Fiche du document
2010
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1007/s00405-009-1157-7
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/20033195
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pissn/1434-4726[electronic], 0937-4477[linking]
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_B3E8C269F2273
info:eu-repo/semantics/openAccess , Copying allowed only for non-profit organizations , https://serval.unil.ch/disclaimer
Sujets proches
Palatopharyngeal incompetence Velopharyngeal incompetence Palatopharyngeal insufficiency TalkingCiter ce document
I. Leuchter et al., « Treatment of velopharyngeal insufficiency by autologous fat injection. », Serveur académique Lausannois, ID : 10.1007/s00405-009-1157-7
Métriques
Partage / Export
Résumé
Velopharyngeal insufficiency (VPI) is a structural or functional trouble, which causes hypernasal speech. Velopharyngeal flaps, speech therapy and augmentation pharyngoplasty, using different implants, have all been used to address this trouble. We hereby present our results following rhinopharyngeal autologous fat injection in 18 patients with mild velopharyngeal insufficiency (12 soft palate clefts, 4 functional VPI, 2 myopathy). 28 injections were carried out between 2004 and 2007. The degree of hypernasal speech was evaluated pre- and postoperatively by a speech therapist and an ENT specialist and quantified by an acoustic nasometry (Kay Elemetrics). All patients were exhaustively treated with preoperative speech therapy (average, 8 years). The mean value of the nasalance score was 37% preoperatively and 23% postoperatively (p = 0.015). The hypernasality was reduced postoperatively in all patients (1-3 degrees of the Borel-Maisonny score). There were no major complications, two minor complications (one hematoma, one cervical pain). The autologous fat injection is a simple, safe, minimally invasive procedure. It proves to be efficient in cases of mild velopharyngeal insufficiency or after a suboptimal velopharyngoplasty.