Velopharyngeal Inadequacy

	Velopharyngeal Inadequacy Velopharyngeal inadequacy is a malfunction of a velopharyngeal mechanism which is responsible for directing the transmission of sound energy and air pressure in both the oral cavity and the nasal cavity. When this mechanism is impaired in some way, the valve does not fully close, and a condition known as 'velopharyngeal inadequacy' can develop. VPI can either be congenital or acquired later in life. Presentation Relationship to cleft palate A cleft palate is one of the most common causes of VPI. Cleft palate is an anatomical abnormality that occurs in utero and is present at birth. This malformation can affect the lip and palate, or the palate only. A cleft palate can affect the mobility of the velopharyngeal valve, thereby resulting in VPI. Causes While cleft is the most common cause of VPI, other significant etiologies exist. These other causes are outlined in the chart below: Diagnosis Classification The most frequent types of cleft palates are overt, submucous, and occu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
	Sound Energy In physics, sound energy is a form of energy that can be heard by living things. Only those waves that have a frequency of 16 Hz to 20 kHz are audible to humans. However, this range is an average and will slightly change from individual to individual. Sound waves that have frequencies below 16 Hz are called infrasonic and those above 20 kHz are called ultrasonic. Sound is a mechanical wave and as such consists physically in oscillatory elastic compression and in oscillatory displacement of a fluid. Therefore, the medium acts as storage for both potential and kinetic energy. Consequently, the sound energy in a volume of interest is defined as the sum of the potential and kinetic energy densities integrated over that volume: :W = W_\mathrm + W_\mathrm = \int_V \frac\, \mathrmV + \int_V \frac\, \mathrmV, where ''V'' is the volume of interest; ''p'' is the sound pressure; ''v'' is the particle velocity; ''ρ''0 is the density of the medium without sound pr ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Air Pressure Atmospheric pressure, also known as barometric pressure (after the barometer), is the pressure within the atmosphere of Earth. The standard atmosphere (symbol: atm) is a unit of pressure defined as , which is equivalent to 1013.25 millibars, 760 mm Hg, 29.9212 inchesHg, or 14.696 psi.International Civil Aviation Organization. ''Manual of the ICAO Standard Atmosphere'', Doc 7488-CD, Third Edition, 1993. . The atm unit is roughly equivalent to the mean sea-level atmospheric pressure on Earth; that is, the Earth's atmospheric pressure at sea level is approximately 1 atm. In most circumstances, atmospheric pressure is closely approximated by the hydrostatic pressure caused by the weight of air above the measurement point. As elevation increases, there is less overlying atmospheric mass, so atmospheric pressure decreases with increasing elevation. Because the atmosphere is thin relative to the Earth's radius—especially the dense atmospheric layer at low altitudes—the Earth' ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Oral Cavity In animal anatomy, the mouth, also known as the oral cavity, or in Latin cavum oris, is the opening through which many animals take in food and issue vocal sounds. It is also the cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the pharynx. In tetrapods, it contains the tongue and, except for some like birds, teeth. This cavity is also known as the buccal cavity, from the Latin ''bucca'' ("cheek"). Some animal phyla, including arthropods, molluscs and chordates, have a complete digestive system, with a mouth at one end and an anus at the other. Which end forms first in ontogeny is a criterion used to classify bilaterian animals into protostomes and deuterostomes. Development In the first multicellular animals, there was probably no mouth or gut and food particles were engulfed by the cells on the exterior surface by a process known as endocytosis. The particles became enclosed in vacuoles into which enzymes were secret ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Nasal Cavity The nasal cavity is a large, air-filled space above and behind the nose in the middle of the face. The nasal septum divides the cavity into two cavities, also known as fossae. Each cavity is the continuation of one of the two nostrils. The nasal cavity is the uppermost part of the respiratory system and provides the nasal passage for inhaled air from the nostrils to the nasopharynx and rest of the respiratory tract. The paranasal sinuses surround and drain into the nasal cavity. Structure The term "nasal cavity" can refer to each of the two cavities of the nose, or to the two sides combined. The lateral wall of each nasal cavity mainly consists of the maxilla. However, there is a deficiency that is compensated for by the perpendicular plate of the palatine bone, the medial pterygoid plate, the labyrinth of ethmoid and the inferior concha. The paranasal sinuses are connected to the nasal cavity through small orifices called ostia. Most of these ostia communicate with ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Valve A valve is a device or natural object that regulates, directs or controls the flow of a fluid (gases, liquids, fluidized solids, or slurries) by opening, closing, or partially obstructing various passageways. Valves are technically fittings, but are usually discussed as a separate category. In an open valve, fluid flows in a direction from higher pressure to lower pressure. The word is derived from the Latin ''valva'', the moving part of a door, in turn from ''volvere'', to turn, roll. The simplest, and very ancient, valve is simply a freely hinged flap which swings down to obstruct fluid (gas or liquid) flow in one direction, but is pushed up by the flow itself when the flow is moving in the opposite direction. This is called a check valve, as it prevents or "checks" the flow in one direction. Modern control valves may regulate pressure or flow downstream and operate on sophisticated automation systems. Valves have many uses, including controlling water for irrigation ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Congenital A birth defect, also known as a congenital disorder, is an abnormal condition that is present at birth regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities can range from mild to severe. Birth defects are divided into two main types: structural disorders in which problems are seen with the shape of a body part and functional disorders in which problems exist with how a body part works. Functional disorders include metabolic and degenerative disorders. Some birth defects include both