Deck 18: Surgical Management of Clefts and Velopharyngeal Insufficiencyincompetence VPI

Question 1

What is a common surgical procedure for correction of velopharyngeal insufficiency?

A)Palatoplasty
B)Pharyngeal flap
C)Abbe flap
D)Palatal lift
E)Intravelar veloplasty

Answer 1

B

Question 2

Why is palate surgery more difficult than lip surgery?

A)It is technically more demanding.
B)There is a greater risk of dehiscence.
C)There is a greater risk of fistula formation.
D)b and c
E)All of the above

Answer 2

E

Question 3

The earliest that a pharyngoplasty is usually done is at what age?

A)1 to 2 years
B)2 to 2½ years
C)2½ to 3 years
D)3½ to 4 years
E)5 to 6 years

Answer 3

D

Question 4

With regard to the timing of cleft lip repair, the "rule of 10s" includes which of the following?

A)10 months old and 10 pounds
B)10 weeks of age and 10 pounds
C)10 grams of hemoglobin
D)b and c
E)a and b

Question 5

When is a cheiloplasty usually performed?

A)Right after birth
B)3 to 4 weeks
C)5 to 6 weeks
D)10 to 12 weeks
E)16 to 18 weeks

Question 6

What procedure is used for aligning the maxillary segments prior to formal surgery for unilateral and bilateral clefts?

A)Taping the lip
B)Dental elastics
C)Latham appliance
D)Lip adhesion
E)All of the above

Question 7

What is the location of an "intentional" fistula?

A)Alveolar ridge
B)Junction of the hard and soft palate
C)Area of the incisive foramen
D)Alveolus under the lip
E)Upper lip

Question 8

Patients with a history of cleft palate and surgical repair often demonstrate which of the following?

A)Midface retrusion
B)Class III malocclusion
C)Class II malocclusion
D)a and b
E)a and c

Question 9

Which of the following is not a major factor that determines the success of a pharyngeal flap in correction of VPI?

A)Vertical position of the flap in the nasopharynx
B)Extent of lateral pharyngeal wall movement
C)Use of compensatory productions
D)Closure pattern of the lateral pharyngeal wall movement
E)Width of the flap

Question 10

Which of the following is true about VPI?

A)It is a surgical disorder.
B)It can be corrected with speech therapy.
C)It requires both speech therapy and surgery.
D)It can be corrected with speech therapy if it is mild.
E)It sometimes gets better without treatment.

Question 11

Why is the alveolar arch cleft left unrepaired until the age of 6 or 7?

A)It is technically difficult to close at an earlier age.
B)It allows anterior facial growth without restriction.
C)It does not affect speech or feeding.
D)Early closure can cause a risk of dental abnormalities.
E)The alveolar cleft will eventually close on its own.