{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:12:50Z","timestamp":1753888370145,"version":"3.41.2"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CoDAS"],"abstract":"<jats:p>RESUMO  Objetivo Investigar a efetividade de proposta de classifica\u00e7\u00e3o da m\u00edmica facial (MF), e sua correla\u00e7\u00e3o com avalia\u00e7\u00e3o objetiva do fechamento velofar\u00edngeo (FVF).  M\u00e9todo Vinte indiv\u00edduos com fissura labiopalatina reparada foram submetidos \u00e0 medida da \u00e1rea velofar\u00edngea por meio da rinomanometria e \u00e0 grava\u00e7\u00e3o de amostra de fala. A MF foi classificada em dois momentos, por tr\u00eas fonoaudi\u00f3logas. Inicialmente as avaliadoras classificaram a MF, utilizando crit\u00e9rios pr\u00f3prios, em: 1=MF ausente; 2=leve; 3=moderada; 4=grave. Posteriormente, foram submetidas a um treinamento com o estabelecimento dos seguintes crit\u00e9rios de classifica\u00e7\u00e3o: 1=MF normal; 2=movimento somente de nariz ou ter\u00e7o superior da face; 3=movimento acentuado de nariz ou ter\u00e7o superior da face; 4=movimento de nariz e ter\u00e7o superior da face e, classificaram a MF utilizando os crit\u00e9rios estabelecidos. Concord\u00e2ncia intra e interavaliadores foram calculadas pelo coeficiente Kappa ponderado. A correla\u00e7\u00e3o entre os resultados das etapas com o FVF foi feita pelo coeficiente de correla\u00e7\u00e3o de Spearman.  Resultados Na primeira etapa, a concord\u00e2ncia interavaliadores variou de regular a substancial e na segunda, de substancial a quase perfeita. A concord\u00e2ncia intra-avaliadores variou de moderada a quase perfeita na primeira etapa, e de moderada a substancial, na segunda etapa. A correla\u00e7\u00e3o entre a MF e \u00e1rea velofar\u00edngea na primeira e na segunda etapa foi positiva e significativa.  Conclus\u00e3o A proposta de julgamento da MF mostrou-se efetiva na determina\u00e7\u00e3o do sintoma e confi\u00e1vel no diagn\u00f3stico da gravidade da disfun\u00e7\u00e3o velofar\u00edngea. A correla\u00e7\u00e3o significativa entre os m\u00e9todos perceptivo e instrumental sugere que a MF pode ser utilizada na previs\u00e3o do FVF.<\/jats:p>","DOI":"10.1590\/2317-1782\/20212021069","type":"journal-article","created":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T12:13:17Z","timestamp":1641557597000},"source":"Crossref","is-referenced-by-count":1,"title":["M\u00edmica facial durante a fala em fissura labiopalatina: uma proposta de classifica\u00e7\u00e3o"],"prefix":"10.1590","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2185-8132","authenticated-orcid":false,"given":"Rafaeli Higa","family":"Scarmagnani","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5927-3877","authenticated-orcid":false,"given":"Ana Paula","family":"Fukushiro","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil; Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7098-9502","authenticated-orcid":false,"given":"Renata Paciello","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.cps.2013.12.004","article-title":"Speech evaluation for patients with cleft palate","volume":"41","author":"Kummer AW","year":"2014","journal-title":"Clin Plast Surg"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1590\/2317-1782\/20152014145","article-title":"Relationship between velopharyngeal closure, hypernasality, nasal air emission and nasal rustle in subjects with repaired cleft palate","volume":"27","author":"Scarmagnani 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instrumental da disfun\u00e7\u00e3o velofar\u00edngea.","author":"Trindade IEK","year":"2007"},{"key":"ref7","series-title":"Tratado de motricidade orofacial","first-page":"695","volume-title":"Avalia\u00e7\u00e3o das altera\u00e7\u00f5es de fala na fissura labiopalatina e disfun\u00e7\u00e3o velofar\u00edngea.","author":"Pegoraro-Krook MI","year":"2019"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis JR","year":"1977","journal-title":"Biometrics"},{"issue":"3","key":"ref9","first-page":"69","article-title":"Statistics corner: a guide to appropriate use of correlation coefficient in medical research","volume":"24","author":"Mukaka MM","year":"2012","journal-title":"Malawi Med J."},{"issue":"8","key":"ref10","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1177\/1055665618767116","article-title":"Reliability of hipernasality rating: comparison of three different methods for perceptual assessment","volume":"55","author":"Yamashita RP","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1590\/2317-1782\/20162015163","article-title":"Influ\u00eancia do treinamento dos avaliadores no julgamento perceptivo da hipernasalidade","volume":"28","author":"Oliveira ACASF","year":"2016","journal-title":"CoDAS"},{"issue":"6","key":"ref12","doi-asserted-by":"crossref","DOI":"10.1590\/2317-1782\/20192018296","article-title":"Escala de Borg: um novo m\u00e9todo para avalia\u00e7\u00e3o da hipernasalidade de fala","volume":"31","author":"Ramos-Favaretto FS","year":"2019","journal-title":"CoDAS"},{"issue":"5","key":"ref13","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1080\/02699200802688596","article-title":"Effect of listener training on perceptual judgement of hypernasality","volume":"23","author":"Lee 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