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. 2013 Jul;17(3):251-6.
doi: 10.7162/S1809-97772013000300004.

Velopharyngeal dysfunction: a systematic review of major instrumental and auditory-perceptual assessments

Lauren Medeiros Paniagua  1 , Alana Verza Signorini  2 , Sady Selaimen da Costa  3 , Marcus Vinicius Martins Collares  4 , Sílvia Dornelles  5
Affiliations

Velopharyngeal dysfunction: a systematic review of major instrumental and auditory-perceptual assessments

Lauren Medeiros Paniagua et al. Int Arch Otorhinolaryngol. 2013 Jul.

Abstract

Introduction: Velopharyngeal dysfunction may cause impaired verbal communication skills in individuals with cleft lip and palate; thus, patients with this disorder need to undergo both instrumental and auditory-perceptual assessments.

Objective: To investigate the main methods used to evaluate velopharyngeal function in individuals with cleft lip and palate and to determine whether there is an association between videonasoendoscopy results and auditory-perceptual assessments.

Method: We conducted a systematic review of the literature on instrumental and auditory-perceptual assessments. We searched the PubMed, Medline, Lilacs, Cochrane, and SciELO databases from October to November 2012.

Summary of findings: We found 1,300 studies about the topic of interest published between 1990 and 2012. Of these, 56 studies focused on velopharyngeal physiology; 29 studies presented data on velopharyngeal physiology using at least 1 instrumental assessment and/or 1 auditory-perceptual assessment, and 12 studies associated the results of both types of assessments. Only 3 studies described in detail the analysis of both methods of evaluating velopharyngeal function; however, associations between these findings were not analyzed.

Conclusion: We found few studies clearly addressing the criteria chosen to investigate velopharyngeal dysfunction and associations between videonasoendoscopy results and auditory-perceptual assessments.

Keywords: Cleft Palate; Communication Disorders; Velopharyngeal Sphincter.

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Figure 1.
Figure 1.
Logistics associated with the systematic review.
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