title: Total obturation of velopharynx for treatment of velopharyngeal hypodynamism: case report.
abstract: A child with microdeletion at 22q11.21 was referred to a craniofacial center due to hypernasality, unintelligible speech, and bifid uvula. Velopharyngeal dysfunction remained after surgical repair of submucous cleft palate and speech therapy. A prosthetic-behavioral treatment approach involving total obturation of the velopharynx was successfully implemented for management of velopharyngeal hypodynamism.
authors.affiliation: HRAC-USP, Rua: Sílvio Marchione 3-20, 17012-900-Bauru, SP, Brazil.  jdutka@usp.br
authors.forename: Jeniffer de Cássia Rillo
authors.initials: Jde C
authors.lastname: Dutka
authors.forename: Erika
authors.initials: E
authors.lastname: Uemeoka
authors.forename: Homero Carneiro
authors.initials: HC
authors.lastname: Aferri
authors.forename: Maria Inês
authors.initials: MI
authors.lastname: Pegoraro-Krook
authors.forename: Viviane Cristina de Castro
authors.initials: VC
authors.lastname: Marino
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D010158:Palatal Obturators; D013070:Speech Therapy; D014681:Velopharyngeal Insufficiency / Q000601:surgery*