1 / 20

CURRENT CONCEPTS IN THE DIAGNOSIS AND MANAGEMENT OF VELOPHARYNGEAL DYSFUNCTION IN CHILDREN AND ADULTS

CURRENT CONCEPTS IN THE DIAGNOSIS AND MANAGEMENT OF VELOPHARYNGEAL DYSFUNCTION IN CHILDREN AND ADULTS. MSHA 2013 PABLO ANTONIO YSUNZA antonio.ysunza@beaumont.edu. TERMINOLOGY. MALFORMATION : A LOCALIZED ERROR IN MORPHOGENESIS (CLEFT PALATE). TERMINOLOGY.

soleil
Télécharger la présentation

CURRENT CONCEPTS IN THE DIAGNOSIS AND MANAGEMENT OF VELOPHARYNGEAL DYSFUNCTION IN CHILDREN AND ADULTS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CURRENT CONCEPTS IN THE DIAGNOSIS AND MANAGEMENT OF VELOPHARYNGEAL DYSFUNCTION IN CHILDREN AND ADULTS MSHA 2013 PABLO ANTONIO YSUNZA antonio.ysunza@beaumont.edu

  2. TERMINOLOGY • MALFORMATION: A LOCALIZED ERROR IN MORPHOGENESIS (CLEFT PALATE)

  3. TERMINOLOGY • SEQUENCE: A MALFORMATION CAUSING ANOTHER MALFORMATION (S) • PIERRE-ROBIN SEQUENCE: MICROGNATHIA—GLOSSOPTOSIS—SUB-TOTAL PALATAL CLEFT) • DiGEORGE SEQUENCE: NEURAL CREST DEFECT—THYMUS ABSENCE, HYPOCALCEMIA, IMMUNE DEFICIENCY

  4. TERMINOLOGY • SYNDROME: GROUP OF MALFORMATIONS WITH COMMON ETIOLOGY (VELOCARDIOFACIAL SYNDROME-22Q11.1 DELETION)

  5. CLEFT PALATE • PRIMARY PALATE • SECONDARY PALATE

  6. CLEFT PALATE

  7. CLEFT PALATE

  8. SUBMUCOUS CLEFT PALATE

  9. SUBMUCOUS CLEFT PALATE

  10. V P I • W / COMPENSATORY ARTICULATION ERRORS (HYPERNASALITY AND ABERRANT PLACEMENT AND MANNER) • WO / COMPENSATORY ARTICULATION ERRORS (HYPERNASALITY WITH APPROPRIATE PLACEMENT AND MANNER)

  11. V P I + COMPENSATORY ERRORS • PROBLEM BEYOND V P S, INVOLVES ENTIRE VOCAL TRACT AND HIGHER LEVELS OF SPEECH PRODUCTION • SPEECH THERAPY IS INDICATED • 1/3 OF RESIDUAL V P I SHOW COMPENSATORY ERRORS • SURGERY DO NOT MODIFY COMPENSATORY ERRORS

  12. VELOPHARYNGEAL SPHINCTER • ANTERIOR: VELUM (LEVATOR VELI PALATINI AND MUSCULUS UVULAE) • LATERAL: LATERAL PHARYNGEAL WALLS (SUPERIOR PHARYNGEAL CONSTRICTOR) • POSTERIOR: POSTERIOR PHARYNGEAL WALL (SUPERIOR PHARYNGEAL CONSTRICTOR)

  13. VIDEOFLUOROSCOPY • X-RAYS • DYNAMIC ASSESSMENT (VIDEO) • ANALYSIS ON VIDEO (DECREASE TOTAL RADIATION TIME) • FRONTAL OR CORONAL, LATERAL OR SAGGITAL, BASE OR AXIAL

  14. RESIDUAL V P I • SYNDROMIC • NON SYNDROMIC

  15. NON-SYNDROMIC V P I • INTRAVELAR VELOPLASTY (L V P SURGICAL REPAIR) • FURLOW Z PLASTY • PHARYNGEAL FLAP • SPHINCTER PHARYNGOPLASTY

More Related