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The Velopharyngeal Mechanism

  • Robert J. Shprintzen
Chapter

Keywords

Cleft Palate Posterior Pharyngeal Wall Nemaline Myopathy Normal Speech Production Lateral Pharyngeal Wall 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Shprintzen RJ. The origin of speech ease: evolution of the human upper airway and its functional implications for obstructive sleep apnea. Sleep Med 2003; 4:171–173.PubMedCrossRefGoogle Scholar
  2. 2.
    Shprintzen RJ. Instrumental assessment of velopharyngeal valving. In: Shprintzen RJ, Bardach J, (eds). Cleft palate speech management: a multidisciplinary approach. St. Louis: Mosby; 1995. p. 221–256.Google Scholar
  3. 3.
    Shprintzen RJ, Lencione RM, McCall GN, Skolnick ML. A three dimensional cinefluoroscopic analysis of velopharyngeal closure during speech and nonspeech activities in normals. Cleft Palate J 1974; 11:412–428.PubMedGoogle Scholar
  4. 4.
    Skolnick ML. McCall GN, Barnes M. The sphincteric mechanism of velopharyngeal closure. Cleft Palate J 1973; 10:286–305.PubMedGoogle Scholar
  5. 5.
    Croft CB, Shprintzen RJ, Rakoff SJ. Patterns of velopharyngeal valving in normal and cleft palate subjects: a multi-view videofluoroscopic and nasendoscopic study. Laryngoscope 1981; 91:265–227.PubMedGoogle Scholar
  6. 6.
    Siegel-Sadewitz VL, Shprintzen RJ. Nasopharyngoscopy of the normal velopharyngeal sphincter: an experiment of biofeedback. Cleft Palate J 1982; 19:194–201.PubMedGoogle Scholar
  7. 7.
    Shprintzen RJ, Siegel-Sadewitz VL, Amato J, Goldberg RB. Anomalies associated with cleft lip, cleft palate, or both. Am J Med Genet 1985; 20:585–596.PubMedCrossRefGoogle Scholar
  8. 8.
    Zim S, Schelper R, Kellman R, Tatum S, Ploutz-Snyder R, Shprintzen RJ. Thickness and histologic and histochemical properties of the superior pharyngeal constrictor muscle in velocardiofacial syndrome. Arch Facial Plast Surg 2003; 5:503–507.PubMedCrossRefGoogle Scholar
  9. 9.
    Williams ML, Shprintzen RJ, Rakoff SJ. Adenoid hypoplasia in the velo-cardio-facial syndrome. J Craniofac Genet Devel Biol 1987; 7:23–26.Google Scholar
  10. 10.
    Arvystas M, Shprintzen RJ. Craniofacial morphology in the velo-cardio-facial syndrome. J Craniofac Genet Devel Biol 1984; 4:39–45.Google Scholar
  11. 11.
    Shprintzen RJ. Velo-cardio-facial syndrome. In: Management of genetic syndromes. Cassidy SB, Allanson J, (eds.) New York: Wiley; 2001. p. 495–517.Google Scholar
  12. 12.
    Shprintzen RJ, Croft CB. Abnormalities of the Eustachian tube orifice in individuals with cleft palate. Int J Pediatr Otorhinolaryngol 1981; 3:15–23.PubMedCrossRefGoogle Scholar
  13. 13.
    Marrinan EM, LaBrie RA, Mulliken JB. Velopharyngeal function in nonsyndromic cleft palate: relevance of surgical technique, age at repair, and cleft type. Cleft Palate Craniofac J 1998; 35:95–100.PubMedCrossRefGoogle Scholar
  14. 14.
    Croft CB, Shprintzen RJ, Ruben RJ. Hypernasal speech following adenotonsillectomy. Otolaryngol Head Neck Surg 1981; 89:179–188.PubMedGoogle Scholar
  15. 15.
    Havkin N, Tatum SA III, Shprintzen RJ. Velopharyngeal insufficiency and articulation impairment in velo-cardiofacial syndrome: the influence of adenoids on phonemic development. Int J Pediatr Otorhinolaryngol 2000; 54:103–110.PubMedCrossRefGoogle Scholar
  16. 16.
    Shprintzen RJ. Velocardiofacial syndrome. Otolaryngol Clin North Am 2000; 33:1217–1240.PubMedCrossRefGoogle Scholar
  17. 17.
    Calnan JS. Submucous cleft palate. Br J Plast Surg 1954; 6:164–168.Google Scholar
  18. 18.
    Croft CB, Shprintzen RJ, Daniller AI, Lewin ML. The occult subraucous cleft palate and the musculus uvulae. Cleft Palate J 1978; 15:150–154.Google Scholar
  19. 19.
    Lewin ML, Croft CB, Shprintzen RJ. Velopharyngeal insufficiency due to hypoplasia of the musculus uvulae and occult submucous cleft palate. Plast Reconstr Surg 1980; 65:585–591.PubMedGoogle Scholar
  20. 20.
    Shprintzen RJ, Schwartz RH, Daniller A, Hoch L. Morphological significance of bifid uvula. Pediatrics 1985; 75:553–561.PubMedGoogle Scholar
  21. 21.
    Kaplan EN. The occult submucous cleft palate. Cleft Palate J 1975; 12:356–368.PubMedGoogle Scholar
  22. 22.
    Shprintzen RJ. Hypernasal speech in the absence of overt or submucous cleft palate: the mystery solved. In: Ellis R and Flack R, (eds.) Diagnosis and treatment of palato glossal malfunction. London: College of Speech Therapists; 1979. p. 37.Google Scholar
