Interpretation of the Videofluoroscopic Study

  • M. Leon Skolnick
  • Ellen R. Cohn


Years ago there was a coffee and doughnut shop in New York City called “Mayflower,” which emphasized as part of its advertising slogan that one should keep an eye on the doughnut and not on the hole. In analyzing videofluoroscopic studies, we, on the other hand, should pay equal attention to the hole (velopharyngeal portal) and the doughnut (palate and pharyngeal walls ringing the VP portal). When the sphincter does not close, there is a hole. Unlike the doughnut, however, this hole is not symmetrically round but has different contours along different margins. In order to understand the manner in which the velopharyngeal portal closes, we must examine the contributions that the palate (velum) and pharyngeal walls each make. This understandably is best appreciated by examining the component movements of the palate and pharyngeal walls in the lateral, frontal, and base views.


Frontal View Pharyngeal Wall Cleft Palate Posterior Pharyngeal Wall Base View 
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Copyright information

© Springer-Verlag New York Inc. 1989

Authors and Affiliations

  • M. Leon Skolnick
    • 1
  • Ellen R. Cohn
    • 2
  1. 1.University of Pittsburgh School of MedicinePittsburghUSA
  2. 2.Department of CommunicationsUniversity of PittsburghPittsburghUSA

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