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02-HandoutsResonanceandVPD - Cook Children's

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VP Insufficiency<br />

• History of cleft palate<br />

• Submucous cleft palate (overt or occult)<br />

• Short velum or deep pharynx (cranial base<br />

anomalies)<br />

• Irregular adenoids<br />

• Enlarged tonsils<br />

History of Cleft Palate<br />

• Velum may be too short<br />

following repair<br />

• Velum may have a notch<br />

on posterior nasal surface<br />

26

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