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. 2007 Jan;136(1):33-7.
doi: 10.1016/j.otohns.2006.08.020.

Velopharyngeal insufficiency in hemifacial microsomia: analysis of correlated factors

Emi Funayama  1 , Hiroharu H Igawa, Noriko Nishizawa, Akihiko Oyama, Yuhei Yamamoto
Affiliations

Velopharyngeal insufficiency in hemifacial microsomia: analysis of correlated factors

Emi Funayama et al. Otolaryngol Head Neck Surg. 2007 Jan.

Abstract

Objective: To investigate the incidence of unilateral hypodynamic palate (UHP) and velopharyngeal insufficiency (VPI) in hemifacial microsomia (HFM), and to determine the dysmorphic manifestations having significant associations with UHP/VPI in HFM.

Study design: This was a nonrandomized study of 48 patients with unilateral HFM without cleft palate. The correlation between each anomaly and UHP/VPI was analyzed statistically. In addition, we observed 4 HFM patients with cleft palate to examine the influence on cleft palate speech.

Results: The incidence of UHP in HFM was 50.0% and that of VPI was 14.6%. All the VPI patients had UHP. Severe micrognathia and soft tissue deficiency, macrostomia, and mental retardation were significant risk factors for developing VPI in HFM. Moreover, UHP exacerbated speech in HFM with cleft lip and palate.

Conclusions: Significant correlations were detected between VPI and HFM. This finding should be helpful in the overall management of HFM.

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