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Adenoid involution and developing hypernasality in cleft palate

R M Mason, D W Warren

    The Journal of Speech and Hearing Disorders
    |November 1, 1980
    PubMed
    Summary
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    Adenoid involution can cause hypernasality in patients with repaired cleft palate. Aerodynamic studies may predict velopharyngeal incompetency earlier than other methods.

    Area of Science:

    • Speech-Language Pathology
    • Otolaryngology
    • Pediatric Surgery

    Background:

    • Adenoid tissue plays a crucial role in velopharyngeal function.
    • Changes in adenoid size, particularly involution, can impact speech resonance.
    • Velopharyngeal insufficiency (VPI) is a common concern in individuals with repaired cleft palate.

    Purpose of the Study:

    • To describe the phenomenon of gradual hypernasality due to adenoid involution.
    • To present radiographic patterns of velar closure against the adenoid pad.
    • To evaluate the predictive value of aerodynamic studies for future VPI.

    Main Methods:

    • Review of adenoid mass information.
    • Description of two case studies of hypernasality from adenoid involution in 122 patients with repaired cleft palate.

    Related Experiment Videos

  • Presentation of three radiographic velar closure patterns.
  • Longitudinal aerodynamic studies.
  • Main Results:

    • Two patients developed hypernasality secondary to adenoid involution.
    • Three distinct radiographic velar closure patterns were identified.
    • Longitudinal aerodynamic studies showed potential for early VPI risk identification.

    Conclusions:

    • Adenoid involution is a significant factor in the development of hypernasality post-cleft palate repair.
    • Radiographic patterns offer insights into velopharyngeal closure mechanisms.
    • Aerodynamic assessment may serve as an early warning system for VPI, preceding perceptual or radiographic signs.