Current management of velopharyngeal insufficiency in children

Christine G. Gourin, Richard N. Hubbell

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Velopharyngeal insufficiency is a challenging problem with audible stigmata that can hinder child development and social achievement. The speech abnormalities resulting from velopharyngeal insufficiency can range from mild hypernasality to profound misarticulation. Speech evaluation by a trained speech therapist and direct visualization of velopharyngeal closure by nasopharyngoscopy provide the best assessment of velopharyngeal function. Current treatment options include speech therapy, use of a prosthetic obturator, and surgical intervention. Successful treatment depends on accurate diagnosis of the underlying defect and accurate evaluation of the specific effect on velopharyngeal closure.

Original languageEnglish (US)
Pages (from-to)378-384
Number of pages7
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Issue number6
StatePublished - 1996
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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