Velopharyngeal Insufficiency Induced by a Postoperative Palatal Fistula during Articulation Development Period: A Case Report.
- Author:
Rong Min BAEK
1
;
Mi Kyong PARK
;
Sang Woo LEE
Author Information
1. Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Gyeonggi-do, Korea. sangwoolee7@naver.com
- Publication Type:Case Report
- Keywords:
Velopharyngeal insufficiency;
Compensatory articulation;
Palatal fistula;
Articulation developmental period
- MeSH:
Fistula;
Follow-Up Studies;
Humans;
Palate, Soft;
Speech Therapy;
Velopharyngeal Insufficiency
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2010;37(2):175-177
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Velopharyngeal insufficiency(VPI) during articulation development period can cause compensatory articulation like glottal stop, which can maintain VPI symptoms such as hypernasality and nasal emission despite of recovered velopharyngeal function. METHODS: A girl visited our department with speech problems such as hypernasality, compensatory articulation patterns, and nasal air emission. She had history of post-palatoplasty fistula which was repaired after 1 year follow-up. RESULTS: After treated with speech therapy without surgery, her hypernasal speech problem was corrected. From this, we could assume that the fistula during articulation development period induced VPI, which leads to glottal substitution and this compensatory articulation maintained VPI though the fistula was repaired. CONCLUSION: In this report, we could observe that palatal fistula in articulation development period can have detrimental effect on articulation, and also we could confirm that evaluation of soft palate mechanism with using speech sample without compensatory articulations prevent the patient from unnecessary operation.
