Effects of Surgical Intervention and Continuous Positive Airway Pressure Therapy on Velopharyngeal Structure and Function: A Case Report.

Abstract:

:Changes to the velum and velopharyngeal muscles following Furlow double-opposing Z-plasty in a 7-year-old female with submucous cleft palate and velopharyngeal dysfunction (VPD) were evaluated. Perceptual, instrumental (ie, nasometry and aerodynamic pressure flow), and research magnetic resonance imaging analyses were used during pre- and postsurgical time points at a university research clinic. Continuous positive airway pressure (CPAP) therapy was trialed following a failed surgery for residual VPD in the patient. Increases in velar length and thickness and decreases in levator veli palatini muscle angle of origin and contraction were observed following the Furlow double-opposing Z-plasty surgery. Variable improvements in residual hypernasality following the home-based CPAP therapy protocol were observed.

authors

Schenck GC,Perry JL,Kollara L,Kuehn DP

doi

10.1177/1055665618787688

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

525-533

issue

4

eissn

1055-6656

issn

1545-1569

journal_volume

56

pub_type

杂志文章
  • Effect of placement of a speech appliance on levator veli palatini muscle activity during blowing.

    abstract:OBJECTIVE:We have observed clinically that some speakers wearing a speech appliance for correction of velopharyngeal incompetence can blow with variable intensity without nasal air escape. This clinical finding suggests that tightness of velopharyngeal closure may be regulated in accordance with oral air pressure durin...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1999_036_0224_eopoas_2.3.co_2

    authors: Tachimura T,Nohara K,Hara H,Wada T

    更新日期:1999-05-01 00:00:00

  • Comparative salivary proteomics of cleft palate patients.

    abstract:OBJECTIVES:To investigate salivary proteins with proteomic technologies to evaluate protein composition differences between samples with cleft lip and palate and healthy controls. DESIGN, PARTICIPANTS:Matrix-assisted laser desorption/ionization tandem time-of-flight (MALDI TOF/TOF) mass spectrometry was used as a high...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/10-135

    authors: Szabo GT,Tihanyi R,Csulak F,Jambor E,Bona A,Szabo G,Mark L

    更新日期:2012-09-01 00:00:00

  • Orthognathic Correction in Prader-Willi Syndrome: Occlusion and Sleep Restored.

    abstract::Children with Prader-Willi Syndrome (PWS) may present with a malocclusion and have a high propensity of developing obstructive sleep apnea (OSA). Obstructive sleep apnea is associated with short- and long-term adverse effects that negatively impact children with PWS. A case of a 15-year-old male with PWS, OSA, and a d...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665618775724

    authors: Xiao KK,Tomur S,Beckerman R,Cassidy K,Lypka M

    更新日期:2019-03-01 00:00:00

  • Early two-stage palatoplasty using modified Furlow's veloplasty.

    abstract:OBJECTIVE:To achieve sufficient velopharyngeal function and maxillary growth for patients with unilateral cleft lip and palate (UCLP), the authors have designed a new treatment protocol for palate closure involving early two-stage palatoplasty with modified Furlow veloplasty. Details of the surgical protocol and the ou...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/08-067.1

    authors: Nishio J,Yamanishi T,Kohara H,Hirano Y,Sako M,Adachi T,Mukai T,Miya S

    更新日期:2010-01-01 00:00:00

  • Craniofacial anthropometry in a Turkish population.

    abstract:OBJECTIVE:To present norms and demonstrate the anthropometric variations in fronto-occipital circumference, inner and outer canthal distances, near and distant [far] anatomical interpupillary distance, canthal index, and circumference-interorbital index across age and sex in urban Turkish subjects. PARTICIPANTS:Three ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2002_039_0208_caiatp_2.0.co_2

    authors: Evereklioglu C,Doganay S,Er H,Gunduz A,Tercan M,Balat A,Cumurcu T

    更新日期:2002-03-01 00:00:00

  • Vocal Loudness as Contributory to the Occurrence of Obligatory Posterior Nasal Turbulence.

    abstract::Two cases are presented that show increased loudness as contributory to the occurrence of audible posterior nasal turbulence as an obligatory symptom. Case 1 was an 18-month-old boy with repaired cleft palate who exhibited sporadic posterior nasal turbulence with velar flutter that was associated with increased loudne...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665617730366

    authors: Zajac DJ,Eshghi M

    更新日期:2018-02-01 00:00:00

  • Psychosocial Adjustments Among Adolescents With Craniofacial Conditions and the Influence of Social Factors: A Multi-Informant Study.

    abstract:BACKGROUND:Previous studies have investigated psychosocial adjustments among adolescents with cleft lip and/or palate (CL/P), but our understanding of other craniofacial conditions remains limited. The objective of this study is to compare psychosocial adjustments among 3 groups of adolescents: craniofacial conditions ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665619888308

    authors: Bous RM,Hazen RA,Baus I,Palomo JM,Kumar A,Valiathan M

    更新日期:2020-05-01 00:00:00

  • Cephalometric analysis of maxillofacial morphology in unoperated cleft palate patients.

    abstract::This study was designed to investigate maxillofacial morphology in adolescents and adults with unrepaired cleft palate, with or without cleft lip. Twenty-two Chinese patients with unilateral cleft lip and palate (the UCLP group), and 21 Chinese with cleft palate (the CP group) were cephalometrically evaluated and clas...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1992_029_0419_caommi_2.3.co_2

    authors: Yoshida H,Nakamura A,Michi K,Wang GM,Liu K,Qiu WL

    更新日期:1992-09-01 00:00:00

  • Early maxillary orthopedics in a child with an oblique facial cleft.

    abstract:OBJECTIVE:Oblique facial clefts are extremely rare. In view of their variability, surgical treatment cannot be standardized. To date, early maxillary orthopedics in the treatment of oblique facial clefts have not been reported. The case described here presents a newborn child with a Tessier 3 cleft. Because of the enor...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1997_034_0147_emoiac_2.3.co_2

    authors: Stellzig A,Basdra EK,Mühling J,Komposch G

    更新日期:1997-03-01 00:00:00

  • Management of the impaired adult cleft patient: the last chance.

    abstract:OBJECTIVE:Unfortunately, not all patients receive the benefits of a well-trained, experienced, multidisciplinary cleft team, and a significant number of patients reach adulthood with severe neglected cleft related problems. The vast majority of this group have made their way through several surgical procedures, usually...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/03-039.1

    authors: Felemovicius J,Ortiz-Monasterio F

    更新日期:2004-09-01 00:00:00

  • Craniofacial morphology in a patient with Simpson-Golabi-Behmel syndrome.

    abstract:OBJECTIVE:We present the case of a 6-year-old boy with a coarse face, cleft palate, and malocclusion with anterior open bite who had been diagnosed with Simpson-Golabi-Behmel syndrome. Morphology of the craniofacial structures was examined on the basis of conventional radiographs, three-dimensional (3D) computed tomogr...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2003_040_0550_cmiapw_2.0.co_2

    authors: Taniyama T,Kitai N,Iguchi Y,Murakami S,Yanagi M,Takada K

    更新日期:2003-09-01 00:00:00

  • Growth rate of the vomer in normal and cleft lip and palate human fetal specimens.

    abstract::The present study, part of an ongoing investigation of normal and dysmorphic development of the human fetal oronasal capsule, examined the rate of growth of the vomer. For comparative purposes, 29 human fetal specimens (20 "normal" and 9 cleft lip and palate [CLP]) were celloidin embedded, sectioned, stained with hema...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1992_029_0038_grotvi_2.3.co_2

    authors: Kimes KR,Mooney MP,Siegel MI,Todhunter JS

    更新日期:1992-01-01 00:00:00

  • Acute Liver Failure and Hepatic Encephalopathy After Cleft Palate Repair.

    abstract::Paracetamol is the most commonly used analgesic after cleft palate repair. It has rarely caused acute hepatic failure at therapeutic or supratherapeutic doses. Only one case of therapeutic paracetamol toxicity after cleft palate repair had been reported previously. Here, we present a similar patient who developed acut...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/14-319

    authors: Kocaaslan ND,Tuncer FB,Tutar E,Celebiler O

    更新日期:2015-09-01 00:00:00

  • Incidence of cleft lip and palate in Uganda.

    abstract:OBJECTIVE:The purpose of the study was to estimate the need for resources for cleft repairs in Uganda by determining the overall incidence of oral-facial clefts and the ratio of isolated cleft lip to isolated cleft palate to cleft lip and palate. DESIGN:A 1-year prospective study was implemented in seven hospitals and...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/09-076

    authors: Dreise M,Galiwango G,Hodges A

    更新日期:2011-03-01 00:00:00

  • Isolated cleft palate in Danish multiple births, 1970-1990.

