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Int Arch Otorhinolaryngol 2013; 17(03): 265-273
DOI: 10.7162/S1809-97772013000300006
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Comparison of videonasoendoscopy and auditory-perceptual evaluation of speech in individuals with cleft lip/palate

Lauren Medeiros Paniagua
1   Speech Language Pathologist. Doctor of Science in Children's and Teenager's Health- Universidade Federal do Rio Grande do Sul-UFRGS. Professor of Speech-Language Pathology at Fatima College (RS).
,
Alana Verza Signorini
2   Undergraduated Speech pathology - Universidade Federal do Rio Grande do Sul - UFRGS (fellow undergraduated of CNPq).
,
Sady Selaimen da Costa
3   MD; MSc; PhD.Associate Professor - Department Of Otolaryngology & Head And Neck Surgery School Of Medicine - Universidade Federal do Rio Grande do Sul.
,
Marcus Vinicius Martins Collares
4   MD; PhD. Associate Professor Department of Surgery; Head, Plastic Surgery Section - School of Medicine/Universidade Federal do Rio Grande do Sul.
,
Sílvia Dornelles
5   Speech Pathology, MSc, PhD. Professor Department of Speech Pathology - Universidade Federal do Rio Grande do Sul.
› Author Affiliations
Further Information

Publication History

17 December 2012

07 April 2013

Publication Date:
21 January 2014 (online)

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Summary

Introduction: The velopharyngeal sphincter (VPS) is a muscle belt located between the oropharynx and the nasopharynx. Investigations of velopharyngeal function should include an auditory-perceptual evaluation and at least 1 instrument-based evaluation such as videonasoendoscopy.

Aim: To compare the findings of auditory-perceptual evaluation (hypernasality) and videonasoendoscopy (gap size) in individuals with cleft lip/palate.

Method: This was a retrospective, cross-sectional study assessing 49 subjects, of both sexes, with cleft lip/palate followed up at the Otorhinolaryngology Service and the Speech Therapy outpatient clinic of Hospital de Clínicas de Porto Alegre (HCPA). The results from the auditory-perceptual evaluation and the videonasoendoscopy test were compared with respect to the VPS gap size.

Results: Subjects with moderate/severe hypernasality had more severe velopharyngeal closure impairment than those with a less severe condition. The interaction between hypernasality severity and the presence of other speech disorders (p = 0.035), whether compensatory and/or obligatory, increased the likelihood of having a moderate-to-large gap in the velopharyngeal closure.

Conclusions: We observed an association between the findings of these 2 evaluation methods.

Keywords

Cleft Palate - Velopharyngeal Sphincter - Communication Disorders - Evaluation
 

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