Issue N# 5 - 2000
SPEECH THERAPY
Functional results of velopharyngoplasty in 55 subjects.
Authors : N. Deggouj, L. Derue, H. Huaux, D. Dutillieux, V. Monteyne, M. Gersdorff, R. Vanwijck, B. Bayet (Bruxelles)
Ref. : Rev Laryngol Otol Rhinol. 2000;121,5:333-337.
Article published in french 
Downloadable PDF document french
Summary :
From 1991 until 1998, 55 three to twelve year-old patients underwent a velopharyngoplasty to correct velopharyngeal insufficiency. They had indeed severe hypernasality with or without gross reflux of food matter into the nasal cavities or behavioural disturbances. Eighty-two percent had a closed cleft palate. Forty percent presented with mental retardation, heart diseases or multiple syndromal defects. They all had had a previous speech therapy for a long (months) or a very long (years) period of time. In the post operative period, hypernasality disappeared totally or partially in eighty-five percent ; reflux disappeared in almost all cases. Middle ear pathologies were not more frequent and were also less severe. Behavioral disturbances associated with a severe speech defect were also less pronounced.
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