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In patients with cleft palate, the palate must be repaired through a palatoplasty for normal velopharyngeal function. Despite the palatoplasty, 20-30% of these patients will still have some degree of velopharyngeal insufficiency, which will require surgical (or prosthetic) management for correction. Therefore, a secondary operation is necessary ...
A cleft palate is one of the most common causes of VPI. Cleft palate is an anatomical abnormality that occurs in utero and is present at birth. This malformation can affect the lip and palate, or the palate only. A cleft palate can affect the mobility of the velopharyngeal valve, thereby resulting in VPI. [citation needed]
flaccid paralysis, [1] such as soft palate weakness (examined by asking the patient to say aah). [1] muscle atrophy, [1] such as tongue atrophy with fasciculations. nasal speech lacking in modulation and difficulty with all consonants. drooling of saliva. [1] normal or absent jaw jerk. reduced or absent gag reflex. [1]
An elongated soft palate can be treated surgically by resection, meaning the excess soft palate tissue is removed. [1] A surgical risk could be removing too much of the soft palate. If the soft palate, then becomes too short, it will no longer be able to block off the nasal and oral cavities during swallowing. Surgical options include:
This is followed by a thorough clinical investigation including extra-oral and intra-oral hard and soft tissues. [5] It is sometimes the case that a diagnosis and treatment regime are possible to determine from history and examination, however it is good practice to compile a list of differential diagnoses. Differential diagnosis allows for ...
The condition most commonly is located at the junction of the hard and soft palate. [1] However, the condition may arise anywhere minor salivary glands are located. [nb 1] It has also been occasionally reported to involve the major salivary glands. [2] [3] It may be present only on one side, or both sides. [1] The lesion typically is 1–4 cm ...
Hypernasal speech is a disorder that causes abnormal resonance in a human's voice due to increased airflow through the nose during speech.It is caused by an open nasal cavity resulting from an incomplete closure of the soft palate and/or velopharyngeal sphincter (velopharyngeal insufficiency). [1]
Diagnosis is usually based on the symptoms. [1] Medical imaging may be done to rule out complications. [1] Treatment is by removing the pus, antibiotics, sufficient fluids, and pain medication. [1] Steroids may also be useful. [1] Admission to hospital is generally not needed. [1] In the United States about 3 per 10,000 people per year are ...