NIVALDO ALONSO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/04 - Laboratório de Microcirurgia, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/04 - Laboratório de Microcirurgia, Hospital das Clínicas, Faculdade de Medicina - Líder
2 resultados
Resultados de Busca
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- Fraca pressão aérea intraoral na fala após correção cirúrgica da fissura palatina(2012) BARBOSA, Daniela Aparecida; MANGILLI, Laura Davison; ANDRADE, Claudia Regina Furquim de; ALONSO, NivaldoBACKGROUND: Several anatomical and functional changes are observed in individuals with cleft lip and palate, including structural abnormalities of the oropharyngeal muscles, which can cause loss of velopharyngeal function and other functions such as sucking, swallowing, and speaking. The present study aimed to evaluate the presence of weak intraoral air pressure in the speech of individuals with cleft palate who underwent primary palatoplasty at the appropriate time or at a late stage and assess whether surgical timing may lead to a higher occurrence of the disorder. We hypothesized that individuals who undergo belated primary palatoplasty show a higher occurrence of weak intraoral air pressure compared to those who undergo primary palatoplasty at the appropriate time. METHODS: This study included 37 patients of both sexes with a diagnosis of cleft palate, with or without cleft lip, who were divided into 2 groups: 1) early group (GP), consisting of 22 patients who underwent primary palatoplasty during the second year of life, and 2) the late group (GT), comprising 15 patients who underwent primary palatoplasty at a later stage, after acquiring speech sounds. All participants underwent routine clinical assessment with an interval of at least 3 months after surgery. Among the parameters evaluated, weak intraoral air pressure was an important variable considered in this study. RESULTS: Data analysis revealed a higher frequency of weak intraoral air pressure in the GT group (33%) as compared to the GP group (18%). However, this difference was not statistically significant (P = 0.44). CONCLUSIONS: The study hypothesis was rejected. The presence of weak intraoral air pressure was observed in the speech of both groups, and the study findings showed that the timing at which primary palatoplasty was performed is not an influencing factor.
- Perfil da fala de pacientes submetidos à palatoplastia primária(2017) MENEGUETI, Katia Ignacio; MANGILLI, Laura Davison; ALONSO, Nivaldo; ANDRADE, Claudia Regina Furquim deABSTRACT Purpose To characterize the profile and speech characteristics of patients undergoing primary palatoplasty in a Brazilian university hospital, considering the time of intervention (early, before two years of age; late, after two years of age). Methods Participants were 97 patients of both genders with cleft palate and/or cleft and lip palate, assigned to the Speech-language Pathology Department, who had been submitted to primary palatoplasty and presented no prior history of speech-language therapy. Patients were divided into two groups: early intervention group (EIG) – 43 patients undergoing primary palatoplasty before 2 years of age and late intervention group (LIG) – 54 patients undergoing primary palatoplasty after 2 years of age. All patients underwent speech-language pathology assessment. The following parameters were assessed: resonance classification, presence of nasal turbulence, presence of weak intraoral air pressure, presence of audible nasal air emission, speech understandability, and compensatory articulation disorder (CAD). Results At statistical significance level of 5% (p≤0.05), no significant difference was observed between the groups in the following parameters: resonance classification (p=0.067); level of hypernasality (p=0.113), presence of nasal turbulence (p=0.179); presence of weak intraoral air pressure (p=0.152); presence of nasal air emission (p=0.369), and speech understandability (p=0.113). The groups differed with respect to presence of compensatory articulation disorders (p=0.020), with the LIG presenting higher occurrence of altered phonemes. Conclusion It was possible to assess the general profile and speech characteristics of the study participants. Patients submitted to early primary palatoplasty present better speech profile.