Concordância entre os testes perceptivos e a videofluoroscopia no diagnóstico da disfunção velofaríngea

Autor: Jeniffer de Cássia Rillo Dutka, Maria Inês Pegoraro-Krook, Maíra de Souza Périco, Olívia Mesquita Vieira de Souza, Ana Flávia Rodrigues da Silva, Melina Evangelista Whitaker
Rok vydání: 2014
Předmět:
Zdroj: Audiology: Communication Research, Vol 19, Iss 3, Pp 222-229
Audiology-Communication Research v.19 n.3 2014
Audiology-Communication Research
Academia Brasileira de Audiologia (ABAU)
instacron:ABAU
ISSN: 2317-6431
DOI: 10.1590/s2317-64312014000300004
Popis: Purpose To determine the agreement between the results of the Nasal Air Emission and Hypernasality tests and the videofluoroscopy findings in the diagnosis of velopharyngeal dysfunction in individuals with cleft lip and palate. Methods The sample consisted of 89 scores of Nasal Air Emission and Hypernasality tests and 89 judgments of videofluoroscopy recordings, which were interpreted as consistent velopharyngeal closure, or as inconsistent velopharyngeal closure, or as non velopharyngeal closure. The sensitivity, specificity and agreement between the interpretation of the results of the perceptual tests and the findings of the videofluoroscopy were calculated. Results The rates found for sensitivity of Nasal Air Emission and Hypernasality tests were 98% and 96%, respectively, and the rates for specificity of Nasal Air Emission and Hypernasality tests were 37% and 63%, respectively. Regarding the percentages of agreement between the Nasal Air Emission test scores and the videofluoroscopy judgments, it was found an agreement of 62% for the consistent velopharyngeal closure condition, 43% for the inconsistent velopharyngeal closure, and 68% for the non velopharyngeal closure. Between the scores of Hypernasality test and videofluoroscopy judgments the agreement found was 70% for the consistent velopharyngeal closure condition, 47% for the inconsistent velopharyngeal closure and 77% for the non velopharyngeal closure. Conclusion There was a good level of agreement between the perceptual tests and the videofluoroscopy judgments for the consistent velopharyngeal closure and non velopharyngeal closure conditions, but not for the inconsistent velopharyngeal closure.
Databáze: OpenAIRE