Velopharyngeal Incompetence
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Velopharyngeal Incompetence
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 occult sub ...
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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 20 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 20 Hz are called infrasonic and those above 20 kHz are called ultrasonic. Sound is a longitudinal 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 wit ...
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Air Pressure
Atmospheric pressure, also known as air pressure or barometric pressure (after the barometer), is the pressure within the atmosphere of Earth. The Standard atmosphere (unit), standard atmosphere (symbol: atm) is a unit of pressure defined as , which is equivalent to 1,013.25 Bar (unit), millibars, 760millimetre of mercury, mm Hg, 29.9212inch of mercury, inchesHg, or 14.696pounds per square inch, psi.International Civil Aviation Organization. ''Manual of the International Standard Atmosphere, 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 fluid pressure, hydrostatic pressure caused by the weight of Earth's atmosphere, air above the measurement point. As elevation increases, there is less overlying atmospheric mass, so atmospher ...
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Oral Cavity
A mouth also referred to as the oral is the body orifice through which many animals ingest food and vocalize. The body cavity immediately behind the mouth opening, known as the oral cavity (or in Latin), is also the first part of the alimentary canal, which leads to the pharynx and the gullet. In tetrapod vertebrates, the mouth is bounded on the outside by the lips and cheeks — thus the oral cavity is also known as the buccal cavity (from Latin ', meaning "cheek") — and contains the tongue on the inside. Except for some groups like birds and lissamphibians, vertebrates usually have teeth in their mouths, although some fish species have pharyngeal teeth instead of oral teeth. Most bilaterian phyla, including arthropods, molluscs and chordates, have a two-opening gut tube 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 t ...
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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 communicat ...
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Valve
A valve is a device or natural object that regulates, directs or controls the flow of a fluid (gases, liquids, fluidized solids, or Slurry, slurries) by opening, closing, or partially obstructing various passageways. Valves are technically Piping and plumbing fitting, 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 Fluid dynamics, flow downstream and operate on sophisticated Automation#Industrial automation, automat ...
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Congenital
A birth defect is an abnormal condition that is present at childbirth, birth, regardless of its cause. Birth defects may result in disability, disabilities that may be physical disability, physical, intellectual disability, intellectual, or developmental disability, 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 disorder, metabolic and degenerative disease, degenerative disorders. Some birth defects include both structural and functional disorders. Birth defects may result from genetic disorder, genetic or chromosome abnormality, chromosomal disorders, exposure to certain medications or chemicals, or certain vertically transmitted infection, infections during pregnancy. Risk factors include folate deficiency, alcohol drink, d ...
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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 surgery ...
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VPI Chart For Pitt Cleft Palate 2
VPI may refer to: Science and technology * Vapor phase infiltration, a technique * Velopharyngeal insufficiency, a medical disorder * Verilog Procedural Interface, a programming interface * Virtual path identifier, in computer networking * Virtual protocol interconnect, a feature of Mellanox Technologies Organizations * Vertical Politics Institute, a conservative political action committee * Vietnam Petroleum Institute * Virginia Polytechnic Institute and State University, official name of Virginia Tech, a US university * Visegrad Patent Institute, a patent organization created by the four Visegrad countries * 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. The ..., a manufacturer of phonographs Other uses * ''Vocational Preference Inventory'', by John L. Holland ...
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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 spe ...
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Velopharyngeal Insufficiency
Velopharyngeal insufficiency is a disorder of structure that causes a failure of the velum (soft palate) to close against the posterior Pharynx, pharyngeal wall (back wall of the throat) during speech in order to close off the 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 Phone (phonetics), speech sounds, with the exception of nasal consonants (m, n, and ng). If complete closure does not occur during speech, this can cause Hypernasal speech, 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 interchangea ...
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Sphincter
A sphincter is a circular muscle that normally maintains constriction of a natural body passage or orifice and 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 Body fluid, 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 Blowhole (biology), 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, ...
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Speech Communication
Speech is the use of the human voice as a medium for language. Spoken language combines vowel and consonant sounds to form units of meaning like words, which belong to a language's lexicon. There are many different intentional speech acts, such as informing, declaring, asking, persuading, directing; acts may vary in various aspects like enunciation, intonation, loudness, and tempo to convey meaning. Individuals may also unintentionally communicate aspects of their social position through speech, such as sex, age, place of origin, physiological and mental condition, education, and experiences. While normally used to facilitate communication with others, people may also use speech without the intent to communicate. Speech may nevertheless express emotions or desires; people talk to themselves sometimes in acts that are a development of what some psychologists (e.g., Lev Vygotsky) have maintained is the use of silent speech in an interior monologue to vivify and organize ...
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