Velopharyngeal insufficiency after adenoidectomy: an 8-year review.
The characteristics of 137 patients referred to the Speech Clinic at The Hospital for Sick Children, Toronto, Canada during the past 8 years for the investigation of persistent hypernasality after adenoidectomy are reported. Over 30% of the patients had preoperative factors that are thought to increase the risk, such as submucous cleft palate, fluid regurgitation through the nose, a family history of velopharyngeal insufficiency or clefting, or hypernasality. Fifty percent of the patients required pharyngoplasty to correct hypernasality, 37% required speech therapy alone, and 13% improved with no treatment.
M A
MA
Witzel
R H
RH
Rich
F
F
Margar-Bacal
C
C
Cox
D000233:Adenoidectomy / Q000009:adverse effects*; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D012189:Retrospective Studies; D012306:Risk; D013070:Speech Therapy; D014681:Velopharyngeal Insufficiency / Q000209:etiology* / Q000628:therapy; D014833:Voice Quality