Advanced

Myotonic dystrophy revealed at videoradiography of deglutition and speech in adult patients with velopharyngeal insufficiency: presentation of four cases

Hillarp, Birgitta LU ; Ekberg, Olle LU ; Jacobsson, S; Nylander, G and Åberg, Magnus LU (1994) In The Cleft Palate-Craniofacial Journal 31(2). p.125-133
Abstract
Patients with velopharyngeal insufficiency (VPI) without cleft palate, who appear for the first time in adulthood for treatment, will probably reveal a high percentage of undiagnosed myotonic dystrophy (MD). Videoradiography of deglutition and speech reveals the diagnosis. Eleven adult noncleft palate patients with VPI were studied with videoradiography of the pharynx and esophagus. Three exhibited functional radiographic manifestations of MD during deglutition and speech. The diagnosis confirmed by neurologic examination was not known or suspected prior to videoradiography. An additional patient with VPI and suspected MD displayed the same constellation of radiographic findings. Follow-up examinations confirmed the diagnosis of MD. Three... (More)
Patients with velopharyngeal insufficiency (VPI) without cleft palate, who appear for the first time in adulthood for treatment, will probably reveal a high percentage of undiagnosed myotonic dystrophy (MD). Videoradiography of deglutition and speech reveals the diagnosis. Eleven adult noncleft palate patients with VPI were studied with videoradiography of the pharynx and esophagus. Three exhibited functional radiographic manifestations of MD during deglutition and speech. The diagnosis confirmed by neurologic examination was not known or suspected prior to videoradiography. An additional patient with VPI and suspected MD displayed the same constellation of radiographic findings. Follow-up examinations confirmed the diagnosis of MD. Three of the four patients had had symptoms of VPI since childhood, but none had complaints of deglutition problems except for accidental nasal regurgitations. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
deglutition, pharyngeal flap operation, myotonic dystrophy (MD), speech, velopharyngeal insufficiency (VPI), videoradiography
in
The Cleft Palate-Craniofacial Journal
volume
31
issue
2
pages
125 - 133
publisher
Allen Press
external identifiers
  • pmid:8186219
  • scopus:0028294062
ISSN
1545-1569
DOI
10.1597/1545-1569(1994)031<0125:MDRAVO>2.3.CO;2
language
English
LU publication?
yes
id
03074d3d-9fc9-48c4-bc71-407615d9ef6b (old id 1108088)
date added to LUP
2008-07-23 13:30:34
date last changed
2017-01-01 04:34:20
@article{03074d3d-9fc9-48c4-bc71-407615d9ef6b,
  abstract     = {Patients with velopharyngeal insufficiency (VPI) without cleft palate, who appear for the first time in adulthood for treatment, will probably reveal a high percentage of undiagnosed myotonic dystrophy (MD). Videoradiography of deglutition and speech reveals the diagnosis. Eleven adult noncleft palate patients with VPI were studied with videoradiography of the pharynx and esophagus. Three exhibited functional radiographic manifestations of MD during deglutition and speech. The diagnosis confirmed by neurologic examination was not known or suspected prior to videoradiography. An additional patient with VPI and suspected MD displayed the same constellation of radiographic findings. Follow-up examinations confirmed the diagnosis of MD. Three of the four patients had had symptoms of VPI since childhood, but none had complaints of deglutition problems except for accidental nasal regurgitations.},
  author       = {Hillarp, Birgitta and Ekberg, Olle and Jacobsson, S and Nylander, G and Åberg, Magnus},
  issn         = {1545-1569},
  keyword      = {deglutition,pharyngeal flap operation,myotonic dystrophy (MD),speech,velopharyngeal insufficiency (VPI),videoradiography},
  language     = {eng},
  number       = {2},
  pages        = {125--133},
  publisher    = {Allen Press},
  series       = {The Cleft Palate-Craniofacial Journal},
  title        = {Myotonic dystrophy revealed at videoradiography of deglutition and speech in adult patients with velopharyngeal insufficiency: presentation of four cases},
  url          = {http://dx.doi.org/10.1597/1545-1569(1994)031<0125:MDRAVO>2.3.CO;2},
  volume       = {31},
  year         = {1994},
}