structural and functional disorders. Birth defects may result from genetic or chromosomal disorders, exposure to certain medications or chemicals, or certain infections during pregnancy. Risk factors include folate deficiency, drinking alcohol or smoking during pregnancy, poorly controlled diabetes, and a mother over the age of 35 years old. Many are believed to involve multiple factors. Birth defects may b ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Cleft Lip And Palate A cleft lip contains an opening in the upper lip that may extend into the nose. The opening may be on one side, both sides, or in the middle. A cleft palate occurs when the palate (the roof of the mouth) contains an opening into the nose. The term orofacial cleft refers to either condition or to both occurring together. These disorders can result in feeding problems, speech problems, hearing problems, and frequent ear infections. Less than half the time the condition is associated with other disorders. Cleft lip and palate are the result of tissues of the face not joining properly during development. As such, they are a type of birth defect. The cause is unknown in most cases. Risk factors include smoking during pregnancy, diabetes, obesity, an older mother, and certain medications (such as some used to treat seizures). Cleft lip and cleft palate can often be diagnosed during pregnancy with an ultrasound exam. A cleft lip or palate can be successfully treated with surge ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
	VPI Chart For Pitt Cleft Palate 2 VPI may refer to: * Vapor phase infiltration, a synonym for sequential infiltration synthesis * Velopharyngeal insufficiency, a medical term * Verilog Procedural Interface, in computer programming * Vertical Politics Institute, a conservative political action committee * Vietnam Petroleum Institute * Virginia Polytechnic Institute and State University (a.k.a. Virginia Tech) * Virtual path identifier, in computer networking * Visegrad Patent Institute, a patent organization created by the four Visegrad countries * Vocational Preference Inventory * VPI Industries VPI Industries Inc., founded by Harry and Sheila Weisfeld, is an American manufacturer of high-end phonographs, tonearms, and phonograph accessories. See also * List of phonograph manufacturers This is a list of phonograph manufacturers. Th ... , a manufacturer of phonographs * VPIphotonics, photonic simulation tool {{disambig ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
	Pharyngeal Flap Surgery Pharyngeal flap surgery is a procedure to correct the airflow during speech. The procedure is common among people with cleft palate and some types of dysarthria. Pharyngeal flap procedures Posterior pharyngeal flap surgery is the most commonly used operation to restore velopharyngeal competence (i.e., develop a functional seal between the vocal and the oral cavity), and therefore correct hypernasality and nasal air escape (Ysunza ''et al.'', 2002). Posterior pharyngeal flaps can be based superiorly or inferiorly and the velum can be split transversely or along the midline (Lideman-Boshki ''et al.'', 2005). Centrally positioned, superior based flaps continue to be the most popular pharyngeal flap choice, yet inferior based flaps are easier for the surgeon to perform. Compared to superiorly based flaps, inferiorly based flaps are limited in regard to the size of velopharyngeal opening that can be covered (Peterson-Falzone ''et al.'', 2001). Pharyngolasties correcting hypernasal ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Velopharyngeal Insufficiency Velopharyngeal insufficiency is a disorder of structure that causes a failure of the velum (soft palate) to close against the posterior pharyngeal wall (back wall of the throat) during speech in order to close off the nose (nasal cavity) during oral speech production. This is important because speech requires sound (from the vocal folds) and airflow (from the lungs) to be directed into the oral cavity (mouth) for the production of all speech sound with the exception of nasal sounds (m, n, and ng). If complete closure does not occur during speech, this can cause hypernasality (a resonance disorder) and/or audible nasal emission during speech (a speech sound disorder). In addition, there may be inadequate airflow to produce most consonants, making them sound weak or omitted. The terms "velopharyngeal insufficiency" "velopharyngeal incompetence, "velopharyngeal inadequacy" and "velopharyngeal dysfunction" have often been used interchangeably, although they do not mean the same thing ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Sphincter A sphincter is a circular muscle that normally maintains constriction of a natural body passage or orifice and which relaxes as required by normal physiological functioning. Sphincters are found in many animals. There are over 60 types in the human body, some microscopically small, in particular the millions of precapillary sphincters. Sphincters relax at death, often releasing fluids and faeces. Functioning Each sphincter is associated with the lumen (opening) it surrounds. As long as the sphincter muscle is contracted, its length is shortened and the lumen is constricted (closed). Relaxation of the muscle causes it to lengthen, opening the lumen and allowing the passage of liquids, solids, or gases. This is evident, for example, in the blowholes of numerous marine mammals. Many sphincters are used every day in the normal course of digestion. For example, the lower oesophageal sphincter (or cardiac sphincter), which resides at the top of the stomach, is closed most of the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]
picture info	Speech Communication Speech is a human vocal communication using language. Each language uses phonetic combinations of vowel and consonant sounds that form the sound of its words (that is, all English words sound different from all French words, even if they are the same word, e.g., "role" or "hotel"), and using those words in their semantic character as words in the lexicon of a language according to the syntactic constraints that govern lexical words' function in a sentence. In speaking, speakers perform many different intentional speech acts, e.g., informing, declaring, asking, persuading, directing, and can use Elocution, enunciation, Intonation (linguistics), intonation, degrees of loudness, tempo, and other non-representational or Paralanguage, paralinguistic aspects of vocalization to convey meaning. In their speech, speakers also unintentionally communicate many aspects of their social position such as sex, age, place of origin (through Accent (sociolinguistics), accent), physical states ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu]