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Normative nasalance scores in Chilean adults.

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Updated: Sep 9, 2025

Method of Studying Palatal Fusion using Static Organ Culture
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Programa de reducción del bulbo faríngeo en personas con hendidura del paladar

Homero Carneiro Aferri1, Olivia Mesquita Vieira de Souza2, Monica Moraes Waldemarin Lopes3

  • 1Graduation Program in Rehabilitation Sciences, Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo, Bauru, Brazil.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
|September 4, 2025
PubMed
Resumen

El programa de reducción del bulbo faríngeo (PBRP) redujo efectivamente el tamaño de la brecha velofaríngea en pacientes con paladar hendido reparado. Este enfoque de terapia del habla estimuló el movimiento velofaríngeo, mejorando los resultados de la cirugía secundaria.

Palabras clave:
hendidura del paladarLas prótesisterapia del hablaDisfunción velofaríngea

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Área de la Ciencia:

  • Patología del habla y el lenguaje
  • Cirugía craneofacial
  • Ingeniería de dispositivos médicos

Sus antecedentes:

  • La insuficiencia velofaríngea (IPV) es común después de la reparación del paladar hendido.
  • La velofaringe hipodinámica requiere un manejo para mejorar el habla.
  • Los bulbos faríngeos se usan para obturar la brecha velofaríngea.

Objetivo del estudio:

  • Para describir un programa de reducción del bulbo faríngeo (PBRP).
  • Para disminuir el tamaño de la brecha velofaríngea en pacientes con paladar hendido reparado.
  • Evaluar el efecto del PBRP en las dimensiones del bulbo faríngeo y la función velofaríngea.

Principales métodos:

  • Un PBRP de dos semanas que incluye reducciones secuenciales del bulbo faríngeo.
  • Se combinaron la nasoendoscopia y la terapia intensiva del habla.
  • Se tomaron medidas de las dimensiones del bulbo y del peso de la prótesis antes y después del PBRP.

Principales resultados:

  • Reducciones significativas en la longitud del bulbo (-32,13%), en el ancho (-47,26%), en el área (-61,41%) y en el volumen (-52,80%).
  • El peso de la prótesis disminuyó un 21,12%.
  • Se observó estimulación de los movimientos del mecanismo velofaríngeo.

Conclusiones:

  • El PBRP reduce efectivamente el tamaño del espacio velofaríngeo.
  • Las dimensiones reducidas del bulbo promueven condiciones favorables para la cirugía secundaria de VPI.
  • El PBRP estimula los movimientos velofaríngeos a través de la reducción del bulbo y la terapia del habla.