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International Journal of Otolaryngology
Volume 2012 (2012), Article ID 296073, 3 pages
http://dx.doi.org/10.1155/2012/296073
Clinical Study

Noncleft Velopharyngeal Insufficiency: Etiology and Need For Surgical Treatment

1Department of Otolaryngology, Vanderbilt University, Nashville, TN, USA
2Department of Radiology, University of Washington, Seattle, WA, USA
3Department of Otolaryngology Head and Neck Surgery, University of Iowa, Iowa City, IA, USA

Received 28 November 2011; Accepted 23 January 2012

Academic Editor: James Brookes

Copyright © 2012 Steven Goudy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. A. Witzel, R. H. Rich, F. Margar-Bacal, and C. Cox, “Velopharyngeal insufficiency after adenoidectomy: an 8-year review,” International Journal of Pediatric Otorhinolaryngology, vol. 11, no. 1, pp. 15–20, 1986. View at Scopus
  2. K. J. Stewart, T. Ahmad, A. C. H. Watson, and R. E. Razzell, “Altered speech following adenoidectomy: a 20 year experience,” British Journal of Plastic Surgery, vol. 55, no. 6, pp. 469–473, 2002. View at Publisher · View at Google Scholar · View at Scopus
  3. N. C. Saunders, B. E. J. Hartley, D. Sell, and B. Sommerlad, “Velopharyngeal insufficiency following adenoidectomy,” Clinical Otolaryngology and Allied Sciences, vol. 29, no. 6, pp. 686–688, 2004. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  4. Y. F. Ren, A. Isberg, and G. Henningsson, “Velopharyngeal incompetence and persistent hypernasality after adenoidectomy in children without palatal defect,” Cleft Palate-Craniofacial Journal, vol. 32, no. 6, pp. 476–482, 1995. View at Publisher · View at Google Scholar · View at Scopus
  5. J. A. Perkins, K. Sie, and S. Gray, “Presence of 22q11 deletion in postadenoidectomy velopharyngeal insufficiency,” Archives of Otolaryngology, Head and Neck Surgery, vol. 126, no. 5, pp. 645–648, 2000. View at Scopus
  6. D. B. Fernandas, A. O. Grobbelaar, D. A. Hudson, and R. Lentin, “Velopharyngeal incompetence after adenotonsillectomy in non-cleft patients,” British Journal of Oral and Maxillofacial Surgery, vol. 34, no. 5, pp. 364–367, 1996. View at Publisher · View at Google Scholar · View at Scopus
  7. L. L. D'Antonio, L. S. Snyder, and S. Samadani, “Tonsillectomy in children with or at risk for velopharyngeal insufficiency: effects on speech,” Otolaryngology, Head and Neck Surgery, vol. 115, no. 4, pp. 319–323, 1996. View at Publisher · View at Google Scholar · View at Scopus
  8. C. B. Croft, R. J. Shprintzen, and R. J. Ruben, “Hypernasal speech following adenotonsillectomy,” Otolaryngology, Head and Neck Surgery, vol. 89, no. 2, pp. 179–188, 1981. View at Scopus
  9. J. G. Boorman, S. Varma, and C. Mackie Ogilvie, “Velopharyngeal incompetence and chromosome 22q11 deletion,” Lancet, vol. 357, no. 9258, p. 774, 2001. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  10. N. H. Robin and R. J. Shprintzen, “Defining the clinical spectrum of deletion 22q11.2,” Journal of Pediatrics, vol. 147, no. 1, pp. 90–96, 2005. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  11. L. E. Eblen, K. C.Y. Sie, and L. T. Furlow, “Perceptual and instrumental assessment of velopharyngeal insufficiency,” Plastic and Reconstructive Surgery, vol. 109, no. 7, pp. 2589–2590, 2002.
  12. R. J. Shprintzen and K. J. Golding-Kushner, “Evaluation of velopharyngeal insufficiency,” Otolaryngologic Clinics of North America, vol. 22, no. 3, pp. 519–536, 1989. View at Scopus
  13. D. J. Lam, J. R. Starr, J. A. Perkins et al., “A comparison of nasendoscopy and multiview videofluoroscopy in assessing velopharyngeal insufficiency,” Otolaryngology, Head and Neck Surgery, vol. 134, no. 3, pp. 394–402, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  14. R. J. Shprintzen, M. L. Lewin, and C. B. Croft, “A comprehensive study of pharyngeal flap surgery: tailor made flaps,” Cleft Palate Journal, vol. 16, no. 1, pp. 46–55, 1979. View at Scopus
  15. A. Losken, J. K. Williams, F. D. Burstein, D. N. Malick, and J. E. Riski, “Surgical correction of velopharyngeal insufficiency in children with velocardiofacial syndrome,” Plastic and Reconstructive Surgery, vol. 117, no. 5, pp. 1493–1498, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  16. L. M. De Serres, F. W. B. Deleyiannis, L. E. Eblen, J. S. Gruss, M. A. Richardson, and K. C. Y. Sie, “Results with sphincter pharyngoplasty and pharyngeal flap,” International Journal of Pediatric Otorhinolaryngology, vol. 48, no. 1, pp. 17–25, 1999. View at Publisher · View at Google Scholar · View at Scopus
  17. S. A. Dailey, M. P. Karnell, L. H. Karnell, and J. W. Canady, “Comparison of resonance outcomes after pharyngeal flap and furlow double-opposing Z-plasty for surgical management of velopharyngeal incompetence,” Cleft Palate-Craniofacial Journal, vol. 43, no. 1, pp. 38–43, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus