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What is the Patient Compliance Rate for Nasopharyngoscopy as Documented in Clinical Reports?

Jessica L Chee-Williams1,2, Emma K Stewart3, Thomas J Sitzman1,4,5

  • 1Phoenix Children's Center for Cleft and Craniofacial, Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, AZ, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|November 28, 2025
PubMed

Insights

Patient compliance with nasopharyngoscopy for cleft palate surgery planning is often insufficient. At least one-fourth of reports show poor compliance, limiting visualization of the velopharyngeal port.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Speech-Language Pathology

Background:

  • Nasopharyngoscopy is crucial for evaluating velopharyngeal insufficiency (VPI) in patients with cleft palate.
  • Accurate assessment of the velopharyngeal port is essential for surgical planning.

Purpose of the Study:

  • To assess patient compliance rates during nasopharyngoscopy documented in clinical reports.
  • To determine the impact of compliance on the quality of velopharyngeal port imaging.

Main Methods:

  • A cross-sectional study was conducted across 13 North American cleft teams.
  • Data were collected from clinical reports of patients aged 3-21 with repaired cleft palates undergoing nasopharyngoscopy.

Main Results:

  • Patient compliance was documented in 81% of reports.
  • Good/excellent compliance was reported in 65% of cases, while 16% showed poor compliance.
  • Poor compliance was associated with fewer documented imaging ratings, though surgical recommendations were still made in 55% of these cases.

Conclusions:

  • Significant compliance issues in at least one-fourth of nasopharyngoscopies limit velopharyngeal port imaging.
  • Some cleft teams may proceed with VPI surgery without adequate visualization of velopharyngeal anatomy.
  • Improving patient compliance is critical for accurate VPI assessment and surgical planning.

Keywords:
cleft palatenasopharyngoscopypatient compliancevelopharyngeal insufficiency

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