Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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A Case of Sphincter Pharyngoplasty for Persistent Velopharyngeal Insufficiency After Submucosal Cleft Palate Surgery

점막하구개열 수술 후 지속된 구개인두부전에 대한 수축근 구개인두성형술 증례

  • Yunhyung, Lee (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine) ;
  • Yeon Soo, Choi (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine) ;
  • Sungryeal, Kim (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine) ;
  • Jeong-Seok, Choi (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine)
  • 이윤형 (인하대학교 의과대학 이비인후과학교실) ;
  • 최연수 (인하대학교 의과대학 이비인후과학교실) ;
  • 김성열 (인하대학교 의과대학 이비인후과학교실) ;
  • 최정석 (인하대학교 의과대학 이비인후과학교실)
  • Received : 2022.12.03
  • Accepted : 2022.12.16
  • Published : 2022.12.31
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Abstract

Velopharyngeal insufficiency (VPI) is a phenomenon that can occur due to anatomical or neurological causes of the soft palate. VPI can make the patient difficult to articulate through hypernasality and nasal emission. There has been needed the customized treatment, as VPI can occur for many causes. We present the case of 21-year-old male who took palate plastic surgery 20 years ago for congenital submucosal cleft palate. As he had poor contraction of both lateral side of velopharynx, he was diagnosed with coronal type VPI. Through sphincter pharyngoplasty, he can obtain improvement of articulation accuracy. We would like to share this challenged case.

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References

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