  23. 23.
    Shprintzen RJ. Palatal and pharyngeal anomalies in craniofacial syndromes. Birth Defects 1982; 18(1), 53–78.PubMedGoogle Scholar
  24. 24.
    Shprintzen RJ, Sher AE, Croft CB. Hypernasal speech caused by hypertrophic tonsils. Internat J Pediatr Otorhinolaryngol 1987; 14:45–56.CrossRefGoogle Scholar
  25. 25.
    MacKenzie-Stepner K, Witzel MA, Stringer DA, Laskin RL. Velopharyngeal insufficiency due to hypertrophic tonsils. A report of two cases. Int J Pediatr Otorhinolaryngol 1987; 14:57–63.PubMedCrossRefGoogle Scholar
  26. 26.
    Henningsson G, Isberg A. Influence of tonsils on velopharyngeal movements in children with craniofacial anomalies and hypernasality. Am J Orthodontics Dentofacial Orthopedics 1988; 94:253–261.CrossRefGoogle Scholar
  27. 27.
    Shprintzen RJ, Singer L, Sidoti EJ, Argamaso RV. Pharyngeal flap surgery: postoperative complications. Int Anesthesiol Clin 1992; 30:115–124.PubMedGoogle Scholar
  28. 28.
    Shprintzen RJ. Genetics, syndromes, and communication disorders. San Diego: Singular Publishing; 1997.Google Scholar
  29. 29.
    Golding-Kushner KJ, Argamaso RV, Cotton RT, Grames LM, Henningsson G, Jones DL, Karnell MP, Klaiman PG, Lewin ML, Marsh JL, et al. Standardization for the reporting of nasopharyngoscopy and multi-view videofluoroscopy: a report from an international working group. Cleft Palate J 1990; 27:337–347.PubMedCrossRefGoogle Scholar
  30. 30.
    Skolnick ML. Video velopharyngography in patients with nasal speech, with emphasis on lateral pharyngeal motion in velopharyngeal closure. Radiology 1969; 93:747–755.PubMedGoogle Scholar
  31. 31.
    Skolnick ML. Videofluoroscopic examination of the velopharyngeal portal during phonation in lateral and base projections-a new technique for studying the mechanics. Cleft Palate J 1970; 7:803–816.PubMedGoogle Scholar
  32. 32.
    Shprintzen RJ. Instrumental assessment of velopharyngeal valving. In: Shprintzen RJ, Bardach J, (eds) Cleft palate speech management: a multidisciplinary approach. St. Louis: Mosby; 1995. p. 221–256.Google Scholar
  33. 33.
    Pigott RW. The nasoendoscopic appearance of the normal palatopharyngeal valve. Plast Reconstr Surg 1969; 43:19–24.PubMedCrossRefGoogle Scholar
  34. 34.
    Pigott RW. Bensen JF. White FD. Nasendoscopy in the diagnosis of velopharyngeal incompetence. Plast Reconstr Surg 1969; 43:141–147.PubMedGoogle Scholar
  35. 35.
    Pigott RW, Makepeace AP. Some characteristics of endoscopic and radiological systems used in elaboration of the diagnosis of velopharyngeal incompetence. Br J Plast Surg 1982; 35:19–32.PubMedCrossRefGoogle Scholar
  36. 36.
    Miyazaki T, Matsuya T, Yamaoka M. Fiberscopic methods for assessment of velopharyngeal closure during various activities. Cleft Palate J 1975; 12:107–114.PubMedGoogle Scholar
  37. 37.
    Shprintzen RJ. The use of multi-view videofluoroscopy and flexible fiberoptic nasopharyngoscopy as a predictor of success with pharyngeal flap surgery. In: Ellis R, Flack R, (eds.) Diagnosis and treatment of palato glossal malfunction. London: College of Speech Therapists; 1979. p. 44–55.Google Scholar
  38. 38.
    Shprintzen RJ, Lewin ML, Croft CB, Daniller AI, Argamaso RV, Ship A, Strauch B. A comprehensive study of pharyngeal flap surgery: tailor-made flaps. Cleft Palate J 1979; 16:46–55.PubMedGoogle Scholar
  39. 39.
    D’Antonio LL, Marsh JL, Province MA, Muntz HR, Phillips CJ. Reliability of flexible fiberoptic nasopharyngoscopy for evaluation of velopharyngeal function in a clinical population. Cleft Palate J 1989; 26:217–225.PubMedGoogle Scholar
  40. 40.
    Tatum SA III, Chang J, Havkin N, Shprintzen RJ. Pharyngeal flap and the internal carotid in velo-cardio-facial syndrome. Arch Facial Plast Surg 2002; 4:73–80.PubMedCrossRefGoogle Scholar
  41. 41.
    Shprintzen RJ, Singer L, Sidoti EJ, Argamaso RV. Pharyngeal flap surgery: postoperative complications. Int Anesthesiol Clin 1992; 30:115–124.PubMedCrossRefGoogle Scholar
  42. 42.
    Argamaso RV, Levandowski GJ, Golding-Kushner KJ, Shprintzen RJ. Treatment of asymmetric velopharyngeal insufficiency with skewed pharyngeal flaps. Cleft Palate J 1994; 31:287–294.Google Scholar

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© Springer-Verlag Berlin Heidelberg 2006

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  • Robert J. Shprintzen

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