Videofluoroscopic evaluation of velopharyngeal insufficiency: a quick guide for residents.

Congress:

ECR 2023

Poster Number:

C-11198

Type:

Educational Exhibit

Keywords:

Ear / Nose / Throat, Fluoroscopy, Contrast agent-oral, Speech disorders

Authors:

S. J. Valdes Bañuelos, M. Cuadra, H. A. Cervantes Flores, F. Bravo Ontiveros

DOI:

10.26044/ecr2023/C-11198

DOI-Link:

https://dx.doi.org/10.26044/ecr2023/C-11198

Learning objectives

Identify the anatomical components that lead to normal velopharyngeal function.
Provide a brief description of how to do the video-fluoroscopic procedure for the evaluation of velopharyngeal insufficiency.
Enunciate the measurements and descriptors that the imaging report needs to include.

Table 1: Common etiologies of Velopharyngeal Dysfunction.

Fig 1: Lateral view on a Velopharyngeal videofluoroscopy and illustration. Anatomical...

Fig 2: Frontal view on a Velopharyngeal videofluoroscopy. Anatomical components of...

Fig 3: Illustration and lateral Velopharyngeal videofluoroscopy during nasal breathing...

Fig 4: Equipment need for the fluoroscopic evaluation of velopharyngeal insufficiency....

Fig 5: Frontal and lateral views

Fig 6: Colimation of the X ray beam. A) Wrongly collimated beam. Lens and thyroid are...

Fig 7: Nasal instillation of the barium. A) Head must be hyperextended, nasal feeding...

Fig 8: Orientation of x-ray beam to velopharyngeal sphincter. Frontal view. Right...

Fig 9: Velopharyngeal videofluoroscopy during speech. 27-year-old patient with a...

Fig 10: Orientation of x-ray beam to velopharyngeal sphincter. Lateral view. Velum...

Fig 11: Velopharyngeal videofluoroscopy during speech. Lateral view. 12-year-old female...

Fig 12: Distance between lateral pharyngeal walls at rest //Distance between lateral...

Fig 13: Contour of the lateral pharyngeal walls described as shelf, balloon, vertical...

Fig 14: Lateral view. A) Distance between the tip of the uvula and the hard palate at...

Fig 15: Velopharyngeal videofluoroscopy during speech. Lateral view. 25-year-old...