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Abstract(s)
A complexidade do desenvolvimento embrionário a nível facial poderá ser responsável pelo aparecimento de inúmeras anomalias congénitas envolvendo a face. As fendas velopalatinas são malformações congénitas graves e comuns da região orofacial. As malformações faciais apresentam implicações estéticas, funcionais e psicológicas para os portadores. O indivíduo portador de fenda apresenta, além de comprometimento estético severo, distúrbios funcionais como insuficiência velofaringea caracterizada por distúrbios ao nível da audição fonação deglutição e ventilação. Não existe consenso, entre equipas cirúrgicas que trabalham sobre as fendas faciais e por isso que as técnicas cirúrgicas para corrigir as fendas orofaciais são extremamente variadas. Cada técnica cirúrgica tem vantagens e desvantagens.
O objetivo deste trabalho é demonstrar, de uma forma muito sucinta os vários tipos de procedimentos cirúrgicos primários e secundários que podem ser realizados no caso de tratamento das fendas velopalatinas e mais precisamente no caso de insuficiência velofaringea.
The complexity of embryonic facial development is sometimes responsible for the appearance of numerous congenital anomalies related to the face. Velopalatine clefts are severe and common congenital malformations of the orofacial region. Facial malformations can be a major factor of discrimination in society because of the aesthetic, functional and psychological implications for the patients. The individual bearing these clefts presents, besides severe aesthetic impairment, numerous functional disorders such as velopharyngeal insufficiency characterized by hearing, phonation, swallowing and ventilation disorders. There is no consensus agreed by all surgical teams working on facial cleft. This is why the surgical techniques to correct orofacial clefts are extremely varied. Each surgical technique has its advantages and disadvantages. The goal is to demonstrate, in a very succinct way, the various types of primary and secondary surgical procedures that can be performed when treating velopalatine clefts and more precisely in the case of velopharyngeal insufficiency.
The complexity of embryonic facial development is sometimes responsible for the appearance of numerous congenital anomalies related to the face. Velopalatine clefts are severe and common congenital malformations of the orofacial region. Facial malformations can be a major factor of discrimination in society because of the aesthetic, functional and psychological implications for the patients. The individual bearing these clefts presents, besides severe aesthetic impairment, numerous functional disorders such as velopharyngeal insufficiency characterized by hearing, phonation, swallowing and ventilation disorders. There is no consensus agreed by all surgical teams working on facial cleft. This is why the surgical techniques to correct orofacial clefts are extremely varied. Each surgical technique has its advantages and disadvantages. The goal is to demonstrate, in a very succinct way, the various types of primary and secondary surgical procedures that can be performed when treating velopalatine clefts and more precisely in the case of velopharyngeal insufficiency.
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Keywords
Insuficiência velofaríngea Palatoplastia Veloplastia Esfincteroplastia Faringoplastia Fendas velopalatinas Velopharyngeal insufficiency Palatoplasty Veloplasty Sphincteroplasty Pharyngoplasty Velopalatine clefts