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Surgical Management of Velopharyngeal Insufficiency: The SOBRAPAR Hospital Algorithm

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Cleft Lip and Palate Treatment

Abstract

Velopharyngeal insufficiency (VPI) is defined as an incomplete closure of the velopharynx, a functional port composed of a complex group of structures that act together to control airflow through the nose and mouth by elevation of the soft palate and constriction of both the lateral and posterior pharyngeal walls (Kummer 2014; Hopper et al. 2014; Gart and Gosain 2014; Woo 2012; Fisher and Sommerlad 2011; Smith and Guyette 2004). VPI most commonly manifests as nasal resonance, improper audible nasal air emission, and a decrease in intra-oral air pressure during the production of oral speech sounds (Kummer 2014; Hopper et al. 2014; Gart and Gosain 2014; Woo 2012; Fisher and Sommerlad 2011; Smith and Guyette 2004). These patients will also frequently develop maladaptive articulations to compensate for their speech difficulties (Kummer 2014; Hopper et al. 2014; Gart and Gosain 2014; Woo 2012; Fisher and Sommerlad 2011; Smith and Guyette 2004).

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Authors and Affiliations

  1. Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, São Paulo, Brazil

    Rafael Denadai M.D., Anelise Sabbag S.L.P & Cesar Augusto Raposo-Amaral M.D.

  2. Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, São Paulo, 13084-880, Brazil

    Cassio Eduardo Raposo-Amaral M.D., Ph.D.

  3. Universidade de São Paulo, São Paulo, Brazil

    Cassio Eduardo Raposo-Amaral M.D., Ph.D.

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  1. Rafael Denadai M.D.
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  3. Anelise Sabbag S.L.P
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Correspondence to Rafael Denadai M.D. .

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  1. University of São Paulo Medical School, São Paulo, São Paulo, Brazil

    Nivaldo Alonso

  2. SOBRAPAR Hospital, Campinas, São Paulo, Brazil

    Cassio Eduardo Raposo-Amaral

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Denadai, R., Raposo-Amaral, C.E., Sabbag, A., Raposo-Amaral, C.A. (2018). Surgical Management of Velopharyngeal Insufficiency: The SOBRAPAR Hospital Algorithm. In: Alonso, N., Raposo-Amaral, C. (eds) Cleft Lip and Palate Treatment. Springer, Cham. https://doi.org/10.1007/978-3-319-63290-2_13

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