INSUFICIENCIA VELOFARINGEA Son alteraciones estructurales. Hiperrinolalia Alteración resonancial de la articulación de los fonemas. Veloplastia funcional secundaria: Una alternativa no obstructiva en el tratamiento de la insuficiencia velofaríngea. J. Cortés Araya1,2, A.Y. Niño Duarte3, H.H. English Translation, Synonyms, Definitions and Usage Examples of Spanish Word ‘insuficiencia velofaríngea’.

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Insuficiencia Velofaríngea y su repercusión en la resonancia by Gissela Contreras Morales on Prezi

Other ways of treating velopharyngeal insufficiency is by placing a posterior nasopharyngeal wall implant commonly cartilage or collagen or type of soft palate lengthening procedure i. Cleft Palate J ; It is then sutured to a flap that is cut in its posterior wall, either with the superior or inferior base. This period is easier, there not only being less breathing difficulty, since there is no type of airway restriction, but also fewer eating and speaking restrictions, since there are no invasive zones exposed, as occurs, on the contrary, in the postoperative of the pharyngoplasties.

We believe that the search for solutions to this old problem should be oriented towards treatments in general and to the design of surgical techniques in particular that manage to correct velopharyngeal insufficiency without altering other structures, such as the pharynx, functions, such as respiratory or biological rhythms, such as circadian.

On the contrary, when other topographic territories such as the posterior or lateral wall of the pharynx, rich in vessels such as ascending and descending pharyngeal vessels are affected by the pharyngoplasties, there is a potential risk of excessive bleeding and even more so in the cases that present anatomic variations, as for example, the Shprintzen Syndrome or Velocardiofacial Syndrome, that does not occur in secondary functional veloplasty since it has a different anatomic substrate.

Insuficiencia velofaríngea, disfagia neurogénica

A clarification of the surgical goals in cleft palate speech and the introduction of the lateral port control velofqringea. Although the definitions are similar, the etiologies correlated with each term differ slightly. J Ann Chir Plast ; In these cases, the velum is, to a greater or lesser degree, shortened, atrophic and its muscular fibers are displaced from their normal insertion site, and are incapable of moving in order to contact with the pharyngeal wall as normally occurs.


Valopharyngeal insufficiency is a usual condition observed in those born with soft palate fissures and treated surgically, regardless of the technique used. Squamous cell papilloma Keratoacanthoma Malignant: Velopharyngeal insufficiency could be produced by a partial or inappropriate veloplasty performed to correct palate clefts.

Temporomandibular jointsmuscles of mastication imsuficiencia malocclusions — Jaw joints, chewing muscles and bite abnormalities. Br J Oral Maxillofac Surg ; For the treatment of velopharyngeal insufficiency, several treatments have been tested, as, for example, phonoaudiological reeducation, which is really the base of any therapy, by itself, or as a complement to another procedure.

Secondary funtional repair of the velar velofarjngea. When the mechanisms by which one technique and another improve the velopharyngeal insufficiency are analyzed, we see that these are completely different.

Obstructive sleep apnea and deathassociated with surgical correction of velopharyngeal incompetence. Whatever they insuficienccia, they have the common factor of the use of pharyngeal flaps that determine a reduction of the upper airway diameter with the consequent risk of generating obstructive sleep disorder.

The greatest advantage of the technique proposed is precisely that it returns insuficiendia normal velar morphology and thus the capacity to the velopharyngeal structures to obtain competence, leaving this sector in conditions of being reeducated phonoaudiologically and thus achieving a correct voice free of nasalizations, preserving the caliber and functionality of the upper airway.

From the functional point isnuficiencia view, a pharyngoplasty produces different changes.

A phonoaudiological examination was performed in each patient to evaluate the results. A surgical technique has been designed that aims to make the anatomical reconstruction of the soft palate based on the muscular elements available and that can be identified, dissected and functionally recovered.

VPI can either be congenital or acquired later in life. The pharyngoplasty classically presents as the procedure of choice in these cases, many techniques having been described Fig.


The procedure is based on the empiric verification that there is an anatomic substrate available in many velopharyngeal incompetences, whose functionality can be rescued and reestablished although it does not function adequately since the muscles are often displaced, atrophic and deformed.

By using this site, you agree to the Terms of Use and Privacy Policy. Several studies show that this veloofaringea in respiratory capacity affects children more seriously than adults.

Both this evaluation and the phonoaudiological examination were performed in the preoperative as well as postoperative period of each patient. The Cleft Palate-Craniofacial Journal ; Sorry, but Javascript is not enabled in your browser!

A cleft palate is one of the most common causes of VPI. Any uses or copies of this document in whole or in part must include the author’s name. This document is only for private use for research and teaching activities. We present our experience based on a series of 15 cases treated in this new way: Travesera de Gracia,Barcelona, Barcelona, ES, velofarinhea,maxilo elsevier. British Journal of Plastic Surgery ; Santiago de Chile, Chile. Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease.

Cleft palate is insuficiencla anatomical abnormality that occurs in utero and is present at birth. Along this reflexive line, our proposal is oriented to the recovery of the forms and function, searching for the recovery of normal anatomy and physiology of the zone with our technique. Orofacial soft tissues — Soft tissues around the mouth. A common method to treat Velopharyngeal insufficiency is pharyngeal flap surgerywhere tissue from velodaringea back of the mouth is used to insuficuencia part of the gap.

Perhaps the greatest disadvantage of this technique is its limited indication.