduos com fissura palatina reparada. MÉTODOS: Foram avaliados cem pacientes com fissura labiopalatina reparada, submetidos à medida da área do orifício velofaríngeo (área velofaríngea) por meio da técnica fluxo-pressão e à gravação de fala. A partir da área velofaríngea, determinada durante a produção de /p/ inserido numa frase, o fechamento velofaríngeo foi classificado em adequado, marginal e inadequado. A hipernasalidade foi classificada em escala de quatro pontos, EAN e RN em presente-ausente, por três fonoaudiólogas utilizando amostra de fala gravada. A concordância inter e intra-avaliadores foi estabelecida e a correlação entre as variáveis foi analisada por meio do coeficiente de correlação de Spearman, considerando p<0,05. Um modelo de regressão logística ordinal foi elaborado para investigar se as características da fala podem predizer o fechamento velofaríngeo. Para tanto, foram incluídas somente 43 amostras de fala que obtiveram 100% de concordância quanto ao grau de hipernasalidade entre as avaliadoras. RESULTADOS: Correlação significativa entre hipernasalidade e área velofaríngea; EAN audível e área velofaríngea. Correlação negativa foi verificada entre RN e área velofaríngea. O modelo logístico mostrou que as características da fala contribuíram significativamente para a previsão do fechamento velofaríngeo. CONCLUSÃO: Existe correlação entre dimensões do orifício velofaríngeo e hipernasalidade, EAN e RN, sugerindo que as características perceptivas da fala podem predizer o fechamento velofaríngeo, favorecendo o diagnóstico e a definição de conduta de tratamento da disfunção velofaríngea.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Universidade de São Paulo Hospital for the Rehabilitation of Craniofacial AnomaliesSupport and Rehabilitation Center of Patients with Cleft PalateUniversidade de São Paulo Bauru School of DentistryUniversidade Estadual Paulista Júlio de Mesquita FilhoUniversidade Estadual Paulista Júlio de Mesquita FilhoSociedade Brasileira de FonoaudiologiaUniversidade de São Paulo (USP)Support and Rehabilitation Center of Patients with Cleft PalateUniversidade Estadual Paulista (Unesp)Scarmagnani, Rafaeli HigaBarbosa, Daniela AparecidaFukushiro, Ana PaulaSalgado, Manoel Henrique [UNESP]Trindade, Inge Elly KiemleYamashita, Renata Paciello2015-08-26T19:22:36Z2015-08-26T19:22:36Z2015-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article267-272application/pdfhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822015000300267&lng=en&nrm=iso&tlng=enCoDAS, v. 27, n. 3, p. 267-272, 2015.2317-1782http://hdl.handle.net/11449/12750710.1590/2317-1782/20152014145S2317-17822015000300267S2317-17822015000300267.pdf8207092389931188SciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCoDAS0,267info:eu-repo/semantics/openAccess2024-06-28T13:18:34Zoai:repositorio.unesp.br:11449/127507Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T23:39:03.571883Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate Correlação entre o fechamento velofaríngeo, hipernasalidade, emissão de ar nasal e ronco nasal em indivíduos com fissura de palato reparada |
title |
Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate |
spellingShingle |
Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate Scarmagnani, Rafaeli Higa Cleft Palate Velopharyngeal Insufficiency Speech Rhinomanometry Evaluation Fissura Palatina Insuficiência Velofaríngea Fala Rinomanometria Avaliação |
title_short |
Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate |
title_full |
Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate |
title_fullStr |
Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate |
title_full_unstemmed |
Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate |
title_sort |
Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate |
author |
Scarmagnani, Rafaeli Higa |
author_facet |
Scarmagnani, Rafaeli Higa Barbosa, Daniela Aparecida Fukushiro, Ana Paula Salgado, Manoel Henrique [UNESP] Trindade, Inge Elly Kiemle Yamashita, Renata Paciello |
author_role |
author |
author2 |
Barbosa, Daniela Aparecida Fukushiro, Ana Paula Salgado, Manoel Henrique [UNESP] Trindade, Inge Elly Kiemle Yamashita, Renata Paciello |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Support and Rehabilitation Center of Patients with Cleft Palate Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Scarmagnani, Rafaeli Higa Barbosa, Daniela Aparecida Fukushiro, Ana Paula Salgado, Manoel Henrique [UNESP] Trindade, Inge Elly Kiemle Yamashita, Renata Paciello |
dc.subject.por.fl_str_mv |
Cleft Palate Velopharyngeal Insufficiency Speech Rhinomanometry Evaluation Fissura Palatina Insuficiência Velofaríngea Fala Rinomanometria Avaliação |
topic |
Cleft Palate Velopharyngeal Insufficiency Speech Rhinomanometry Evaluation Fissura Palatina Insuficiência Velofaríngea Fala Rinomanometria Avaliação |
description |
To investigate the correlation among velopharyngeal closure, hypernasality, audible nasal air emission (NAE) and nasal rustle (NR), in individuals with repaired cleft palate. METHODS: One hundred patients with repaired cleft palate and lip, submitted to pressure-flow study for measurement of velopharyngeal orifice area (velopharyngeal area) and speech sample recordings. Velopharyngeal area was estimated during the production of the sound /p/ inserted in a sentence, and the velopharyngeal closure was classified as adequate, borderline or inadequate. Hypernasality was rated using a 4-point scale, NAE and NR were rated as absent or present, by three speech language pathologists, using recorded speech samples. Inter and intra-judge agreements were established. Statistical analysis was performed using the Spearman correlation coefficient considering p<0.05. An ordinal logistic regression model was developed to investigate whether the characteristics of speech can predict velopharyngeal closure. For this, the speech samples included in this analysis were those that obtained 100% agreement among raters as to the degree of hypernasality (43 out of 100). RESULTS: Significant correlation was found between hypernasality and velopharyngeal area; audible NAE and velopharyngeal area. A negative correlation was observed between the NR and velopharyngeal area. The regression analysis showed that the perceptual speech characteristics contributed significantly to predict the velopharyngeal closure. CONCLUSION: There is significant correlation between velopharyngeal closure and hypernasality, NAE and NR. It suggests that the perceptual speech characteristics can predict velopharyngeal closure, favoring the diagnosis and the definition of treatment conduct of velopharyngeal dysfunction. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-08-26T19:22:36Z 2015-08-26T19:22:36Z 2015-06-01 |
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://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822015000300267&lng=en&nrm=iso&tlng=en CoDAS, v. 27, n. 3, p. 267-272, 2015. 2317-1782 http://hdl.handle.net/11449/127507 10.1590/2317-1782/20152014145 S2317-17822015000300267 S2317-17822015000300267.pdf 8207092389931188 |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822015000300267&lng=en&nrm=iso&tlng=en http://hdl.handle.net/11449/127507 |
identifier_str_mv |
CoDAS, v. 27, n. 3, p. 267-272, 2015. 2317-1782 10.1590/2317-1782/20152014145 S2317-17822015000300267 S2317-17822015000300267.pdf 8207092389931188 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
CoDAS 0,267 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
267-272 application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Fonoaudiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Fonoaudiologia |
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) |
repository.mail.fl_str_mv |
|
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1808129539725852672 |