Investigation of postoperative hypernasality after superiorly based posterior pharyngeal flap
10.1186/s40902-018-0164-2
- Author:
Yu Jeong SHIN
1
;
Yongsoo KIM
Author Information
1. Research Institute of Speech Sciences, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju, 54896 South Korea.
- Publication Type:Case Report
- Keywords:
Nasalance;
Nasometer;
Cleft palate;
Posterior pharyngeal flap;
Pharyngoplasty
- MeSH:
Adult;
Articulation Disorders;
Cicatrix;
Cleft Palate;
Follow-Up Studies;
Humans;
Male;
Palate, Soft;
Speech Therapy;
Velopharyngeal Insufficiency
- From:Maxillofacial Plastic and Reconstructive Surgery
2018;40(1):23-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Velopharyngeal insufficiency that accompanies speech resonance and articulation disorders can be managed through several intervention methods such as speech-language therapy, prosthetic aids, and surgery. However, for patients with severe hypernasality, surgical interventions are highly recommended. Among available surgical techniques, the posterior pharyngeal flap is most common. CASE PRESENTATION: Two adult males with high nasalance scores underwent superiorly based posterior pharyngeal flap surgery, followed by speech testing by an expert speech-language therapist. Nasalance scores and articulation accuracy were assessed up until 1 year after the surgery. Nasalance scores were measured five times using a nasometer, after which the average value was calculated. CONCLUSIONS: Consistent declines in hypernasality over time are not easy to explain since the pedicled pharyngeal flap narrowed over time, secondary to cicatrization. However, scar tethering of the soft palate in a posterior direction could reduce the velopharyngeal port size over time. Therefore, long-term follow-up with intensive speech therapy is suggested for patients with severe hypernasality.
