Actualite and the aim Velopharyngeal insufficiency is one of the main causes of speech disorders in children with congenital cleft palate, which leads to speech disruption in the form of nasality, dysarthria and also participate in compensatory mechanisms of articulation. The aim was evaluating results of complex treatment in velopharyngeal insufficiency, in case of restoring the nerve-muscle complex of velopharyngeal ring.

patients and methods The study involved two groups of children operated on congenital cleft palate and velopharyngeal insufficiency. The main group includes 40 patients who got the complex treatment: neurological treatment, physiotherapy, massage courses of maxillofacial region with intraoral massage with parallel speech therapy. There were 35 patients in the comparison group. In this group only speech therapy was performed.

Results After the rehabilitation course the velopharyngeal ring closing in the main group improved on 56%, speech improved on 49%. In the comparison group the velopharyngeal ring closing improved on 38%, speech on 35%. Nasality of speech in the main group decreased on 45%, in the other group on 29%. For the best results patients were appointed repeated courses of rehabilitation.

Conclusion The treatment of velopharyngeal insufficiency in the postoperative period is aimed at restoring the anatomical and physiological function of the velopharyngeal ring. Velopharyngeal ring is neuromuscular complex and restoration of its function in velopharyngeal insufficiency with simultaneous course of speech therapy, neurology, physiotherapy gives the most possible outcome of rehabilitation.