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02-HandoutsResonanceandVPD - Cook Children's

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Normal VP Closure<br />

(Nasopharyngoscopy)<br />

Variations in VP Closure<br />

• Coronal Pattern<br />

– Due mostly to velar movement<br />

• Sagittal Pattern<br />

– Due mostly to LPW movement<br />

• Circular Pattern (with and without<br />

Passavant’s ridge)<br />

– All structures move and close like a purse string<br />

22

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