Document Detail

Identification and assessment of velopharyngeal inadequacy.
MedLine Citation:
PMID:  9006676     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To review current literature with respect to the diagnosis and assessment of velopharyngeal inadequacy (VPI), including present knowledge about the most common causes of VPI. METHODS: Data sources include published reports over the past 20 years derived from computerized databases and bibliographies of pertinent articles and books. Indexing terms used were "velopharyngeal incompetence," "velopharyngeal inadequacy." "velopharyngeal insufficiency." CONCLUSION: VPI is most commonly associated with cleft palate, submucous cleft palate, and following adenoidectomy. The otolaryngologist can prevent the latter by preoperative identification of physical stigmata associated with VPI. Perceptual assessment is the criterion standard for diagnosis of VPI. Multiview videofluorography and flexible nasal endoscopy provide the best direct assessments to help plan and direct the optimal treatment of VPI.
S F Conley; A K Gosain; S M Marks; D L Larson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of otolaryngology     Volume:  18     ISSN:  0196-0709     ISO Abbreviation:  Am J Otolaryngol     Publication Date:    1997 Jan-Feb
Date Detail:
Created Date:  1997-03-25     Completed Date:  1997-03-25     Revised Date:  2007-07-24    
Medline Journal Info:
Nlm Unique ID:  8000029     Medline TA:  Am J Otolaryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  38-46     Citation Subset:  IM    
Department of Otolaryngology and Human Communication, Medical College of Wisconsin, Milwaukee, USA.
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MeSH Terms
Adenoidectomy / adverse effects*
Cleft Palate / complications*,  surgery
Postoperative Complications / diagnosis,  etiology
Velopharyngeal Insufficiency* / diagnosis,  etiology

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