| Evaluation of dynamic magnetic resonance imaging in assessing velopharyngeal insufficiency during phonation. | |
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MedLine Citation:
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PMID: 18520366 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Velopharyngeal insufficiency (VPI) expresses the structural and neuromuscular disorder of soft palate and pharyngeal walls inhibiting the normal functions of velopharyngeal (VP) sphincter mechanism. In this study, efficacy of dynamic magnetic resonance imaging in the diagnosis of VPI is investigated. MATERIALS AND METHODS: A total of 32 cases, 16 controls and 16 cleft palates, were included in this study. T1 fast spin echo-weighted imaging during rest, dynamic investigations with True-fast imaging with steady-state precession sequence during /sss/ and /mmm/ phonations were performed. RESULTS: During /sss/ phonation, complete closure was observed in the control group, whereas mean VP opening was 4.11 cm2 preoperatively and 0.21 cm2 postoperatively in the cleft palate group. In the postoperative period, only 3 patients did not have complete closure. In the second operations, performed 6 months later, only muscle repair was done. All 3 had complete closure. CONCLUSIONS: In cleft palate cases with delayed diagnosis, appropriate application of muscle repair will be sufficient for anatomic repair of VPI without any extra procedures. In addition, dynamic magnetic resonance imaging is an objective, noninvasive, reliable, and effective modality that may be used in the diagnosis and treatment of VPI without any extra investigations. |
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Authors:
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Bekir Atik; Mehmet Bekerecioglu; Onder Tan; Omer Etlik; Ramazan Davran; Halil Arslan |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Journal of craniofacial surgery Volume: 19 ISSN: 1049-2275 ISO Abbreviation: J Craniofac Surg Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-06-03 Completed Date: 2008-08-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9010410 Medline TA: J Craniofac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 566-72 Citation Subset: D |
Affiliation:
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Department of Plastic and Reconstructive Surgery, Medical Faculty, Yuzuncu Yil University, Van, Turkey. drbekiratik@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Case-Control Studies Child Child, Preschool Cleft Palate / complications Female Humans Magnetic Resonance Imaging / methods* Male Phonation* Uvula / pathology Velopharyngeal Insufficiency / etiology, pathology*, surgery |
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