Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate

Detalhes bibliográficos
Autor(a) principal: Scarmagnani, Rafaeli Higa
Data de Publicação: 2015
Outros Autores: Barbosa, Daniela Aparecida, Fukushiro, Ana Paula, Salgado, Manoel Henrique [UNESP], Trindade, Inge Elly Kiemle, Yamashita, Renata Paciello
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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spelling 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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