03 VPI/VPD, Hypernasality, Hearing: Assessment and Management

Question 1

VPI/Dysfunction- umbrella term for velum not achieving complete closure.

Catefories of VPI:

VP __________ - structural etiology. works fine but anatomically too short. may be byproduct of prior surgery, cleft, or platybasia (velum normal but base of skull too deep). webbing on faucial pillars (mechanical)

VP ___________ - neurological l involvement. common in 22q11 aka _____________ syndrome

VP ___________ - normal A/P, but mislearned speech sounds and VP doesn’t close on certain sounds (usually fricatives/affricates)

Answer 1

VPI/Dysfunction - umbrella term for velum not achieving complete closure.

Catefories of VPI:

VP Insufficiency - structural etiology. works fine but anatomically too short. may be byproduct of prior surgery, cleft, or platybasia (velum normal but base of skull too deep). webbing on faucial pillars (mechanical)

VP Incompetency - neurological l involvement. common in 22q11 aka velocardialfacial syndrome

VP Mislearning - normal A/P, but mislearned speech sounds and VP doesn’t close on certain sounds (usually fricatives/affricates)

Question 2

if velum doesn’t close, tx will not work. don’t be the dipshit SLP with the bright idea to try and “strengthen the velum” for speech with blowing and sucking. unethical. waste of time. pure fuckbaggery. don’t do it.

because

velum will close for blowjo…err, bio functions (_____, _______, _____) but not for voluntary. ie, _______

Answer 2

if velum doesn’t close, tx will not work. don’t be the dipshit SLP with the bright idea to try and “strengthen the velum” for speech with blowing and sucking. unethical. waste of time. pure fuckbaggery. don’t do it.

because

velum will close for blowjo…err, bio functions (suck, swallow, blow) but not for voluntary. ie, speech

Question 3

hypernasality is a _________ quality of ______ which is dependent on the __________ that are present in a voice

CP surgery is generally successful, for the 20-30% that aren’t, ____ may occur (velum not long enough)

_______ and ________ problems point to artic

Answer 3

hypernasality is a resonant quality of voice which is dependent on the formants that are present in a voice

CP surgery is generally successful, for the 20-30% that aren’t, VPI may occur (velum not long enough)

place and manner problems point to artic

Question 4

Symptoms of VPI

hypernasality only occurs on ________

NAE only occurs on ___________

____________ errors may be used to maintain ________ and _______, but place is changed. these are very hard to fix.

nasal ____________ may also be present

Answer 4

Symptoms of VPI

hypernasality only occurs on vowels

NAE only occurs on consonants

compensatory errors may be used to maintain manner and voice, but place is changed. these are very hard to fix.

nasal regurgitation may also be present

Question 5

impounding oral pressure is critical for producing _______, ___________, and __________ and can be assessed during an oral mech. exam by having the patient hold air in their cheeks / puh-tuh-kuh

Answer 5

impounding oral pressure is critical for producing stops, fricatives, and affricates and can be assessed during an oral mech. exam by having the patient hold air in their cheeks / puh-tuh-kuh

Question 6

VPI is assesed by a radiographic study (x-ray) using ________ or by doing a ______________

Answer 6

VPI is assesed by a radiographic study (x-ray) using barium or by doing a nasoendoscopy

Question 7

if the velar eminence is absent and looks like a V-shape, this is a sign of __________ cleft

Answer 7

if the velar eminence is absent and looks like a V-shape, this is a sign of submucous cleft