Failure of the SOFT PALATE to reach the posterior pharyngeal wall to close the opening between the oral and nasal cavities. Incomplete velopharyngeal closure is primarily related to surgeries (ADENOIDECTOMY; CLEFT PALATE) or an incompetent PALATOPHARYNGEAL SPHINCTER. It is characterized by hypernasal speech.
Appliances that close a cleft or fissure of the palate.
A group of muscles attached to the SOFT PALATE (or velum) and the PHARYNX. They include the superior constrictor, the PALATOPHARYNGEUS, the levator veli palatini muscle, and the muscularis uvulae. This sphincter is situated between the oral and nasal cavities. A competent velopharyngeal sphincter is essential for normal speech and swallowing.
A specific pair of GROUP G CHROMOSOMES of the human chromosome classification.
A movable fold suspended from the posterior border of the hard palate. The uvula hangs from the middle of the lower border.
The muscles of the PHARYNX are voluntary muscles arranged in two layers. The external circular layer consists of three constrictors (superior, middle, and inferior). The internal longitudinal layer consists of the palatopharyngeus, the salpingopharyngeus, and the stylopharyngeus. During swallowing, the outer layer constricts the pharyngeal wall and the inner layer elevates pharynx and LARYNX.
Disorders of the quality of speech characterized by the substitution, omission, distortion, and addition of phonemes.
A funnel-shaped fibromuscular tube that conducts food to the ESOPHAGUS, and air to the LARYNX and LUNGS. It is located posterior to the NASAL CAVITY; ORAL CAVITY; and LARYNX, and extends from the SKULL BASE to the inferior border of the CRICOID CARTILAGE anteriorly and to the inferior border of the C6 vertebra posteriorly. It is divided into the NASOPHARYNX; OROPHARYNX; and HYPOPHARYNX (laryngopharynx).

Application of obturator to treat velopharyngeal incompetence. (1/44)

OBJECTIVE: To evaluate the effect of a system of velopharyngeal incompetence (VPI) management after the application of obturator. METHODS: Using nasopharyngofiberoscope (NPF) and a computer analysis system, we quantitatively analyzed the improved state of velopharyngeal incompetence in 100 patients with unilateral and/or bilateral cleft palate. RESULTS: The velopharyngeal closure (VPC) can be greatly improved by using a temporary oral prosthesis (obturator) and speech training. An objective quantitative standard was established to evaluate the change of velopharyngeal closure of cleft palate patients after surgery and conservative treatment. CONCLUSIONS: The method used is more succinct, accurate and practical than previous methods. In order to reflect the state of velopharyngeal incompetence, the concept of improvement rate of velopharyngeal incompetence (IRVPI) is put forward.  (+info)

The 22q11.2 deletion syndrome. (2/44)

The 22q11.2 deletion syndrome (22q11DS) encompasses DiGeorge syndrome, velo-cardio-facial syndrome and conotruncal anomaly face syndrome and is due to a microdeletion of chromosome 22q11.2. This is the most frequent known interstitial deletion found in human with an incidence of 1 in 4,000 live births. A large number of clinical findings have been reported in affected patients, including cardiac defects, characteristic facial features, thymic hypoplasia, cleft palate, hypoparathyroidism, learning difficulties and psychiatric disorders. A comprehensive evaluation and follow-up program is necessary for patients with 22q11DS. A striking aspect of the 22q11DS phenotype is its variability, the basis of which remains unclear, and no phenotype-genotype correlation has been made. The structures primarily affected in patients with 22q11DS are derivatives of the embryonic pharyngeal arches and pouches suggesting that haploinsufficiency of the gene(s) on the deleted region, spanning 2-3 Mb, is important in pharyngeal arch/pouch development. Extensive gene searches have been successful in identifying more than 30 genes in the deleted segment. Although standard positional cloning has failed to demonstrate a role for any of these genes in the syndrome, the use of experimental animal models and advanced genome manipulation technologies in mice have been providing an insight into the developmental role of some of these genes, including TBXI. In this review, the clinical features and management of patients with 22q11DS are integrated with our current understanding of the embryological and molecular basis of this syndrome, as presented at the 1235th Meeting of The Keio Medical Society.  (+info)

Frequency of pharyngoplasty after primary repair of cleft palate. (3/44)

BACKGROUND: The frequency of pharyngoplasty after initial repair of cleft palate is a direct measure of the success or failure of the primary palatal repair with respect to velopharyngeal function. The optimal timing and surgical technique for the repair of cleft palate remain subjects of debate. PURPOSE: To assess the outcome of various techniques for primary palatal repair, specifically the frequency of secondary pharyngoplasty, and to determine the significance, if any, of certain variables to this outcome. METHODS: A pool of 114 patients with cleft lip and palate was compiled from a retrospective analysis of medical records for more than 300 consecutive patients treated over a 15-year period (1980-1995). The review included only patients who had been treated by the same surgeon or by his resident. A 1-stage palatal repair was performed on all patients, in which the hard and the soft palate were closed simultaneously. The following data were collected: patient's sex, patient's date of birth, type of cleft, technique used for initial repair, age at initial repair and date of secondary pharyngoplasty surgery, if performed. RESULTS: The overall frequency of subsequent pharyngoplasty was 25% (28 patients). The rate of secondary surgery was significantly higher for boys (21/63 or 33%) than for girls (7/51 or 14%). There were also significant differences in the rate of secondary pharyngoplasty according to type of cleft: 50% (6/12) for patients with bilateral cleft lip and palate, 44% (7/16) for those with hard and soft cleft palate, 21% (8/38) for those with unilateral cleft lip and palate, 20% (3/15) for those with submucous cleft palate and 12% (4/33) for those with soft cleft palate. Surgical technique for the primary repair (V-Y pushback or von Langenbeck procedure) was not a significant factor in determining the rate of subsequent pharyngoplasty, nor was age at primary repair, although those who underwent primary repair at age 12-14 months were least likely to require pharyngoplasty. CONCLUSION: In this study the frequency of velopharyngeal insufficiency after 1-stage palatoplasty was consistent with previously reported results. Of interest would be a comparison of 1-stage and 2-stage approaches to primary palate repair in young patients.  (+info)

Neurogenic effects on the palatopharyngeal muscle in patients with obstructive sleep apnoea: a muscle biopsy study. (4/44)

