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Sphincter pharyngoplasty for velopharyngeal insufficiency in children |
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Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Sphincter pharyngoplasty for velopharyngeal insufficiency in children. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2012 Authors' conclusions The velopharyngeal sphincter is located between the oropharnyx and nasopharynx. Proper sphincter closure is required for a variety of functions, including phonation, sucking, swallowing, and preventing nasal regurgitation of solids and fluids in the oral cavity. Velopharyngeal insufficiency (VPI) is the incomplete closure of the velopharyngeal sphincter. Children with existing or repaired cleft palate, palatal paralysis, congenitally short palate, enlarged tonsils, or enlarged adenoids are at risk for velopharyngeal insufficiency. Signs include: hypernasal speech, an inability to produce certain sounds, nasal turbulence, nasal emission of air, compensatory misarticulations, and facial grimacing. Velopharyngeal insufficiency can have a profound effect on the child's quality of life and social development. Velopharyngeal insufficiency is treated conservatively by speech therapy, and if that is ineffective, by surgery. The available options are velum lengthening, augmentation pharyngoplasty, pharyngeal flap, and sphincter pharyngoplasty. Indexing Status Subject indexing assigned by CRD MeSH Humans; Pharynx; Velopharyngeal Insufficiency Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32013000286 Date abstract record published 23/04/2013 |
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