02-HandoutsResonanceandVPD - Cook Children's

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Nasal Emission with Small Opening • Characterized by an inconsistent nasal rustle (nasal turbulence) • Due to bubbling of secretions as air forced through the small opening • Distortion is loud and distracting • Has no effect on strength of consonants or utterance length • Usually does not occur with hypernasality Nasal Emission with Small Opening • Patient can usually close with effort • Opening increases with motoric demands and fatigue • Can correct “in therapy”- but child will not be able to maintain it • Therefore, even a small structural gap will require surgical correction 54
Dysphonia • Hoarseness • Breathiness • Abnormal pitch Dysphonia • Vocal cord nodules due to strain in the vocal tract with VPI • Laryngeal anomalies with craniofacial syndromes • Compensatory strategy – Breathiness and low volume mask hypernasality and nasal emission 55
Page 1 and 2:
Resonance Disorders and Velopharyng
Page 3 and 4: Resonance Disorders and Velopharyng
Page 5 and 6: What determines resonance for speec
Page 7 and 8: Resonance and Vowels • Vowels are
Page 9 and 10: Hyponasality • Not enough nasal r
Page 11 and 12: Oral Cul de Sac Resonance • Sound
Page 13 and 14: Pharyngeal Cul de Sac Resonance •
Page 15 and 16: Velum: Rest Velum (Soft Palate) •
Page 17 and 18: Velopharyngeal Valve and Flow • D
Page 19 and 20: VP Valve during Speech • Velophar
Page 21 and 22: Motor Nerves of VP Function • Glo
Page 23 and 24: Patterns of Closure Variations in V
Page 25 and 26: VPI: Velopharyngeal Insufficiency a
Page 27 and 28: Submucous Cleft Palate Nasal Surfac
Page 29 and 30: Enlarged Tonsils • Can extend int
Page 31 and 32: VPI Post Adenoidectomy • Caused b
Page 33 and 34: Post Maxillary Advancement Post Max
Page 35 and 36: Causes of VP Incompetence • Crani
Page 37 and 38: Hypotonia • Can cause poor or wea
Page 39 and 40: Apraxia of Speech • Motor speech
Page 41 and 42: Hearing Loss/Deafness • Need audi
Page 43 and 44: Recommendations for VP Mislearning
Page 45 and 46: Types of Nasal Emission • Large o
Page 47 and 48: Short Utterance Length • Leak of
Page 49 and 50: Compensatory Productions for VPI Pl
Page 51 and 52: Posterior Nasal Fricative Posterior
Page 53: Compensatory Productions for VPI
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02-HandoutsResonanceandVPD - Cook Children's

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