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Updated: Feb 26, 2026

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
[Velopharyngeal insufficiency in children]
Anthony De Buys Roessingh1, Oumama El Ezzi1, Céline Richard2
1Service de chirurgie pédiatrique, Centre universitaire romand de chirurgie pédiatrique (CURCP), CHUV, 1011 Lausanne.
Abstract:
Velopharyngeal insufficiency (VPI) represents an incomplete closure between the soft palate and the posterior pharyngeal wall. Its etiology can be anatomical (cleft palate), neurologic, or iatrogenic (after adenoidectomy). The evaluation of a VPI begins with a through speech and language assessment and can be complemented by instrumental investigations. VPI treatment relies on its early identification, followed by a specific speech therapy management. Surgery is performed in case of no improvement with speech therapy or in case of an anatomical defect not allowing the child to improve. IVP management requires a multidisciplinary team.
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