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

References

Kummer AW. Types and Causes of Velopharyngeal Dysfunction.
Silver AL, Nimkin K, Ashland JE, Ghosh SS. Cine Magnetic Resonance Imaging With Simultaneous Audio to Evaluate Pediatric Velopharyngeal Insufficiency. ARCH OTOLARYNGOL HEAD NECK SURG. 2011;137(3).
Perry JL. Anatomy and Physiology of the Velopharyngeal Mechanism. Semin SPEECH Lang. 2011;32(2).
Ysunza PA. Velopharyngeal videofluoroscopy: Providing useful clinical information in the era of reduced dose radiation and safety. Int J Pediatr Otorhinolaryngol. 2016;
Skolnick ML, Cohn ER. Videofluoroscopic Studies of Speech in Patients with Cleft Palate. New York, NY: Springer New York; 1989.

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...