A case report of congenital unilateral soft palate aplasia with characteristic velopharyngeal competence

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  • FUJIBAYASHI Emi
    Osaka University Cleft Center First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University
  • NOHARA Kanji
    Osaka University Cleft Center Department of Oral-facial Disorders, Graduate School of Dentistry, Osaka University
  • SENOO Hitomi
    Department of Oral and Maxillofacial Surgery, Yukioka Hospital
  • NAMIKAWA Mari
    Osaka University Cleft Center First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University
  • SAKAI Takayoshi
    Osaka University Cleft Center Department of Oral-facial Disorders, Graduate School of Dentistry, Osaka University
  • KOGO Mikihiko
    Osaka University Cleft Center First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University

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Other Title
  • 特異な鼻咽腔閉鎖運動を獲得した片側軟口蓋形成不全症の1例
  • トクイ ナ ビインコウ ヘイサ ウンドウ オ カクトク シタ カタガワ ナンコウガイ ケイセイ フゼンショウ ノ 1レイ

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<p>Congenital unilateral soft palate aplasia is a congenital disease in which the soft palate of the affected side is significantly shorter than the other side. It is difficult to obtain complete velopharyngeal competence after palatoplasty, because of dysplasia of the palatal levator muscle. We performed palatoplasty in a 2-year-old girl for right soft palate aplasia and assessed the long-term outcome. We report the results of assessing velopharyngeal closing movement by nasopharyngeal endoscopy 16 years after operation. Velopharyngeal competence was not complete during articulation, but speech intelligibility was clear. In addition, she acquired a characteristic velopharyngeal competence assisted by the tongue.</p>

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