| Popis: |
Velopharyngeal insufficiency (VPI) occurs when the soft palate or “velum” fails to make contact with the back of the throat or “pharynx,” a function necessary for normal speech and swallowing. The subject is unable to close off the oral cavity (mouth) from the nasal cavity (nose). Symptoms of velopharyngeal insufficiency are described as well as preoperative assessment criteria and indications for retropharyngeal fat injection In patients, especially children, with mild velopharyngeal insufficiency due to a constitutional short palate (possibly revealed after adenoidectomy) and resistant to speech therapy, transplantation of autologous fat in the dorsal pharyngeal wall to build up a ridge gives satisfactory functional results. |
