
Progress in the management of marginal velopharyngeal incompetence
Mao Qirong,Yin Heng,Li Jingtao
Progress in the management of marginal velopharyngeal incompetence
Marginal velopharngeal inadequacy (MVPI) is a particular state of postoperative velopharyngeal function after cleft-palate repair. Patients with MVPI demonstrate a unique pattern in velopharyngeal closure and speech performance compared with more evident velopharyngeal insufficiency. Currently, researchers disagree over the pathological mechanism and diagnositic criteria for MVPI. Evidence suggesting the selection of surgical or nonsurgical intervention to MVPI is scarce, and no standard MVPI management protocol is available. By summarizing literature relevant to MVPI management, this review aims to identify aspects of MVPI requiring further investigation and to provide guidance to the exploration of rational evidence-based MVPI management protocol.
cleft palate / velopharyngeal incompetence / speech therapy / surgery
R782.2
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