점막하구개열 수술 후 지속된 구개인두부전에 대한 수축근 구개인두성형술 증례
A Case of Sphincter Pharyngoplasty for Persistent Velopharyngeal Insufficiency After Submucosal Cleft Palate Surgery
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Velopharyngeal insufficiency (VPI) is a phenomenon that can occur due to anatomical or neurological causes of the soft palate. VPI can make the patient difficult to articulate through hypernasality and nasal emission. There has been needed the customized treatment, as VPI can occur for many causes. We present the case of 21-year-old male who took palate plastic surgery 20 years ago for congenital submucosal cleft palate. As he had poor contraction of both lateral side of velopharynx, he was diagnosed with coronal type VPI. Through sphincter pharyngoplasty, he can obtain improvement of articulation accuracy. We would like to share this challenged case.
Abstract
Velopharyngeal insufficiency (VPI) is a phenomenon that can occur due to anatomical or neurological causes of the soft palate. VPI can make the patient difficult to articulate through hypernasality and nasal emission. There has been needed the customized treatment, as VPI can occur for many causes. We present the case of 21-year-old male who took palate plastic surgery 20 years ago for congenital submucosal cleft palate. As he had poor contraction of both lateral side of velopharynx, he was diagnosed with coronal type VPI. Through sphincter pharyngoplasty, he can obtain improvement of articulation accuracy. We would like to share this challenged case.
참고문헌 (9)
- Hirschberg J, "Results and complications of 1104 surgeries for velopharyngeal insufficiency", ISRN Otolaryngol, 2012, pp.181202~ (2012)
- 고승오, "Management of velopharyngeal dysfunction: what is the role of oral and maxillofacial surgeons?", 대한구강악안면외과학회지, 44(1), pp.1~2 (2018), 대한구강악안면외과학회
- Vale F, "Velopharyngeal insufficiency treatment in cleft palate patients:Umbrella review", Biomimetics(Basel), 7(3), pp.118~ (2022)
- Shin J, "Speech sound disorders" (2020), Sigmapress
- Purcell P, "Encyclopedia of Otolaryngology, Head and Neck Surgery", pp.2993~3002 (2013), Springer Berlin Heidelberg
- Kummer AW, "Speech therapy for errors secondary to cleft palate and velopharyngeal dysfunction", Semin Speech Lang, 32(2), pp.191~198 (2011)
- Israel JM, "The use of a temporary oral prosthesis to treat speech in velopharyngeal incompetence", Facial Plast Surg, 9(3), pp.206~212 (1993)
- Instrum R, "Surgical interventions in velopharyngeal dysfunction : Comparative perceptual speech and nasometric outcomes for three techniques", J Otolaryngol Head Neck Surg, 51(1), pp.3~ (2022)
- Gart MS, "Surgical management of velopharyngeal insufficiency", Clin Plast Surg, 41(2), pp.253~270 (2014)