Muscle biopsies from the palatopharyngeal muscle of eight patients with obstructive sleep apnoea were performed during uvulopalatopharyngoplasty. Control biopsies were performed during tonsillectomy in seven control patients with no history of symptoms suggesting obstructive sleep apnoea. The diagnosis was based on the patient's history and a whole night recording of arterial oxygen saturation and respiration movements. The mean number of oxygen desaturations > or = 4% per sleeping hour was 39 (range 7-80) in patients with obstructive sleep apnoea. In the control patients the occurrence of muscle fibre type and size relation between type I and type II fibres were comparable to what is found in the quadriceps femoris muscle, but the mean size of the fibres was < 25% of what is found in limb muscles. All biopsies from patients with obstructive sleep apnoea showed abnormalities. Atrophy with a fascicular distribution, increased number of angulated atrophic fibres, a twin or multiple peak distribution of the fibre size spectra, and an abnormal distribution of fibre types in many muscle fascicles corresponding to "type grouping" all points to a neurogenic alteration. This neurogenic lesion may be a primary phenomenon or secondary to the trauma of repetitive and prolonged stretching of the pharyngeal structures during apnoeas. A disturbance of the function of the dilating muscles of the upper airway may be important in causing the abnormal airway collapse seen in obstructive sleep apnoea.  (+info)

Effects of mandibular advancement on airway curvature and obstructive sleep apnoea severity. (5/44)

In a curved tube, the amount of airflow appears to be influenced by the amount of curvature. The purpose of this study was to investigate changes in obstructive sleep apnoea (OSA) severity and awake velopharyngeal curvature in response to an anteriorly titrated mandibular position in 20 male OSA patients. Baseline supine cephalometry was obtained before the initial insertion of a titratable oral appliance and follow-up supine cephalometry was undertaken after titration of the mandibular position with the appliance in place. The mean apnoea/hypopnea index (AHI) before treatment (31.6 +/- 13.0 events x h(-1)) was significantly reduced (9.8 +/- 7.4 events x h(-1)) after titration of the mandibular position in all 20 patients. There was a significant increase in the anteroposterior calibre and the radius of the curvature of the anterior wall of the velopharynx in 14 good responders who exhibited an AHI reduction to < or = 15. Similar observations were not found in six poor responders. To conclude, an anteriorly titrated mandibular position reduced obstructive sleep apnoea severity, enlarged the velopharynx and diminished the curvature of the anterior velopharyngeal wall in good responders. It is proposed that this change in the upper airway curvature associated with mandibular advancement may effect obstructive sleep apnoea severity through its effect on airflow dynamics.  (+info)

Air pressure responses to sudden vocal tract pressure bleeds during production of stop consonants: new evidence of aeromechanical regulation. (6/44)

Two studies were conducted to evaluate short-latency vocal tract air pressure responses to sudden pressure bleeds during production of voiceless bilabial stop consonants. It was hypothesized that the occurrence of respiratory reflexes would be indicated by distinct patterns of responses as a function of bleed magnitude. In Study 1, 19 adults produced syllable trains of "puh" using a mouthpiece coupled to a computer-controlled perturbator. The device randomly created bleed apertures that ranged from 0 to 40 mm2 during production of the 2nd or 4th syllable of an utterance. Although peak oral air pressure dropped in a linear manner across bleed apertures, it averaged 2 to 3 cm H2O at the largest bleed. While slope of oral pressure also decreased in a linear trend, duration of the oral pressure pulse remained relatively constant. The patterns suggest that respiratory reflexes, if present, have little effect on oral air pressure levels. In Study 2, both oral and subglottal air pressure responses were monitored in 2 adults while bleed apertures of 20 and 40 mm2 were randomly created. For 1 participant, peak oral air pressure dropped across bleed apertures, as in Study 1. Subglottal air pressure and slope, however, remained relatively stable. These patterns provide some support for the occurrence of respiratory reflexes to regulate subglottal air pressure. Overall, the studies indicate that the inherent physiologic processes of the respiratory system, which may involve reflexes, and passive aeromechanical resistance of the upper airway are capable of developing oral air pressure in the face of substantial pressure bleeds. Implications for understanding speech production and the characteristics of individuals with velopharyngeal dysfunction are discussed.  (+info)

A gender-moderated effect of a functional COMT polymorphism on prefrontal brain morphology and function in velo-cardio-facial syndrome (22q11.2 deletion syndrome). (7/44)

Caused by a microdeletion at the q11.2 locus of chromosome 22, velo-cardio-facial syndrome (also known as VCFS, 22q11 deletion syndrome, DiGeorge sequence, and conotruncal anomalies face syndrome) is associated with a distinctive physical, neurocognitive, and psychiatric phenotype. Increasing interest has centered on identifying the candidate genes within the deleted region that may contribute to this phenotype. One attractive candidate gene is catechol-O-methyltransferase (COMT) because it encodes for a protein that degrades dopamine. Variability in COMT activity is related to a Val158Met polymorphism that has been implicated in prefrontal lobe cognitive and neuropsychiatric function. We examined the effect of this polymorphism on prefrontal anatomy and frontally-mediated neuropsychological function in 58 children with VCFS, 26 who were hemizygous for the Met allele and 32 for the Val allele. We found an allele by gender interaction effect on the volumes of the dorsal prefrontal and orbital prefrontal cortices. We did not find significant allele or gender by allele effects on neuropsychological tasks, although girls with the Met allele tended to perform better on the Wisconsin card sorting task. These data suggest that this functional COMT polymorphism may play a gender-moderated role in determining the neuroanatomic phenotype of individuals with VCFS. Longitudinal evaluation of these children is essential in order to identify potential clinical implications of this allele by gender interaction.  (+info)

Anatomic consequences of intrinsic tongue muscle activation. (8/44)

We recently showed respiratory-related coactivation of both extrinsic and intrinsic tongue muscles in the rat. Here, we test the hypothesis that intrinsic tongue muscles contribute importantly to changes in velopharyngeal airway volume. Spontaneously breathing anesthetized rats were placed in a MRI scanner. A catheter was placed in the hypopharynx and connected to a pressure source. Axial and sagittal images of the velopharyngeal airway were obtained, and the volume of each image was computed at airway pressures ranging from +5.0 to -5.0 cm H2O. We obtained images in the hypoglossal intact animal (i.e., coactivation of intrinsic and extrinsic tongue muscles) and after selective denervation of the intrinsic tongue muscles, with and without electrical stimulation. Denervation of the intrinsic tongue muscles reduced velopharyngeal airway volume at atmospheric and positive airway pressures. Electrical stimulation of the intact hypoglossal nerve increased velopharyngeal airway volume; however, when stimulation was repeated after selective denervation of the intrinsic tongue muscles, the increase in velopharyngeal airway volume was significantly attenuated. These findings support our working hypothesis that intrinsic tongue muscles play a critical role in modulating upper airway patency.  (+info)

Velopharyngeal Insufficiency (VPI) is a medical condition that affects the proper functioning of the velopharyngeal valve, which is responsible for closing off the nasal cavity from the mouth during speech. This valve is made up of the soft palate (the back part of the roof of the mouth), the pharynx (the back of the throat), and the muscles that control their movement.

