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STATE OF THE ART
Year : 2019  |  Volume : 6  |  Issue : 2  |  Page : 65-72

Management of velopharyngeal insufficiency: The evolution of care and the current state of the art


Division of Speech-Language Pathology, Department of Patient Services, Cincinnati Children's Hospital Medical Center; University of Cincinnati, College of Medicine, Cincinnati, Ohio, USA

Correspondence Address:
Dr. Ann W Kummer
Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio 45229-3026
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jclpca.jclpca_10_19

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Velopharyngeal insufficiency (VPI) is a condition in which there is incomplete closure of the velopharyngeal valve during speech production. This results in hypernasality and/or audible nasal emission. Nasal emission can cause additional secondary characteristics, including weak or omitted consonants, compensatory articulation productions, short utterance length, and even dysphonia. Overall, this condition affects the quality and intelligibility of speech production, which can have a significant effect on the individual's communication and social interactions. This article provides a brief overview of how the management of VPI has evolved over the past 40 years (which is the extent of this author's career). In addition, the current state of the art in VPI management is discussed from this author's perspective. Finally, a pathway is suggested for the future evolution of care for patients affected by VPI.


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