RESUMO
BACKGROUND: Velopharyngeal insufficiency is the inability to close the velopharyngeal port during speech and swallowing, leading to hypernasal speech and food regurgitation. OBJECTIVE: This study aimed to explore the aetiological factors contributing to the development of velopharyngeal insufficiency in a non-cleft paediatric population, especially following adenoidectomy. METHODS: A retrospective case review was conducted of all children without a known cleft palate, born between 2000 and 2013, who were referred to a tertiary cleft centre with possible velopharyngeal insufficiency. RESULTS: The data for 139 children diagnosed with velopharyngeal insufficiency following referral to the cleft centre were analysed. Thirteen patients developed the condition following adenoidectomy; only 3 of these 13 had a contributing aetiological factor. CONCLUSION: Velopharyngeal insufficiency is a rare but significant complication of adenoidectomy. The majority of patients who developed velopharyngeal insufficiency following adenoidectomy did not have an identifiable predisposing factor. This has important implications for the consent process and when planning adenoidectomy.
Assuntos
Adenoidectomia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Insuficiência Velofaríngea/etiologia , Criança , Pré-Escolar , Deglutição , Feminino , Humanos , Masculino , Complicações Pós-Operatórias/fisiopatologia , Estudos Retrospectivos , Fala , Insuficiência Velofaríngea/fisiopatologiaRESUMO
Little is known about Dr Coupland, despite the use of his instruments in everyday dental practice. The aim of this article is to inform the reader about the life, works and inventions of Dr Coupland.
Assuntos
Instrumentos Odontológicos/história , Cirurgia Bucal/história , Canadá , História do Século XX , Cirurgia Bucal/instrumentaçãoRESUMO
PIP: A significant proportion of sexually active heterosexual men in New Zealand do not use condoms. 12 heterosexual men aged 20 to over 40 years seeking services at the Auckland Sexual Health Service were interviewed during December 1995 to August 1996 by a male heterosexual researcher in a study of constructs for safe sex and condom use. The participants consider their sexuality to be natural and a subject for only rare discussion with peers and sex partners. Safe sex is constructed between sexual and other forms of safety to produce two specific meanings for condom use. Condom use to protect against infection is associated with casual sexual encounters, multiple partners, in the initial stages of a relationship, and for penetrative vaginal and heterosexual anal intercourse. However, condom use for contraceptive purposes is linked to more stable monogamous relationships in which condoms are rarely used. In both cases, men appear to fear humiliation by sex partners and peers more than they fear infection or death as a result of sexually transmitted diseases or HIV/AIDS. Female partners are thought to be responsible for initiating safe sex talk and condom use. Demonstrating both the risk of humiliation from non-use and harm to oneself and others may be a viable approach to promoting condom use.^ieng
