Velopharyngeal insufficiency in hemifacial microsomia: Analysis of correlated factors
| Autor: | Noriko Nishizawa, Emi Funayama, Yuhei Yamamoto, Hiroharu H. Igawa, Akihiko Oyama |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Velopharyngeal Insufficiency Dentistry 03 medical and health sciences 0302 clinical medicine Velopharyngeal insufficiency medicine Humans Prospective Studies Significant risk Child 030223 otorhinolaryngology Aged Severe micrognathia Orthodontics business.industry Incidence (epidemiology) Soft tissue 030206 dentistry Middle Aged medicine.disease Cleft Palate Hemifacial microsomia Macrostomia Facial Asymmetry Otorhinolaryngology Child Preschool Surgery business |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 136:33-37 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1016/j.otohns.2006.08.020 |
| Popis: | Objective To investigate the incidence of unilateral hypodynamic palate (UHP) and velopharyngeal insufficiency (VPI) in hemifacial microsomia (HFM), and to determine the dysmorphic manifestations having significant associations with UHP/VPI in HFM. Study design This was a nonrandomized study of 48 patients with unilateral HFM without cleft palate. The correlation between each anomaly and UHP/VPI was analyzed statistically. In addition, we observed 4 HFM patients with cleft palate to examine the influence on cleft palate speech. Results The incidence of UHP in HFM was 50.0% and that of VPI was 14.6%. All the VPI patients had UHP. Severe micrognathia and soft tissue deficiency, macrostomia, and mental retardation were significant risk factors for developing VPI in HFM. Moreover, UHP exacerbated speech in HFM with cleft lip and palate. Conclusions Significant correlations were detected between VPI and HFM. This finding should be helpful in the overall management of HFM. |
| Databáze: | OpenAIRE |
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