    abstract::The etiology of most cases of isolated cleft palate (CP) is unknown. The relative importance of genes and environment can be studied using the classical twin method but only few and potentially highly selected CP twin data are available. The present CP twin study was based on four Danish nationwide ascertainment sourc...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1993_030_0469_icpidm_2.3.co_2

    authors: Christensen K,Fogh-Andersen P

    更新日期:1993-09-01 00:00:00

  • Pressure-flow measurements for selected oral and nasal sound segments produced by normal adults.

    abstract::Pressure-flow data are often used to provide information about the adequacy of velopharyngeal valving for speech. However, there is limited information available concerning simultaneous pressure-flow measurements for oral and nasal sound segments produced by normal speakers. This study provides normative pressure, flo...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1991_028_0398_pfmfso_2.3.co_2

    authors: Andreassen ML,Smith BE,Guyette TW

    更新日期:1991-10-01 00:00:00

  • Social anxiety in Chinese adults with oral-facial clefts.

    abstract:OBJECTIVE:This study examined social anxiety and measures of psychosocial adjustment in Chinese adults with oral-facial clefts, their unaffected siblings, and age-matched controls. DESIGN:This cross-sectional study utilized a matched case-control study design. PARTICIPANTS:Eighty-five adult cleft lip and cleft palate...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2001_038_0126_saicaw_2.0.co_2

    authors: Berk NW,Cooper ME,Liu YE,Marazita ML

    更新日期:2001-03-01 00:00:00

  • Median cleft of the lip: its significance and surgical repair.

    abstract::Median cleft lip is a midline vertical cleft through the upper lip in the absence of a prolabial remnant. This may occur as a sporadic event or be part of an inherited sequence of anomalies. A failure of formation or fusion of the medial nasal prominences derived from the frontonasal prominence is ultimately responsib...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1993_030_0094_mcotli_2.3.co_2

    authors: Apesos J,Anigian GM

    更新日期:1993-01-01 00:00:00

  • The frequency of palatal anomalies in Saethre-Chotzen syndrome.

    abstract:OBJECTIVE:Saethre-Chotzen Syndrome (SCS) is an autosomal dominant disorder with widespread phenotypic variability. Cardinal features include coronal synostosis, blepharoptosis, and limb abnormalities. Cleft palate can also occur, but there are few reports on its frequency. This study was undertaken to determine the pre...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/08-088.1

    authors: Stoler JM,Rogers GF,Mulliken JB

    更新日期:2009-05-01 00:00:00

  • Long-term, longitudinal follow-up of individuals with unilateral cleft lip and palate after the Gothenburg primary early veloplasty and delayed hard palate closure protocol: speech outcome.

    abstract:OBJECTIVE:To investigate long-term, longitudinal speech outcome in patients born with unilateral cleft lip and palate treated according to a two-stage primary palatal protocol with early veloplasty and delayed hard palate closure. DESIGN:Retrospective, longitudinal cohort study. Setting : A university hospital in west...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/11-085

    authors: Lohmander A,Friede H,Lilja J

    更新日期:2012-11-01 00:00:00

  • Unilateral coronal synostosis: a histomorphometric study.

    abstract:OBJECTIVE:This histomorphometric study compared the open and prematurely fused side of the coronal suture in subjects with unilateral coronal synostosis (UCS). METHODS:Sutures and parasutural bone were obtained from seven subjects with nonsyndromic UCS during operative correction at 3 to 24 months of age. Histological...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/03-012.1

    authors: Vastardis H,Mulliken JB,Glowacki J

    更新日期:2004-07-01 00:00:00

  • Is it possible to prevent cleft palate by prenatal administration of folic acid? An experimental study.

    abstract:OBJECTIVE:In this study, folic acid was tested for its antiteratogenic effects on experimentally induced cleft palate in animals. DESIGN:Eleven pregnant Lew 1 A dams (75 fetuses) received 200 mg/kg procarbazine via gastric tubing on postconception (p.c.) day 14 to induce a cleft palate (CP); seven of the pregnant dams...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2001_038_0393_iiptpc_2.0.co_2

    authors: Bienengräber V,Malek FA,Möritz KU,Fanghänel J,Gundlach KK,Weingärtner J

    更新日期:2001-07-01 00:00:00

  • Dental anomalies as part of the cleft spectrum.