In VPI, the velopharyngeal valve does not close completely or properly during speech, causing air to escape through the nose and resulting in hypernasality, nasal emission, and/or articulation errors. This can lead to difficulties with speech clarity and understanding, as well as social and emotional challenges.

VPI can be present from birth (congenital) or acquired later in life due to factors such as cleft palate, neurological disorders, trauma, or surgery. Treatment for VPI may include speech therapy, surgical intervention, or a combination of both.

A palatal obturator is a type of dental prosthesis that is used to close or block a hole or opening in the roof of the mouth, also known as the hard palate. This condition can occur due to various reasons such as cleft palate, cancer, trauma, or surgery. The obturator is designed to fit securely in the patient's mouth and restore normal speech, swallowing, and chewing functions.

The palatal obturator typically consists of a custom-made plate made of acrylic resin or other materials that are compatible with the oral tissues. The plate has an extension that fills the opening in the palate and creates a barrier between the oral and nasal cavities. This helps to prevent food and liquids from entering the nasal cavity during eating and speaking, which can cause discomfort, irritation, and infection.

Palatal obturators may be temporary or permanent, depending on the patient's needs and condition. They are usually fabricated based on an impression of the patient's mouth and fitted by a dental professional to ensure proper function and comfort. Proper care and maintenance of the obturator, including regular cleaning and adjustments, are essential to maintain its effectiveness and prevent complications.

The velopharyngeal sphincter (VPS) is a complex muscle-filled space located at the back of the throat, involving the soft palate (velum), the posterior pharyngeal wall, and the lateral pharyngeal walls. It plays a crucial role in speech by closing off the nasal cavity from the oral cavity during swallowing and speaking, particularly during the production of sounds that require oral pressure. This mechanism prevents the escape of air into the nose, ensuring proper sound formation and resonance. Dysfunction of the VPS can lead to speech disorders such as hypernasality and nasal emission.

Human chromosome pair 22 consists of two rod-shaped structures present in the nucleus of each cell in the human body. Each chromosome is made up of DNA tightly coiled around histone proteins, forming a complex structure called a chromatin.

Chromosome pair 22 is one of the 22 autosomal pairs of human chromosomes, meaning they are not sex chromosomes (X or Y). Chromosome 22 is the second smallest human chromosome, with each arm of the chromosome designated as p and q. The short arm is labeled "p," and the long arm is labeled "q."

Chromosome 22 contains several genes that are associated with various genetic disorders, including DiGeorge syndrome, velocardiofacial syndrome, and cat-eye syndrome, which result from deletions or duplications of specific regions on the chromosome. Additionally, chromosome 22 is the location of the NRXN1 gene, which has been associated with an increased risk for autism spectrum disorder (ASD) and schizophrenia when deleted or disrupted.

Understanding the genetic makeup of human chromosome pair 22 can provide valuable insights into human genetics, evolution, and disease susceptibility, as well as inform medical diagnoses, treatments, and research.

The soft palate, also known as the velum, is the rear portion of the roof of the mouth that is made up of muscle and mucous membrane. It extends from the hard palate (the bony front part of the roof of the mouth) to the uvula, which is the small piece of tissue that hangs down at the back of the throat.

The soft palate plays a crucial role in speech, swallowing, and breathing. During swallowing, it moves upward and backward to block off the nasal cavity, preventing food and liquids from entering the nose. In speech, it helps to direct the flow of air from the mouth into the nose, which is necessary for producing certain sounds.

Anatomically, the soft palate consists of several muscles that allow it to change shape and move. These muscles include the tensor veli palatini, levator veli palatini, musculus uvulae, palatopharyngeus, and palatoglossus. The soft palate also contains a rich supply of blood vessels and nerves that provide sensation and help regulate its function.

The pharyngeal muscles, also known as the musculature of the pharynx, are a group of skeletal muscles that make up the walls of the pharynx, which is the part of the throat located just above the esophagus and behind the nasal and oral cavities. These muscles play a crucial role in several vital functions, including:

1. Swallowing (deglutition): The pharyngeal muscles contract in a coordinated sequence to propel food or liquids from the mouth through the pharynx and into the esophagus during swallowing.
2. Speech: The contraction and relaxation of these muscles help shape the sounds produced by the vocal cords, contributing to the production of speech.
3. Respiration: The pharyngeal muscles assist in maintaining an open airway during breathing, especially during sleep and when the upper airways are obstructed.

The pharyngeal muscles consist of three layers: the outer circular muscle layer, the middle longitudinal muscle layer, and the inner inferior constrictor muscle layer. The specific muscles that make up these layers include:

1. Superior constrictor muscle (outer circular layer)
2. Middle constrictor muscle (middle longitudinal layer)
3. Inferior constrictor muscle (inner inferior constrictor layer)
4. Stylopharyngeus muscle
5. Salpingopharyngeus muscle
6. Palatopharyngeus muscle
7. Buccinator muscle (partially contributes to the middle longitudinal layer)

These muscles work together to perform their various functions, and any dysfunction in these muscles can lead to problems like swallowing difficulties (dysphagia), speech impairments, or respiratory issues.

Articulation disorders are speech sound disorders that involve difficulties producing sounds correctly and forming clear, understandable speech. These disorders can affect the way sounds are produced, the order in which they're pronounced, or both. Articulation disorders can be developmental, occurring as a child learns to speak, or acquired, resulting from injury, illness, or disease.

People with articulation disorders may have trouble pronouncing specific sounds (e.g., lisping), omitting sounds, substituting one sound for another, or distorting sounds. These issues can make it difficult for others to understand their speech and can lead to frustration, social difficulties, and communication challenges in daily life.

Speech-language pathologists typically diagnose and treat articulation disorders using various techniques, including auditory discrimination exercises, phonetic placement activities, and oral-motor exercises to improve muscle strength and control. Early intervention is essential for optimal treatment outcomes and to minimize the potential impact on a child's academic, social, and emotional development.

The pharynx is a part of the digestive and respiratory systems that serves as a conduit for food and air. It is a musculo-membranous tube extending from the base of the skull to the level of the sixth cervical vertebra where it becomes continuous with the esophagus.

The pharynx has three regions: the nasopharynx, oropharynx, and laryngopharynx. The nasopharynx is the uppermost region, which lies above the soft palate and is connected to the nasal cavity. The oropharynx is the middle region, which includes the area between the soft palate and the hyoid bone, including the tonsils and base of the tongue. The laryngopharynx is the lowest region, which lies below the hyoid bone and connects to the larynx.

The primary function of the pharynx is to convey food from the oral cavity to the esophagus during swallowing and to allow air to pass from the nasal cavity to the larynx during breathing. It also plays a role in speech, taste, and immune defense.

