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Abstract
Results of studies of nasal to oral airflow ratios are reported using simple and accurate anatomical models to record the effect of differing positions of lips, tongue and soft palate, with particular reference to the effect of the position of the dorsum of the tongue and various sizes of velopharyngeal defect.
The resistances to airflow produced by the labial, palatolingual, velopharyngeal and naral valves were found to be interdependent. Variations in tongue position alone could allow the same nasal airflow during a more than three-fold variation in the size of velopharyngeal defects.
The degree of nasal escape of air which is responsible for the typical “cleft palate” type of speech cannot be assessed by observation of the size of the velopharyngeal defect alone.
Reference
- The central rhythm of the nasal cycle.Acta Otolaryngology. 1978; 68: 464
- A system for the assessment of nasal airflow during speech.British Journal of Disorders of Communication. 1978; 13: 31
- Airflow rate and articulatory movement during speech.Cleft Palate Journal. 1967; 4: 240
- Upper Airway Physiology and the Atmospheric Environment, The Nose.Elsevier Biomedical Press, Amsterdam1982
- Plosive phoneme duration as a function of palato-pharyngeal adequacy.Cleft Palate Journal. 1971; 8: 65
- Dental and technical aids for the treatment of patients suffering from velo-pharyngeal disorders.in: Ellis R.E. Flack F.C. Diagnosis and Treatment of Palato-glossal Malfunction. College of Speech Therapists, London1979
- Palatal function and cleft palate speech.Journal of Speech and Hearing Disorders. 1961; 26: 213
- Velopharyngeal orifice size and upper pharyngeal pressure flow patterns in normal speech.Cleft Palate Journal. 1964; 33: 148
- Velopharyngeal orifice size and upper pharyngeal pressure flow patterns in cleft palate speech: a preliminary study.Cleft Palate Journal. 1964; 34: 15
- An analog study of cleft palate speech.Cleft Palate Journal. 1966; 3: 103
- Oral port constriction, nasal resistance and respiratory aspects of cleft palate speech; an analog study.Cleft Palate Journal. 1967; 4: 38
- A pressure-flow technique for quantifying temporal patterns of palatopharyngeal closure.Cleft Palate Journal. 1985; 22: 11
Article info
Footnotes
Supported by a grant from The Northcott Devon Medical Foundation.
Identification
Copyright
© 1987 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.