    abstract:OBJECTIVE:The aim of this study was to determine subphenotypes of clefts based on tooth development. Dental phenotypes (tooth agenesis, supernumerary and impacted teeth, transposition, and structural anomalies) outside the cleft area in the permanent dentition of oral cleft individuals were investigated. DESIGN:Evalua...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/07-064.1

    authors: Menezes R,Vieira AR

    更新日期:2008-07-01 00:00:00

  • Quantification of Bilateral Coronal Synostosis: Anterior Brachycephaly.

    abstract:OBJECTIVES:Very few studies focus on the quantification of severity of synostotic anterior brachycephaly. Aim of this study is to implement Utrecht Cranial Shape Quantifier (UCSQ) in brachycephaly patients to objectively quantify severity for both clinical and research purposes. DESIGN:Retrospective study. SETTING:Pr...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665620982777

    authors: Kronig ODM,Kronig SAJ,Van Adrichem LNA

    更新日期:2020-12-30 00:00:00

  • Rigid external distraction osteogenesis for a patient with maxillary hypoplasia and oligodontia.

    abstract:OBJECTIVE:In this report, the orthodontic treatment combined with rigid external distraction osteogenesis in a 5.5-year-old girl with midfacial hypoplasia and oligodontia is described. PATIENT:The child presented with a reduced maxilla, protruding lower lip, skeletal Class III jaw relationship with a low mandibular pl...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2003_040_0207_redofa_2.0.co_2

    authors: Kitai N,Kawasaki K,Yasuda Y,Kogo M,Murakami S,Kreiborg S,Takada K

    更新日期:2003-03-01 00:00:00

  • Acute liver failure following cleft palate repair: a case of therapeutic acetaminophen toxicity.

    abstract::Background : Acetaminophen is a widely used analgesic and antipyretic agent in the pediatric population. While the hepatotoxic effects of the drug have been well recognized in cases of acute overdose and chronic supratherapeutic doses, the toxic effects of acetaminophen are rarely documented in cases where therapeutic...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/12-109

    authors: Iorio ML,Cheerharan M,Kaufman SS,Reece-Stremtan S,Boyajian M

    更新日期:2013-11-01 00:00:00

  • Comparison of the hearing histories of children with and without cleft palate.

    abstract::Aggressive otologic management has been recommended for children with cleft palate because of the almost universal occurrence of otitis media with effusion (OME) in these children and the association of OME with hearing loss and possible language, cognitive, and academic delays. In this study, 28 children with cleft p...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1996_033_0127_cothho_2.3.co_2

    authors: Broen PA,Moller KT,Carlstrom J,Doyle SS,Devers M,Keenan KM

    更新日期:1996-03-01 00:00:00

  • Detailed Cleft Measurements: A Comparison Between Isolated Cleft Palates and Cleft Palates Associated With Cleft Lips.

    abstract:OBJECTIVE:To determine whether there are differences in the anatomical cleft measurements between patients with isolated cleft palate (CP) with or without Pierre Robin sequence (PR) and those with cleft lip and palate (CLP). DESIGN:Prospective case series. SETTING:Tertiary care university-based medical center. PATIE...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/14-255

    authors: Lambert A,Piché M,Leclerc JE

    更新日期:2016-05-01 00:00:00

  • Congenital trilobe tongue associated with cleft palate: a rare anomaly.

    abstract::Cleft of the palate and congenital anomaly of the tongue is a rare occurrence. A child with the tongue in three segments is being presented for the first time in the literature. This child also had partial cleft palate. The cleft palate was repaired at 7 months of age, and the tongue was reconstructed at 15 months. Th...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/13-117

    authors: Agrawal K,Mulla RU,Srivastava R,Sharma S

    更新日期:2014-11-01 00:00:00

  • Long-term effects of nasoalveolar molding on three-dimensional nasal shape in unilateral clefts.

    abstract:OBJECTIVE:This objective of this study was to determine the effect of presurgical nasoalveolar molding on long-term nasal shape in complete unilateral clefts. DESIGN:The study was retrospective, and the subjects were chosen at random. Nasal casts of the subjects were scanned in three dimensions. Each nose was best fit...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1999_036_0391_lteonm_2.3.co_2

    authors: Maull DJ,Grayson BH,Cutting CB,Brecht LL,Bookstein FL,Khorrambadi D,Webb JA,Hurwitz DJ

    更新日期:1999-09-01 00:00:00