The terms "velopharyngeal insufficiency" "velopharyngeal incompetence, "velopharyngeal inadequacy" and "velopharyngeal ... "Velopharyngeal dysfunction" now refers to abnormality of the velopharyngeal valve, regardless of cause. Velopharyngeal ... Velopharyngeal insufficiency is a disorder of structure that causes a failure of the velum (soft palate) to close against the ... Velopharyngeal insufficiency. Curr Opin Otolaryngol Head Neck Surg. 2003 Dec;11(6):452-5. Havstam C, Lohmander A, Persson C, ...
... velopharyngeal inadequacy. Velopharyngeal insufficiency is the inability of the velopharyngeal sphincter to sufficiently ... Other ways of treating velopharyngeal insufficiency is by placing a posterior nasopharyngeal wall implant (commonly cartilage ... ISBN 0-323-02526-9. Willging JP (1999). "Velopharyngeal insufficiency". Int. J. Pediatr. Otorhinolaryngol. 49 Suppl 1: S307-9. ... Velopharyngeal inadequacy is a malfunction of a velopharyngeal mechanism which is responsible for directing the transmission of ...
... is primarily the result of velopharyngeal insufficiency, a sometimes congenital aberration in which the velopharyngeal ... Willging, J. P. (Oct 1999). "Velopharyngeal insufficiency". International Journal of Pediatric Otorhinolaryngology. 49 (Suppl 1 ... Warren, D. W.; Dalston, R. M.; Mayo, R. (Jul 1994). "Hypernasality and velopharyngeal impairment". The Cleft Palate- ... and severe cardiac valve insufficiency". Journal of Medical Genetics. 28 (4): 267-273. doi:10.1136/jmg.28.4.267. ISSN 0022-2593 ...
... velopharyngeal insufficiency, velopharyngeal inadequacy, and velopharyngeal mislearning. Velopharyngeal insufficiency can be ... Velopharyngeal insufficiency can also occur after adenoidectomy. Velopharyngeal incompetence is a defective closure of the ... "Hypernasality - Velopharyngeal Insufficiency". Columbia University Medical Center. Archived from the original on 2012-04-03. ... Biavati, Michael J.; Sie, Kathleen; Wiet, Gregory J. (2 September 2011). "Velopharyngeal Insufficiency". Medscape Reference. ...
"Velopharyngeal Insufficiency". Vhi Healthcare. Archived from the original on 2007-11-22. Retrieved 2008-02-11. Denny, Arlen D ... Correction of velopharyngeal insufficiency by pharyngeal augmentation using autologous cartilage: A preliminary report. Cleft ... This type of surgery is best for patients with velopharyngeal defects. (Peterson-Falzone et al., 2001) Cartilage implants: ...
Hill JS (2001). "Velopharyngeal insufficiency: An update on diagnostic and surgical techniques". Current Opinion in ... Velopharyngeal insufficiency (VPI) can occur as a result of an unrepaired or repaired cleft lip and palate. VPI is the ... resulting in incomplete velopharyngeal closure. In turn, this results in speech abnormalities. Velopharyngeal closure is ... lip and palate A result of an open connection between the mouth and inside the nose is called velopharyngeal insufficiency (VPI ...
Some patients may even require secondary surgery for velopharyngeal insufficiency. It is common that individuals who have to ... may be able to improve speech performance in children or adults with a cleft palate who have velopharyngeal insufficiency. In ... Compared to superiorly based flaps, inferiorly based flaps are limited in regard to the size of velopharyngeal opening that can ... Posterior pharyngeal flap surgery is the most commonly used operation to restore velopharyngeal competence (i.e., develop a ...
Examples of hypernasal speech include cleft palate and velopharyngeal insufficiency. Michael C. Joiner; Albert van der Kogel ( ...
"Predictors of Velopharyngeal Insufficiency After Surgical Advancement of the Maxilla Among Young Adults with Cleft Palate". ...
Schönborn is remembered for his surgical work involving velopharyngeal insufficiency (VPI), commonly referred to as cleft ...
... apnea syndrome in children with cleft palate following Furlow palatoplasty or pharyngeal flap for velopharyngeal insufficiency ... The surgical treatment for velopalatal insufficiency may cause obstructive sleep apnea syndrome. When velopalatal insufficiency ... One of the surgical treatments for velopalatal insufficiency involves tailoring the tissue from the back of the throat and ... be most frequently associated with pharyngeal flap surgery as compared to other procedures for the treatment of velopharyngeal ...
... causing a condition known as velopharyngeal insufficiency. This causes "nasal" (or more properly "hyper-nasal") speech, where ... It is not thought to contribute to velopharyngeal inadequacy, except in cases where the tonsils have also been removed. In ...
The uses and limitations of the barium swallow in the detection of velopharyngeal insufficiency, Radiology, 135:301-304, May ... Glaser, ER, (now ER Cohn) Garver, KL, Metz, MC, McWilliams, BJ, Skolnick, ML and Garrett, WS, Velopharyngeal incompetence in a ... A comparative study of four methods of evaluating velopharyngeal adequacy. Plastic and Reconstructive Surgery, 68:1-9, July ...
... scar tissue reduces the airspace in the pharynx leading to velopharyngeal insufficiency. The scar tissue can also make the ...
... velopharyngeal insufficiency MeSH C07.465.550.425 - jaw, edentulous MeSH C07.465.550.425.450 - jaw, edentulous, partially MeSH ... velopharyngeal insufficiency MeSH C07.650.800.065 - amelogenesis imperfecta MeSH C07.650.800.065.300 - dental enamel hypoplasia ...
... velopharyngeal insufficiency), learning disabilities, mild differences in facial features, and recurrent infections. Infections ... This phenomenon is referred as velopharyngeal inadequacy (VPI). Hearing loss can also contribute to increased hypernasality ... particularly velopharyngeal incompetence, submucosal cleft palate, and cleft palate; characteristic facial features (present in ...
... in computer programming Velopharyngeal insufficiency, a medical term Vertical Politics Institute, a conservative political ...
... velopharyngeal insufficiency). Weakness of the muscles that move the jaw (muscles of mastication) may cause difficulty chewing ...
... velopharyngeal insufficiency MeSH C16.131.850.800 - tooth abnormalities MeSH C16.131.850.800.065 - amelogenesis imperfecta MeSH ...
vocal fold nodules/ cysts, velopharyngeal insufficiency (VPI), anterior glottic webs, vocal fold paralysis Functional voice ...
... veloPharyngeal insufficiency, and William syndrome. Some bears are not for specific diseases but support for children and ... Adrenal insufficiency, Adult Stroke, Apraxia of Speech, Arthritis, BAHA, Blood Disorder, CDKL5, Cerebral Cavernous Malformation ...
Curtis TA, Beumer J. Speech, velopharyngeal function, and restoration of soft palatae defects. In: Beumer J, Curtis TA, ... While palatopharyngeal incompetence and palatopharyngeal insufficiency contribute to similar symptomatology as they relate to ... Palatopharyngeal incompetence should not be confused with palatopharyngeal insufficiency. ... distinct soft palatal obturator prostheses or speech aid prostheses are used to address palatopharyngeal insufficiency. A ...
