KMID : 1004320220330030188
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Journal of the Korean Society of Logopedics and Phoniatrics 2022 Volume.33 No. 3 p.188 ~ p.192
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A Case of Sphincter Pharyngoplasty for Persistent Velopharyngeal Insufficiency After Submucosal Cleft Palate Surgery
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Lee Yun-Hyung
Choi Yeon-Soo Kim Sung-Ryeal Choi Jeong-Seok
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Abstract
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Velopharyngeal insufficiency (VPI) is a phenomenon that can occur due to anatomical or neurological causes of the soft palate. VPI can make the patient difficult to articulate through hypernasality and nasal emission. There has been needed the customized treatment, as VPI can occur for many causes. We present the case of 21-year-old male who took palate plastic surgery 20 years ago for congenital submucosal cleft palate. As he had poor contraction of both lateral side of velopharynx, he was diagnosed with coronal type VPI. Through sphincter pharyngoplasty, he can obtain improvement of articulation accuracy. We would like to share this challenged case.
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KEYWORD
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Velopharyngeal insufficiency, Palatoplasty, Articulation disorder, Hypernasal voice, Cleft palate
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