The Qualitative Assessment of Velopharyngeal surgery on patients and primary caregivers using VELO-P score in older children.

Abstract

When there is insufficient closure of the velopharyngeal sphincter, speech sounds may be affected, leading to a condition known as Hypernasality. The impact of VPI extends beyond the physical aspects of speech and swallowing, affecting psychosocial aspects of life as well. Individuals with VPI may experience frustration, embarrassment, or self-consciousness due to their speech and swallowing difficulties. Early intervention and ongoing support can significantly improve outcomes and help individuals with VPI lead more fulfilling lives. We studied the satisfaction of the primary caregiver of children undergoing velopharyngeal surgery. We undertook a retrospective observational study with 28 participants. A 26-item parent-VELO (VELO-P) questionnaire was used to record the response of one primary caregiver. Twenty-eight patients with velopharyngeal insufficiency presenting to us in the outpatient department were included in the study. The average age of cases included was 13.85 years. all values had a significant improvement post-operatively with p value< 0.001. Using the VELO-P questionnaire, our study points out the positive influence on the patient's interactions with peers and family in VPI individuals and their caregivers.