A soft palate weakness is often based on anatomical palate malformations and causes incomplete closure of the oropharynx against the nasopharynx, which has a strong nasal language result. The diagnosis is made by direct inspection with a fiberoptic Nasoendoskop. A soft palate failure is treated surgically and speech therapy.

Velum insufficiency means that the velopharyngeal closing mechanism between oropharynx and nasopharynx is not working properly. Normally, the soft palate and the pharyngeal constrictor superior secure this closure, but their (sphincter) function can be achieved by existing or corrected cleft palate, congenital palate shortening, submucous cleft palate, soft palate paralysis and is sometimes also limited by enlarged tonsils. In patients with under-developed palate (congenital submucous cleft) or soft palate paralysis of state may be induced by a adenoidectomy or uvulopalatopharyngoplasty.

A soft palate weakness is often based on anatomical palate malformations and causes incomplete closure of the oropharynx against the nasopharynx, which has a strong nasal language result. The diagnosis is made by direct inspection with a fiberoptic Nasoendoskop. A soft palate failure is treated surgically and speech therapy. Velum insufficiency means that the velopharyngeal closing mechanism between oropharynx and nasopharynx is not working properly. Normally, the soft palate and the pharyngeal constrictor superior secure this closure, but their (sphincter) function can be achieved by existing or corrected cleft palate, congenital palate shortening, submucous cleft palate, soft palate paralysis and is sometimes also limited by enlarged tonsils. In patients with under-developed palate (congenital submucous cleft) or soft palate paralysis of state may be induced by a adenoidectomy or uvulopalatopharyngoplasty. Symptoms and complaints The speech of patients with soft palate insufficiency is to be formed by a strong nasal hyper sonorous voice, an audible air flow at nasal breathing and the inability to closure or plosives (the an oral closure pressure presuppose), characterized. As a result of a strong palate insufficiency, it can also lead to regurgitation of solid food and liquids through the nose. A look into the palate during the articulation can sound may already recognize the soft palate paralysis. Diagnostic Direct inspection with a fiberoptic Nasoendoskop The diagnosis should result from the typical eye-catching way of speaking of the patients. When Gaumenpalpation in the midline occult submucosal column may be palpable. In diagnostics, direct inspection is preferably a fiber optic endoscope on the nose. A multi-channel video fluoroscopy should only be carried out together with a speech therapist during the coordination between speaking and swallowing (in the form of a modified Bariumbreischlucks) when other diagnostic instruments can not provide the required information. Therapy Surgical correction and speech therapy Treatment includes speech therapy and surgical repair. Whether to a palate return displacement (to palate extension), an implant in the posterior pharyngeal wall, a tab or pharyngeal Pharyngoplastik is required depends on the mobility of the lateral pharyngeal walls, the desired elevation of the soft palate and the defect size. A palate lift prosthesis (by a prosthodontist) may also be helpful.

Health Life Media Team

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