J Surg Tech Proced | Volume 8, Issue 1 | Research Article | Open Access

Effectiveness of Palatoplasty Techniques in Velopharyngeal Incompetence

Perez Cautela Jesus*, Perez Nohelia and Muñoz Ruben

Department of Oral and Maxillofacial, "Dr Angel Larralde" General National Hospital, University of Carabobo, Venezuela

*Correspondance to: Perez Cautela Jesus 

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Aim: Velopharyngeal Incompetence (VPI) is the term used to refer to the inappropriate closure of the velopharyngeal sphincter during speech, it indicates a lack of separation between the oral and nasal cavities, it is characterized by hypernasal speech or nasal voice and nasal air emission and may be due to velopharyngeal anatomical alterations caused by any structural deficit of the velum or pharyngeal walls. Clefts labiopalatine affecting the palate are a frequent cause of IVF, since the bony and soft palate are compromised; in the secondary palatal cleft the muscles and mucosa of the soft palate are affected, in the submucous cleft, there is an alteration in the velar musculature, but with continuity of the oral and nasal mucosa, which is indicative of surgical correction to obtain an adequate velopharyngeal closure. Objective analyze functional changes to comprehensibility of speech and the functionality of the soft palate in patients diagnosed with velopharyngeal incompetence. Material and Methods: A retrospective field study of clinical histories was carried out, where the inclusion criteria were taken as pediatric patients who attended the Oral and Maxillofacial Surgery Service of the Hospital General Nacional "Dr. Ángel Larralde" Valencia Venezuela, between the ages of 4 and 8 years, without specifying gender, with IVF. For the analysis of Functional Changes, the preoperative and postoperative recordings were examined, where the patients of the sample repeat a word constituted by occlusive and vibrant phonemes, to verify the effective communication by a Virtual Receiver with Artificial Intelligence (Alexa EchoDot 4th Generation. Results: Furlow's Palatoplasty Technique is the surgical technique that most benefits patients with Velopharyngeal Incompetence (VPI) since, in the functional analysis parameters, such as comprehensibility and competence gave acceptable and competent results. Conclusion: It was confirmed that the Furlow palatoplasty technique is ideal for the initial management of patients with velopharyngeal incompetence, showing improvements in their function, accompanied by an improvement in comprehensibility and speech acceptability.


Velopharyngeal incompetence; Palatoplasty; Furlow; Veau-Wardill -Kilner


Perez Cautela J, Perez N, Muñoz R. Effectiveness of Palatoplasty Techniques in Velopharyngeal Incompetence. J Surg Tech Proced. 2024; 8(1): 1064..

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