Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate

• Published in: CoDAS (São Paulo) 2015-05, Vol.27 (3), p.267-272
• Main Authors: Scarmagnani, Rafaeli Higa, Barbosa, Daniela Aparecida, Fukushiro, Ana Paula, Salgado, Manoel Henrique, Trindade, Inge Elly Kiemle, Yamashita, Renata Paciello
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY; Child; Cleft Lip - physiopathology; Cleft Lip - surgery; Cleft Palate; Cleft Palate - physiopathology; Cleft Palate - surgery; Evaluation; Female; Humans; Male; Middle Aged; Pharynx - physiopathology; REHABILITATION; Rhinomanometry; Speech; Velopharyngeal Insufficiency; Velopharyngeal Insufficiency - diagnosis; Velopharyngeal Insufficiency - physiopathology; Voice Disorders - diagnosis; Voice Disorders - physiopathology; Young Adult
• ISSN: 2317-1782; 2317-1782
• DOI: 10.1590/2317-1782/20152014145

To investigate the correlation among velopharyngeal closure, hypernasality, audible nasal air emission (NAE) and nasal rustle (NR), in individuals with repaired cleft palate. One hundred patients with repaired cleft palate and lip, submitted to pressure-flow study for measurement of velopharyngeal orifice area (velopharyngeal area) and speech sample recordings. Velopharyngeal area was estimated during the production of the sound /p/ inserted in a sentence, and the velopharyngeal closure was classified as adequate, borderline or inadequate. Hypernasality was rated using a 4-point scale, NAE and NR were rated as absent or present, by three speech language pathologists, using recorded speech samples. Inter and intra-judge agreements were established. Statistical analysis was performed using the Spearman correlation coefficient considering p