Current Concepts in The Diagnosis and Management of ...

Current Concepts in The Diagnosis and Management of ...

CURRENT CONCEPTS IN THE DIAGNOSIS AND MANAGEMENT OF VELOPHARYNGEAL DYSFUNCTION IN CHILDREN AND ADULTS MSHA 2013

PABLO ANTONIO YSUNZA [email protected] TERMINOLOGY MALFORMATION: A LOCALIZED ERROR IN

MORPHOGENESIS (CLEFT PALATE) TERMINOLOGY SEQUENCE: A MALFORMATION CAUSING ANOTHER MALFORMATION (S)

PIERRE-ROBIN SEQUENCE: MICROGNATHIA GLOSSOPTOSISSUB-TOTAL PALATAL CLEFT) DiGEORGE SEQUENCE: NEURAL CREST DEFECT THYMUS ABSENCE, HYPOCALCEMIA, IMMUNE DEFICIENCY

TERMINOLOGY SYNDROME: GROUP OF MALFORMATIONS WITH COMMON ETIOLOGY (VELOCARDIOFACIAL SYNDROME-22Q11.1

DELETION) CLEFT PALATE PRIMARY PALATE SECONDARY PALATE

CLEFT PALATE CLEFT PALATE

SUBMUCOUS CLEFT PALATE SUBMUCOUS CLEFT PALATE VPI

W / COMPENSATORY ARTICULATION ERRORS (HYPERNASALITY AND ABERRANT PLACEMENT AND MANNER) WO / COMPENSATORY ARTICULATION ERRORS (HYPERNASALITY WITH

APPROPRIATE PLACEMENT AND MANNER) V P I + COMPENSATORY ERRORS PROBLEM BEYOND V P S, INVOLVES ENTIRE VOCAL TRACT AND HIGHER LEVELS OF

SPEECH PRODUCTION SPEECH THERAPY IS INDICATED 1/3 OF RESIDUAL V P I SHOW COMPENSATORY ERRORS SURGERY DO NOT MODIFY COMPENSATORY

ERRORS VELOPHARYNGEAL SPHINCTER ANTERIOR: VELUM (LEVATOR VELI PALATINI AND MUSCULUS UVULAE)

LATERAL: LATERAL PHARYNGEAL WALLS (SUPERIOR PHARYNGEAL CONSTRICTOR) POSTERIOR: POSTERIOR PHARYNGEAL WALL (SUPERIOR PHARYNGEAL CONSTRICTOR)

VIDEOFLUOROSCOPY X-RAYS DYNAMIC ASSESSMENT (VIDEO) ANALYSIS ON VIDEO (DECREASE TOTAL RADIATION TIME)

FRONTAL OR CORONAL, LATERAL OR SAGGITAL, BASE OR AXIAL RESIDUAL V P I SYNDROMIC

NON SYNDROMIC NON-SYNDROMIC V P I INTRAVELAR VELOPLASTY (L V P SURGICAL REPAIR)

FURLOW Z PLASTY PHARYNGEAL FLAP SPHINCTER PHARYNGOPLASTY

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