Practical application of flexible fiberoptic nasopharyngoscopy for evaluating velopharyngeal function

Area of Science:

• Otolaryngology
• Speech-Language Pathology
• Pediatric Surgery

Background:

• Flexible fiberoptic nasopharyngoscopy is increasingly used for velopharyngeal function assessment.
• Limited literature exists on the routine application, outcomes, and communication of nasoendoscopy findings.
• Velopharyngeal dysfunction impacts speech and resonance, requiring accurate diagnostic methods.

Purpose of the Study:

• To describe a method for the routine use of nasoendoscopy for velopharyngeal function evaluation.
• To report on the outcomes of nasoendoscopic evaluations.
• To establish criteria for referral and a communication mechanism for findings.

Main Methods:

• A 2-year clinical database of nasoendoscopy evaluations was analyzed.
• Flexible fiberoptic nasopharyngoscopy was performed on 85 patients aged 3 years to adult.
• A standard format was developed for communicating results to healthcare providers.

Main Results:

• Ninety-eight patients were referred for evaluation of velopharyngeal function during speech.
• Eighty-nine percent of nasoendoscopic evaluations were successfully completed on the first attempt.
• Nasoendoscopy is integral to cleft team care, guiding palatal management and prosthesis fitting.

Conclusions:

• Routine nasoendoscopy provides valuable data for managing velopharyngeal function.
• A standardized communication format enhances interdisciplinary care for patients with velopharyngeal issues.
• Nasoendoscopy is crucial for treatment decisions in resonance disorders and post-surgical management.