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KMID : 1004320220330030188
Journal of the Korean Society of Logopedics and Phoniatrics
2022 Volume.33 No. 3 p.188 ~ p.192
A Case of Sphincter Pharyngoplasty for Persistent Velopharyngeal Insufficiency After Submucosal Cleft Palate Surgery
Lee Yun-Hyung

Choi Yeon-Soo
Kim Sung-Ryeal
Choi Jeong-Seok
Abstract
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.
KEYWORD
Velopharyngeal insufficiency, Palatoplasty, Articulation disorder, Hypernasal voice, Cleft palate
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