A proposal for standardization of speech and heaving evaluations to assess velopharyngeal function

Author(s): VanDemark, D. R.

Journal/Book: Folia Phoniatr Logopaed. 1997; 49: Allschwilerstrasse 10, CH-4009 Basel, Switzerland. Karger. 158-167.

Abstract: The article comprises the proposal made by the Cleft Palate Committe of IALP to standardize the parameters of the speech and hearing evaluation in individuals with cleft palate/velopharyngeal incompetence (CP/VPI). The suggested parameters are the following: nasal resonance: nasal escape, articulation and its disorders, facial grimacing, speech intelligibility, patient teachability, expressive language and voice. The authors recommend a five-point scale description system, which can be used also for assessment of hearing, velopharyngeal competence and other attributes of the CP/VPI individual. The most important diagnostic procedures are: X-ray (video/cinefluoroscopy), nasopharyngoscopy, nasometry; in dubious cases it is also fundamental to clarify the etiology with electrophysiological methods. The utilization of this proposal might contribute to a more accurate diagnosis and a more effective treatment on an international basis.

Note: Article Hirschberg J, Madarasz Childrens Hosp, Dept Otorhinolaryngol, Madarasz 22-24, H-1131 Budapest, HUNGARY

Keyword(s): velopharyngeal function; cleft palate; speech/hearing parameters

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