CONCLUSION: Most subjects presented balanced resonance or acceptable hypernasality and absence of compensatory articulation, regardless the type of cleft, surgical technique and age range, although no significant differences were found. Among the conducts adopted after the first evaluation following primary palatoplasty, speech therapy was the most frequent.
These results showed that intravelar veloplasty led to improvement in velopharyngeal closure in most of the patients studied, consequently decreasing the speech symptoms of VPI.
Correlation between velopharyngeal closure and nasopharyngeal dimensions after pharyngeal flap surgery assessed by pressure-flow technique
CONCLUSION: Most patients with large flaps presented adequate velopharyngeal closure during speech. However, the findings show that the velopharyngeal orifice area during breathing is not a good predictor of the effectiveness of the pharyngeal flap for speech.