Speech problems are associated with poor respiratory control, laryngeal and velopharyngeal dysfunction, and oral articulation ... placental insufficiency, umbilical cord prolapse), birth trauma during labor and delivery, and complications around birth or ...
The terms "velopharyngeal insufficiency" "velopharyngeal incompetence, "velopharyngeal inadequacy" and "velopharyngeal ... "Velopharyngeal dysfunction" now refers to abnormality of the velopharyngeal valve, regardless of cause. Velopharyngeal ... Velopharyngeal insufficiency is a disorder of structure that causes a failure of the velum (soft palate) to close against the ... Velopharyngeal insufficiency. Curr Opin Otolaryngol Head Neck Surg. 2003 Dec;11(6):452-5. Havstam C, Lohmander A, Persson C, ...
The activities of swallowing and speaking depend upon the ability to obtain adequate closure of the velopharyngeal port. Both ... encoded search term (Velopharyngeal Insufficiency) and Velopharyngeal Insufficiency What to Read Next on Medscape ... velopharyngeal incompetency, and velopharyngeal insufficiency (VPI) is important. Velopharyngeal mislearning is best described ... Velopharyngeal Insufficiency. Updated: Jul 28, 2023 * Author: Michael J Biavati, MD, FACS, FAAP; Chief Editor: Arlen D Meyers, ...
Learn how Arkansas Childrens pediatric experts can treat children with velopharyngeal insufficiency (VPI). ... Velopharyngeal Insufficiency (VPI) is a condition in which the soft palate, or the back moving part of the roof of the mouth, ...
Velopharyngeal Insufficiency - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical ... Symptoms and Signs of Velopharyngeal Insufficiency Speech in a patient with velopharyngeal insufficiency is characterized by ... Velopharyngeal insufficiency is incomplete closure of the velopharyngeal sphincter between the oropharynx and the nasopharynx. ... Velopharyngeal insufficiency is incomplete closure of a sphincter between the oropharynx and nasopharynx, often resulting from ...
VELOPHARYNGEAL INSUFFICIENCY IN HEMIFACIAL MICROSOMIA. LUCE, EDWARD A.; McGIBBON, BERNARD; HOOPES, JOHN E. ...
Velopharyngeal insufficiency and cleft lip and palate. The inadequate closing of the velopharyngeal sphincter (velopharyngeal ... Other projects on velopharyngeal insufficiency include investigation of the use of intranasal flaps to augment surgical repair ... Treatment options for velopharyngeal insufficiency include various surgical techniques or the use of injectable filler. ... Injection pharyngoplasty with a hyaluronic acid and dextranomer copolymer to treat velopharyngeal insufficiency in adults. Mayo ...
You may have some problems keeping liquids from coming up through your nose when drinking (called velopharyngeal insufficiency ... Velopharyngeal insufficiency - UPPP; Obstructive sleep apnea - uvulopalaplasty; OSA - uvulopalaplasty ...
Velopharyngeal Insufficiency / diagnosis * Velopharyngeal Insufficiency / etiology * Velopharyngeal Insufficiency / surgery ... represents an uncommon congenital palatal anomaly with a variable rate of velopharyngeal dysfunction or resulting speech ...
Velopharyngeal insufficiency. *Tongue tie. *Ranula. *Mucocele. *Cleft palate. *Bifid uvula. Our pediatric ENT doctors will have ...
Velopharyngeal insufficiency. *Differential diagnosis of motor speech disorders. *Treatment incorporating principles of motor ...
Purpose: The most frequent surgical technique used to treat velopharyngeal insufficiency (VPI), the pharyngeal flap is also one ...
Phua YS, de Chalain T. Incidence of oronasal fistulae and velopharyngeal insufficiency after cleft palate repair: An audit of ... namely velopharyngeal insufficiency [VPI] and midface hypoplasia) as a metric and quality indicator [5]. ...
Velopharyngeal Insufficiency. Janet Waimin Lee and Travis T. Tollefson. Chapter 49. Cleft Rhinoplasty. Lauren B. Moneta, Myriam ...
Speech Outcomes After Sphincter Pharyngoplasty for Velopharyngeal Insufficiency.. 33103775 The Laryngoscope, 2021 June : 131(6) ... Speech Outcomes After Sphincter Pharyngoplasty for Velopharyngeal Insufficiency.. 33103775 The Laryngoscope, 2021 June : 131(6) ... Multicenter Interrater Reliability in the Endoscopic Assessment of Velopharyngeal Function Using a Video Instruction Tool.. ...
... velopharyngeal insufficiency. Professional Interests: Multidisciplinary management, diagnostic testing, genetics, and treatment ...
... velopharyngeal insufficiency/incompetence; cleft palate/ lip/submucous cleft; and gender transitions.. Treatment for voice and ...
Speech outcomes and velopharyngeal function after surgical treatment of velopharyngeal insufficiency in individuals with signs ... Long-term effects of pharyngeal flaps on the upper airways of subjects with velopharyngeal insufficiency. RP Yamashita, IEK ... The pharyngeal flap surgery in patients with velopharyngeal insufficiency: perceptual and nasometric speech assessment. TBB ... Obstructive sleep apnea following pharyngeal flap surgery for velopharyngeal insufficiency: a prospective polysomnographic and ...
Outcomes following palatal lengthening using myo-mucosal buccinator flaps for velopharyngeal insufficiency in cleft and non- ... Velar Pharyngeal Insufficiency). Siobhan is also responsible for conducting video fluoroscopy for speech and swallowing. ...
... proud to offer the regions most comprehensive evaluation team for the management of children with velopharyngeal insufficiency ...
Brazilian-Portuguese Linguistic Validation of the Velopharyngeal Insufficiency Effects on Life Outcome Instrument.Denadai R, ...
Velopharyngeal Insufficiency/prevention & control account_balance. Affiliation. * Faculté de médecine / Section de médecine ... allows either for an unchanged or better velopharyngeal function.. ...
... childhood hearing loss/cochlear implants and velopharyngeal insufficiency.. Dr. Preciados translational research lab has been ...
Velopharyngeal insufficiency (VPI) occurs in up to 40% of patients following cleft palate repair and results in hypernasality ... Velopharyngeal insufficiency following cleft palate repair: a comparative effectiveness study of existing surgical procedures ... Aim 2 will be achieved by obtaining velopharyngeal MRI on participants prior to VPI surgery; MRI enables direct evaluation of ...
Otolaryngological problems such as velopharyngeal insufficiency, laryngeal anomalies, a hoarse deep voice and otitis media ...
Posterior extension involves the soft palate, with possible velopharyngeal insufficiency and hypernasal speech. Palatal ... In persons with advanced-stage soft palate cancers, velopharyngeal insufficiency, altered speech, difficulty swallowing, ...
Velopharyngeal insufficiency (VPI). *Vocal cord paralysis. *Vocal cord nodules. Your childs doctor starts by listening to you ...
Rates of Revision and Obstructive Sleep Apnea after Surgery for Velopharyngeal Insufficiency: A Longitudinal Comparative ... A retrospective analysis of cleft and noncleft pediatric patients who underwent velopharyngeal insufficiency surgery was ... the rate of obstructive sleep apnea following velopharyngeal insufficiency surgery was not significantly different for ... of this study was to evaluate the comparative incidence of obstructive sleep apnea following velopharyngeal insufficiency ...
Velopharyngeal insufficiency (improper closing of soft palate muscle). * Teeth Grinding. * Rocking motion ...
Velopharyngeal Insufficiency (VPI) Clinic (1). Specialties Specialties. * Certified Pediatric Nurse Practitioner (5). ...
... and velopharyngeal insufficiency (less than 1 percent).31 Velopharyngeal insufficiency refers to the "cleft-palate" type of ...
  • Causes of hypernasality and velopharyngeal dysfunction (VPD) are many and range from structural causes (eg, cleft palate ) to neuromuscular problems (eg, those observed in velocardiofacial [VCF] syndrome). (medscape.com)
  • Other projects on velopharyngeal insufficiency include investigation of the use of intranasal flaps to augment surgical repair of oronasal fistulas, research into the impact of hyperbaric oxygen therapy on wound healing in the palate and cutting-edge studies of the repair of fetal cleft lip. (mayo.edu)
  • Submucous cleft palate (SMCP) represents an uncommon congenital palatal anomaly with a variable rate of velopharyngeal dysfunction or resulting speech abnormality. (nih.gov)
  • Services: Siobhan is involved in the assessment and management of speech, and resonance issues in children with cleft palate and non-cleft VPI (Velar Pharyngeal Insufficiency). (alderhey.nhs.uk)
  • The current review demonstrated that external and internal DO in the treatment of severe maxillary hypoplasia in cleft and palate patients (1) is a reproducible and valuable alternative to standard orthognathic surgery procedures, (2) allows for a global improvement in facial aesthetic, (3) allows a maxillary correction in patients during the period of mixed dentition, and (4) allows either for an unchanged or better velopharyngeal function. (unige.ch)
  • Velopharyngeal insufficiency (VPI) occurs in up to 40% of patients following cleft palate repair and results in hypernasality and nasal air emission during speech, which substantially limits communication. (hhs.gov)
  • Aim: Nearly 30% of the patients with cleft palate need another surgery for velopharyngeal insufficiency. (selcukmedj.org)
  • Objective: To evaluate the action of speech-aid palatal obturators in patients with velopharyngeal insufficiency due to cleft palate. (bvsalud.org)
  • Methods: Ten transforamen or post-foramen cleft palate patients with a diagnosis of velopharyngeal insufficiency, based on the analysis of hypernasality and nasal air emission, participated in the study. (bvsalud.org)
  • Conclusion: These results indicate that the use of speech-aid palatal obturators in cleft palate patients with velopharyngeal insufficiency increased hypernasality of the vowel /i/ and nasal air emission. (bvsalud.org)
  • Although there is yet no single internationally and standardized approach, there is a range of specified and internationally agreed upon articulation and non-articulation parameters in cleft palate speech and velopharyngeal insufficiency (VPI). (speechearing.org)
  • This article primarily reviews cleft lip and palate (CLP) and issues directly related to these anomalies, including secondary deformities and velopharyngeal insufficiency (VPI). (medscape.com)
  • Velopharyngeal insufficiency is a disorder of structure that causes a failure of the velum (soft palate) to close against the posterior pharyngeal wall (back wall of the throat) during speech in order to close off the nose (nasal cavity) during oral speech production. (wikipedia.org)
  • Nasal cavity Hard palate Soft palate Tongue Lips Tissue used for surgery Velopharyngeal insufficiency can be diagnosed by a speech pathologist through a perceptual speech assessment. (wikipedia.org)
  • Velopharyngeal Insufficiency (VPI) is a condition in which the soft palate, or the back moving part of the roof of the mouth, does not close the nose off well enough during speech. (archildrens.org)
  • Surgical procedures for correction of velopharyngeal insufficiency include pharyngeal flaps, where the posterior pharyngeal wall is elevated and sutured to the soft palate. (njfacialsurgery.com)
  • Velopharyngeal insufficiency or VPI occurs when the soft palate does not seal against the back of the mouth during appropriate speech sounds. (fauquierent.net)
  • Posterior extension involves the soft palate, with possible velopharyngeal insufficiency and hypernasal speech. (medscape.com)
  • The most frequent surgical technique used to treat velopharyngeal insufficiency (VPI), the pharyngeal flap is also one of the more dangerous pediatric procedures due to the potential for airway obstruction and patient death. (nih.gov)
  • The terms "velopharyngeal insufficiency" "velopharyngeal incompetence, "velopharyngeal inadequacy" and "velopharyngeal dysfunction" have often been used interchangeably, although they do not mean the same thing. (wikipedia.org)
  • Velopharyngeal dysfunction" now refers to abnormality of the velopharyngeal valve, regardless of cause. (wikipedia.org)
  • In Velopharyngeal dysfunction (VPD), the velopharyngeal valve does not close consistently and completely during the production of oral sounds. (njfacialsurgery.com)
  • Otolaryngological problems such as velopharyngeal insufficiency, laryngeal anomalies, a hoarse deep voice and otitis media occur frequently. (orpha.net)
  • This review provides a comprehensive overview of the literature on velopharyngeal insufficiency, associated anomalies and speech/language impairment in patients with craniofacial microsomia (CFM). (indoximity.com)
  • Velopharyngeal insufficiency is incomplete closure of a sphincter between the oropharynx and nasopharynx, often resulting from anatomic abnormalities of the palate and causing hypernasal speech. (msdmanuals.com)
  • Velopharyngeal insufficiency is incomplete closure of the velopharyngeal sphincter between the oropharynx and the nasopharynx. (msdmanuals.com)
  • The inadequate closing of the velopharyngeal sphincter (velopharyngeal insufficiency), which is often due to a congenital abnormality, can result in problems such as hypernasal speech or regurgitation of fluids through the nose when swallowing. (mayo.edu)
  • In describing the problem of hypernasal speech, differentiation between velopharyngeal mislearning, velopharyngeal incompetency, and velopharyngeal insufficiency (VPI) is important. (medscape.com)
