"My Voice Sounds Different": A Case of Acute Idiopathic Velopharyngeal Insufficiency.

Autor:	Aldeia da Silva R; Pediatrics, Hospital de Braga, Braga, PRT., Ferraz SC; Pediatrics, Unidade Local de Saúde do Alto Minho, Viana do Castelo, PRT., Barros Rua I; Pediatrics, Hospital Pediátrico de Coimbra, Coimbra, PRT., Martins S; Pediatrics, Unidade Local de Saúde do Alto Minho, Viana do Castelo, PRT., Ramalho H; Pediatrics, Unidade Local de Saúde do Alto Minho, Viana do Castelo, PRT.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Nov 19; Vol. 16 (11), pp. e74010. Date of Electronic Publication: 2024 Nov 19 (Print Publication: 2024).
DOI:	10.7759/cureus.74010
Abstrakt:	This report details a case of acute idiopathic velopharyngeal insufficiency in a previously healthy eight-year-old girl, presenting with sudden voice alteration and nasal regurgitation following mild respiratory symptoms. Physical examination identified unilateral velar paralysis with open rhinolalia, without additional neurological deficits. Extensive diagnostic evaluation, including nasopharyngoscopy, cerebral and cervical imaging, and infectious serologies, yielded unremarkable findings. In the absence of spontaneous improvement after one week, the patient received a brief course of prednisolone and was referred for speech therapy, leading to full resolution of symptoms within one month. Acute idiopathic velopharyngeal insufficiency is an infrequent condition in pediatric populations, commonly associated with viral infections and typically self-limiting. This case underscores the necessity of ruling out alternative etiologies and maintaining follow-up to confirm the benign trajectory of the disorder. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Aldeia da Silva et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu