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Current Controversies in Diagnosis and Management of Cleft Palate and Velopharyngeal Insufficiency.

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dc.contributor.author Ysunza, Pablo
dc.contributor.author Repetto, Gabriela
dc.contributor.author Pamplona, María
dc.contributor.author Calderón, Juan Francisco
dc.contributor.author Shaheen, Kenneth
dc.contributor.author Chaiyasate, Konkgrit
dc.contributor.author Rontal, Matthew
dc.date.accessioned 2016-05-23T19:31:52Z
dc.date.available 2016-05-23T19:31:52Z
dc.date.issued 2015
dc.identifier.citation BioMed Research International, 2015, vol.2015, article ID 196240
dc.identifier.uri http://hdl.handle.net/11447/320
dc.identifier.uri http://dx.doi.org/10.1155/2015/196240
dc.description Centro de Genética y Genómica
dc.description.abstract Abstract BACKGROUND: One of the most controversial topics concerning cleft palate is the diagnosis and treatment of velopharyngeal insufficiency (VPI). OBJECTIVE: This paper reviews current genetic aspects of cleft palate, imaging diagnosis of VPI, the planning of operations for restoring velopharyngeal function during speech, and strategies for speech pathology treatment of articulation disorders in patients with cleft palate. MATERIALS AND METHODS: An updated review of the scientific literature concerning genetic aspects of cleft palate was carried out. Current strategies for assessing and treating articulation disorders associated with cleft palate were analyzed. Imaging procedures for assessing velopharyngeal closure during speech were reviewed, including a recent method for performing intraoperative videonasopharyngoscopy. RESULTS: Conclusions from the analysis of genetic aspects of syndromic and nonsyndromic cleft palate and their use in its diagnosis and management are presented. Strategies for classifying and treating articulation disorders in patients with cleft palate are presented. Preliminary results of the use of multiplanar videofluoroscopy as an outpatient procedure and intraoperative endoscopy for the planning of operations which aimed to correct VPI are presented. CONCLUSION: This paper presents current aspects of the diagnosis and management of patients with cleft palate and VPI including 3 main aspects: genetics and genomics, speech pathology and imaging diagnosis, and surgical management.
dc.language.iso en_US
dc.publisher 2015 Pablo Antonio Ysunza et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.subject Symptom assessment
dc.subject Speech disorders
dc.subject Velopharyngeal insufficiency
dc.subject Cleft palate
dc.subject Diagnosis
dc.subject Diagnostic errors
dc.title Current Controversies in Diagnosis and Management of Cleft Palate and Velopharyngeal Insufficiency.
dc.type Artículo


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