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Int Arch Otorhinolaryngol 2013; 17(03): 251-256
DOI: 10.7162/S1809-97772013000300004
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Velopharyngeal dysfunction: a systematic review of major instrumental and auditory-perceptual assessments

Lauren Medeiros Paniagua
1   Speech Language Pathologist. Doctor of Science in Children's and Teenager's Health- Universidade Federal do Rio Grande do Sul-UFRGS. Professor of Speech-Language Pathology at Fatima College (RS).
,
Alana Verza Signorini
2   Undergraduate Speech Pathology Fellow - Universidade Federal do Rio Grande do Sul - UFRGS. Undergraduate fellow of CNPq.
,
Sady Selaimen da Costa
3   MD; MSc; PhD. Associate Professor - Department of Otolaryngology & Head and Neck Surgery/School of Medicine Universidade Federal do Rio Grande do Sul.
,
Marcus Vinicius Martins Collares
4   MD; PhD. Associate Professor - Department of Surgery; Head, Plastic Surgery Section - School of Medicine /Universidade Federal do Rio Grande do Sul.
,
Sílvia Dornelles
5   Speech Pathology, MSc, PhD. Professor - Department of Speech Pathology/ Universidade Federal do Rio Grande do Sul.
› Author Affiliations
Further Information

Publication History

02 December 2012

15 April 2013

Publication Date:
21 January 2014 (online)

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Summary

Introduction: Velopharyngeal dysfunction may cause impaired verbal communication skills in individuals with cleft lip and palate; thus, patients with this disorder need to undergo both instrumental and auditory-perceptual assessments.

Objective: To investigate the main methods used to evaluate velopharyngeal function in individuals with cleft lip and palate and to determine whether there is an association between videonasoendoscopy results and auditory-perceptual assessments.

Method: We conducted a systematic review of the literature on instrumental and auditory-perceptual assessments. We searched the PubMed, Medline, Lilacs, Cochrane, and SciELO databases from October to November 2012.

Summary of findings: We found 1,300 studies about the topic of interest published between 1990 and 2012. Of these, 56 studies focused on velopharyngeal physiology; 29 studies presented data on velopharyngeal physiology using at least 1 instrumental assessment and/or 1 auditory-perceptual assessment, and 12 studies associated the results of both types of assessments. Only 3 studies described in detail the analysis of both methods of evaluating velopharyngeal function; however, associations between these findings were not analyzed.

Conclusion: We found few studies clearly addressing the criteria chosen to investigate velopharyngeal dysfunction and associations between videonasoendoscopy results and auditory-perceptual assessments.

Keywords

Cleft Palate - Communication Disorders - Velopharyngeal Sphincter
 

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