  • Speech in a patient with velopharyngeal insufficiency is characterized by hypernasal resonant voice, nasal emission of air, nasal turbulence, and inability to produce sounds requiring oral pressure (plosives). (msdmanuals.com)
  • The division has an active multidisciplinary velopharyngeal insufficiency clinic, craniofacial clinic and aerodigestive clinic, all of which offer unique opportunities to study rare disease, innovative team-based treatments and excellent clinical outcomes for Mayo Clinic's complex pediatric patient population. (mayo.edu)
  • Treatment of velopharyngeal insufficiency consists of speech therapy and surgical correction by a palatal elongation pushback procedure, posterior pharyngeal wall implant, pharyngeal flap, or pharyngoplasty, depending on the mobility of the lateral pharyngeal walls, the degree of velar elevation, and the size of the defect. (msdmanuals.com)
  • Prosthetic devices are helpful when surgery is contraindicated or the cause of velopharyngeal insufficiency (VPI) is neuromuscular in nature or as a temporizing measure until surgery can be performed. (medscape.com)
  • The Division of Pediatric Otolaryngology's database of patients seen in Mayo's velopharyngeal insufficiency clinic allows investigators to compare outcomes, such as voice and perceptual analysis, between children who have undergone surgery and those receiving injectable filler. (mayo.edu)
  • His clinical practice interests are primarily focused on pediatric airway reconstruction, childhood hearing loss/cochlear implants and velopharyngeal insufficiency. (childrensnational.org)
  • In contrast, "velopharyngeal incompetence" refers to a neurogenic cause of inadequate velopharyngeal closure. (wikipedia.org)
  • Inadequate velopharyngeal closure (VPC) allows air to escape through the nose during the generation of consonants requiring high oral pressure, leading to inappropriate nasal resonance during speech production. (medscape.com)
  • Severe velopharyngeal insufficiency results in regurgitation of solid foods and fluids through the nose. (msdmanuals.com)
  • You may have some problems keeping liquids from coming up through your nose when drinking (called velopharyngeal insufficiency). (medlineplus.gov)
  • This fun tool helps transition oral airflow into easy onset vocalizations for clients with velo-pharyngeal insufficiency, voice disorders, and fluency disorders. (talkingchild.com)
  • Velopharyngeal insufficiency includes any structural defect of the velum or mechanical interference with closure. (wikipedia.org)
  • The activities of swallowing and speaking depend upon the ability to obtain adequate closure of the velopharyngeal port. (medscape.com)
  • Velopharyngeal movements during phonation are quite distinct from those involved in swallowing, as is clinically evident in patients who are able to obtain good closure during swallowing yet are unable to obtain adequate closure when speaking. (medscape.com)
  • Pharyngeal closure patterns important in velopharyngeal insufficiency. (medscape.com)
  • Velopharyngeal closure (VPC) is an important part of speech. (medscape.com)
  • The advantage of this technique over videofluoroscopy is that the examiner can see the size, location, and cause of the velopharyngeal opening very clearly and without harm (e.g., radiation) to the patient. (wikipedia.org)
  • Comparison between multiview videofluoroscopy and nasoendoscopy of velopharyngeal movements. (wikipedia.org)
  • Adenoidectomy and persistent velopharyngeal insufficiency: Considerations, risk factors, and treatment. (uams.edu)
  • Gadi Fishman Summary There is not one single surgical technique to correct velopharyngeal insufficiency. (entokey.com)
  • Nasometry is a method of measuring the acoustic correlates of resonance and velopharyngeal function through a computer-based instrument. (wikipedia.org)
  • Treatment options for velopharyngeal insufficiency include various surgical techniques or the use of injectable filler. (mayo.edu)
  • Speech therapy improves velopharyngeal function when VPD is minimal or due to articulation errors and in postoperative patients. (medscape.com)
  • Velopharyngeal insufficiency is suspected in patients with the typical speech abnormalities. (msdmanuals.com)
  • In this study, we plan to share our experience about evaluation of the velopharynx with dynamic MRI at patients who were operated oving for velopharyngeal insuf ficiency. (selcukmedj.org)
  • Patients and Methods: The study included seventeen patients who were presented with velopharyngeal insufficieny and we applied dynamic MRI for postoperative evaluation between April 2014 and May 2020. (selcukmedj.org)
  • Patients typically present progressive proximal and distal muscle weakness and wasting of lower and upper limbs, often with velopharyngeal involvement including dysphagia, dysphonia and ventilatory insufficiency. (orpha.net)
  • Nasometry is useful in the evaluation of hypernasality because it provides objective measurements of the function of the velopharyngeal valve. (wikipedia.org)
  • This is known as the velopharyngeal valve. (njfacialsurgery.com)
  • Regarding hypernasality of the vowel /u/ and velopharyngeal function, there was no statistically significant difference between T0, T1, and T2. (bvsalud.org)
  • Hypernasality of the vowel /u/ and velopharyngeal function showed no significant changes. (bvsalud.org)
  • We are also proud to offer the region's most comprehensive evaluation team for the management of children with velopharyngeal insufficiency. (rochester.edu)
  • The terms "velopharyngeal insufficiency" "velopharyngeal incompetence, "velopharyngeal inadequacy" and "velopharyngeal dysfunction" have often been used interchangeably, although they do not mean the same thing. (wikipedia.org)
  • In contrast, "velopharyngeal incompetence" refers to a neurogenic cause of inadequate velopharyngeal closure. (wikipedia.org)
  • Traumatic brain injuries or neurological disorders can also result in velopharyngeal incompetence due to muscle weakness or difficulty with muscle coordination of the palate. (stanfordchildrens.org)
  • Velopharyngeal dysfunction can be subdivided into insufficiency, incompetence and mislearning. (entandaudiologynews.com)
  • Velopharyngeal incompetence (VPI) therapy for cleft palate (speech therapy alone, speech therapy using speech aids, or combined therapy such as speech therapy using a pharyngeal flap), is more effective in younger patients than in adult patients. (springeropen.com)
  • Such pathological conditions of the cleft palate may cause functional problems in various muscles of the nasopharynx (including the tensor veli palatini, levator veli palatini, palatopharyngeus, palatoglossus, uvulae, salpingopharyngeus, and pharyngeal constrictor muscles), potentially resulting in velopharyngeal incompetence (VPI) and articulation disorder. (springeropen.com)
  • Nasal cavity Hard palate Soft palate Tongue Lips Tissue used for surgery Velopharyngeal insufficiency can be diagnosed by a speech pathologist through a perceptual speech assessment. (wikipedia.org)
