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Nasometry, videofluoroscopy, and the speech pathologist's evaluation and treatment
Marie de Stadler1, Cheryl Hersh
1Department of Speech Language and Swallowing Disorders, Massachusetts General Hospital, Boston, Mass., USA.
Advances in Oto-Rhino-Laryngology
|March 4, 2015
Summary
Speech-language pathologists (SLPs) are crucial for assessing and managing children with velopharyngeal insufficiency (VPI). They use clinical and instrumental methods to guide treatment, ensuring optimal care through collaboration.
Area of Science:
- Pediatric Speech-Language Pathology
- Craniofacial Disorders
- Communication Sciences
Background:
- Velopharyngeal insufficiency (VPI) affects speech sound production and resonance in children.
- Speech-language pathologists (SLPs) are key professionals in diagnosing and managing VPI.
- Early assessment is vital for effective intervention.
Purpose of the Study:
- To outline the comprehensive role of SLPs in VPI assessment and management.
- To describe the progression from clinical to instrumental evaluations.
- To emphasize evidence-based treatment pathways for VPI.
Main Methods:
- Clinical speech and resonance evaluations, including oral motor exams and perceptual assessments.
- Instrumental evaluations such as nasometry, videofluoroscopy, and nasopharyngoscopy for objective data.
- Analysis of speech sound repertoire and resonance characteristics.
Main Results:
- SLPs identify specific speech characteristics of VPI, guiding clinical and surgical decisions.
- Instrumental assessments provide objective measures for children aged 3-4 and older.
- Treatment decisions are based on the underlying cause of VPI (anatomic vs. mislearning).
Conclusions:
- SLP expertise is essential for accurate VPI diagnosis and tailored management plans.
- A combination of surgery and speech therapy is often required for optimal outcomes.
- Collaborative care between SLPs and otorhinolaryngologists ensures the best patient care.
