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- Title
Velopharyngeal Insufficiency Clinic: The First 18 Months.
- Authors
Hamilton, Scott; Husein, Murad; Dworschak-Stokan, Anne
- Abstract
Objectives: To profile the presentation and management of patients seen at a velopharyngeal insufficiency (VPI) clinic and to explore the role of commonly used investigations in the workup of VPI. Design: Retrospective review. Setting: Tertiary care VPI clinic. Methods: A computerized database created at the time of patient assessment was accessed to review 75 patients seen over an 18-month span. Main Outcome Measures: Descriptive analysis of patient demographics, presenting complaints, pathophysiology, and treatment. The incidence of chromosome 22q microdeletion in patients presenting to such a clinic was also determined. Results: The most common etiology was persistent VPI following prior cleft palate surgery. Eleven percent of presenting patients were identified with 22q microdeletion by fluorescent in situ hybridization testing. Conclusions: VPI is the result of a wide number of etiologies, with a high incidence of 22q microdeletion identified. Routine genetic testing in VPI clinics is advocated.
- Subjects
HEALTH outcome assessment; VELOPHARYNGEAL insufficiency; CLINICS; CHROMOSOME abnormalities; ETIOLOGY of diseases
- Publication
Journal of Otolaryngology -- Head & Neck Surgery, 2008, Vol 37, Issue 4, p586
- ISSN
0707-7270
- Publication type
Conference Paper
- DOI
10.2310/7070.2008.0112