Nasoendoscopy of velopharynx before and during diagnostic therapy

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Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorPegoraro-Krook, Maria Inês-
Autor(es): dc.creatorDutka-Souza, Jeniffer De Cassia Rillo-
Autor(es): dc.creatorMarino, Viviane Cristina De Castro-
Data de aceite: dc.date.accessioned2025-08-21T16:43:26Z-
Data de disponibilização: dc.date.available2025-08-21T16:43:26Z-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2008-01-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/S1678-77572008000300004-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/225179-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/225179-
Descrição: dc.descriptionNasoendoscopy is an important tool for assessing velopharyngeal function. The purpose of this study was to analyze velar and pharyngeal wall movement and velopharyngeal gap during nasoendoscopic evaluation of the velopharynx before and during diagnostic therapy. Nasoendoscopic recordings of 10 children with operated cleft lip and palate were analyzed according to the International Working Group Guidelines. Ratings of movement of velum and pharyngeal walls, and size, location and shape of gaps were analyzed by 3 speech-language pathologists (SLPs). Imaging was obtained during repetitions of the syllable /pa/ during a single nasoendoscopic evaluation: (a) before diagnostic therapy, and (b) after the children were instructed to impound and increase intraoral air pressure (diagnostic therapy). Once the patients impounded and directed air pressure orally, the displacement of the velum, right, left and posterior pharyngeal walls increased 40, 70, 80, and 10%, respectively. Statistical significance for displacement was found only for right and left lateral pharyngeal walls. Reduction in gap size was observed for 30% of the patients and other 40% of the gaps disappeared. Changes in gap size were found to be statistically significant between the two conditions. In nasoendoscopic assessment, the full potential of velopharyngeal displacement may not be completely elicited when the patient is asked only to repeat a speech stimulus. Optimization of information can be done with the use of diagnostic therapy's strategies to manipulate VP function. Assuring the participation of the SLP to conduct diagnostic therapy is essential for management of velopharyngeal dysfunction.-
Descrição: dc.descriptionDepartment of Speech Pathology and Audiology Hospital for Rehabilitation of Craniofacial Anomalies University of São Paulo, Bauru, SP-
Descrição: dc.descriptionHospital for Rehabilitation of Craniofacial Anomalies University of São Paulo, Bauru, SP-
Descrição: dc.descriptionDepartment of Speech Therapy São Paulo State University, Marília, SP-
Descrição: dc.descriptionUniversity of São Paulo Hospital for Rehabilitation of Craniofacial Anomalies, Rua Sílvio Marchione, 3-20, 17043-900 - Bauru, SP-
Descrição: dc.descriptionDepartment of Speech Therapy São Paulo State University, Marília, SP-
Formato: dc.format181-188-
Idioma: dc.languageen-
Relação: dc.relationJournal of Applied Oral Science-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectDiagnostic therapy-
Palavras-chave: dc.subjectGap size-
Palavras-chave: dc.subjectNasoendoscopy-
Palavras-chave: dc.subjectPharyngeal walls displacement-
Palavras-chave: dc.subjectVelar displacement-
Título: dc.titleNasoendoscopy of velopharynx before and during diagnostic therapy-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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