  • Velopharyngeal insufficiency (VPI) is when the soft palate does not close tightly against the back of the throat, leading to air coming out the nose (characterized by hypernasality and/or nasal air emission) during speech. (stanfordchildrens.org)
  • Speech in a patient with velopharyngeal insufficiency is characterized by hypernasal resonant voice, nasal emission of air, nasal turbulence, and inability to produce sounds requiring oral pressure (plosives). (msdmanuals.com)
  • Methods: Ten transforamen or post-foramen cleft palate patients with a diagnosis of velopharyngeal insufficiency, based on the analysis of hypernasality and nasal air emission, participated in the study. (bvsalud.org)
  • Conclusion: These results indicate that the use of speech-aid palatal obturators in cleft palate patients with velopharyngeal insufficiency increased hypernasality of the vowel /i/ and nasal air emission. (bvsalud.org)
  • Patients who exhibit velopharyngeal insufficiency after cleft palate repair may require a secondary procedure to improve velopharyngeal function. (asha.org)
  • Research has shown that blowing bubbles and using oral-motor exercises are not effective for improving velopharyngeal function. (stanfordchildrens.org)
  • Velopharyngeal insufficiency is incomplete closure of a sphincter between the oropharynx and nasopharynx, often resulting from anatomic abnormalities of the palate and causing hypernasal speech. (msdmanuals.com)
  • 1. 22q11.2 deletion detected by endoscopic observation of pharyngeal pulsations in a child with submucous cleft palate and persistent velopharyngeal insufficiency. (nih.gov)
  • 6. Velopharyngeal insufficiency, submucous cleft palate and a phonological disorder as the associated clinical features which led to the diagnosis of Jacobsen syndrome. (nih.gov)
  • 12. Speech outcome after cranial-based pharyngeal flap in children born with total cleft, cleft palate, or primary velopharyngeal insufficiency. (nih.gov)
  • 13. Submucous cleft palate and velopharyngeal insufficiency: comparison of speech outcomes using three operative techniques by one surgeon. (nih.gov)
  • This article primarily reviews cleft lip and palate (CLP) and issues directly related to these anomalies, including secondary deformities and velopharyngeal insufficiency (VPI). (medscape.com)
  • Objective: To evaluate the action of speech-aid palatal obturators in patients with velopharyngeal insufficiency due to cleft palate. (bvsalud.org)
  • Speech-aid prosthesis in velopharyngeal incompetency patient with cleft palate: can speech aids be applicable for adult patient? (springeropen.com)
  • 5. It only provides a two-dimensional view, and therefore, multiple views are needed to see the entire velopharyngeal mechanism. (wikipedia.org)
  • Severe velopharyngeal insufficiency results in regurgitation of solid foods and fluids through the nose. (msdmanuals.com)
  • Treatment of velopharyngeal insufficiency consists of speech therapy and surgical correction by a palatal elongation pushback procedure, posterior pharyngeal wall implant, pharyngeal flap, or pharyngoplasty, depending on the mobility of the lateral pharyngeal walls, the degree of velar elevation, and the size of the defect. (msdmanuals.com)
  • 2. Superiorly based pharyngeal flap for treatment of velopharyngeal insufficiency in patients with 22q11.2 deletion syndrome. (nih.gov)
  • 4. Pharyngeal flap using carotid artery mobilization in 22q11.2 deletion syndrome with velopharyngeal insufficiency. (nih.gov)
  • Postoperative complications included velopha-ryngeal insufficiency, flap fistulization or loss, and trismus. (ochsner.org)
  • 8. Velopharyngeal valving during speech, in patients with velocardiofacial syndrome and patients with non-syndromic palatal clefts after surgical and speech pathology management. (nih.gov)
  • 10. Speech outcomes and velopharyngeal function after surgical treatment of velopharyngeal insufficiency in individuals with signs of velocardiofacial syndrome. (nih.gov)
  • 17. Surgical planning for restoring velopharyngeal function in velocardiofacial syndrome. (nih.gov)
  • A case of Amyotrophic Lateral Sclerosis with unilateral vocal fold palsy and velopharyngeal insufficiency. (yesonvc.net)
  • The psychosocial effects of the intervention were assessed using the patient-reported Velopharyngeal Insufficiency Effects on Life Outcomes questionnaire. (ugent.be)
  • Total Velopharyngeal Insufficiency Effects on Life Outcomes scores of the parents significantly improved in both groups after the intervention. (ugent.be)
  • Validation of the Chinese Velopharyngeal Insufficiency Effects on Life Outcomes Instrument. (arizona.edu)
  • 2018. Spanish Linguistic Validation of the Velopharyngeal Insufficiency Effects on Life Outcomes: VELO-Spanish. . (arizona.edu)
  • Nasometry is useful in the evaluation of hypernasality because it provides objective measurements of the function of the velopharyngeal valve. (wikipedia.org)
  • Regarding hypernasality of the vowel /u/ and velopharyngeal function, there was no statistically significant difference between T0, T1, and T2. (bvsalud.org)
  • Hypernasality of the vowel /u/ and velopharyngeal function showed no significant changes. (bvsalud.org)
  • This article focuses on the effect that this re-repair can have on both velopharyngeal function and eliminating hypernasality of the voice. (asha.org)
  • In addition we participate in the Velopharyngeal Insufficiency (VPI) Clinic, which allows speech therapists to assess the severity of VPI in conjunction with ENTs. (chkd.org)
  • This is known as VPI, or velopharyngeal insufficiency, and it affects the quality of a child's speech. (chrichmond.org)
  • In a small number of people, the uvula does not close properly against the back of the throat, causing a condition known as velopharyngeal insufficiency or VPI. (wikidoc.org)
  • Brazilian-Portuguese Linguistic Validation of the Velopharyngeal Insufficiency Effects on Life Outcome Instrument. (arizona.edu)
  • Measuring Patient-Reported Health-Related Quality of Life in Velopharyngeal Insufficiency: Reliability and Validity of the Brazilian Portuguese Version of the VELO Instrument. (arizona.edu)
  • The advantage of this technique over videofluoroscopy is that the examiner can see the size, location, and cause of the velopharyngeal opening very clearly and without harm (e.g., radiation) to the patient. (wikipedia.org)
  • It is important that the term "velopharyngeal insufficiency" is used if it is an anatomical defect and not a neurological problem. (wikipedia.org)
  • 9. Velopharyngoplasty for noncleft velopharyngeal insufficiency: results in relation to 22q11 microdeletion. (nih.gov)
  • Comparison between multiview videofluoroscopy and nasoendoscopy of velopharyngeal movements. (wikipedia.org)