Indian Journal of Plastic Surgery
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Year : 2009  |  Volume : 42  |  Issue : 3  |  Page : 129--136

Velo-pharyngeal dysfunction: Evaluation and management


Department of Plastic Surgery, St. Louis University School of Medicine, St. Louis MO, USA

Correspondence Address:
Jeffrey L Marsh
Kids Plastic Surgery, 621 S. New Ballas Road, Suite 260A, St. Louis MO-631 41
USA
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DOI: 10.4103/0970-0358.57201

PMID: 19884668

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Separation of the nasal and oral cavities by dynamic closure of the velo-pharyngeal port is necessary for normal speech and swallowing. Velo-pharyngeal dysfunction (VPD) may either follow repair of a cleft palate or be independent of clefting. While the diagnosis of VPD is made by audiologic perceptual evaluation of speech, identification of the mechanism of the dysfunction requires instrumental visualization of the velo-pharyngeal port during specific speech tasks. Matching the specific intervention for management of VPD with the type of dysfunction, i.e. differential management for differential diagnosis, maximizes the result while minimizing the morbidity of the intervention.






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