Send article

Perceptual evaluation of velopharyngeal insufficiency in people with cleft palate: an integrative literature review

Authors

  • Felipe Inostroza-Allende Universidad de Chile
  • Gustavo Baeza-Pavez Universidad de Chile
  • Paula Del-Valle-Román Universidad de Chile
  • Jason Fernández-Antifil Universidad de Chile
  • Constanza Yáñez-Pavez Universidad de Chile
  • Josué Pino-Castillo Universidad de Chile http://orcid.org/0000-0003-2412-2718
Vol. 20 (2021)
https://doi.org/10.5354/0719-4692.2021.61602

Abstract

Secondary Velopharyngeal insufficiency (VPI) to cleft palate corresponds to the incomplete closure of the velopharyngeal mechanism during speech, due to lack of tissue in the soft palate or the walls of the pharynx, which generates a hypernasal resonance and nasal air emission in oral sounds. In this regard, there are various proposals in the literature for the perceptual evaluation of VPI. For this reason, the objective of the present study is to describe the auditory perceptual evaluation of velopharyngeal insufficiency, through an integrative literature review. To this end, in May 2020 the electronic databases PUBMED, LILACS, SciELO and Cochrane were consulted using the key words in English: “Velopharyngeal Sphincter”, “Velopharyngeal Insufficiency”, “Cleft Palate”, “Speech Intelligibility”, “Speech Production Measurement”, “Speech Articulation Tests” and “Speech-Language Pathology”, and their equivalent properties in Portuguese and Spanish. Original articles related to the topic were selected, and a specific protocol for data extraction was created. In total, 2,385 articles were found. Of these, 2,354 were excluded due to the title, 13 due to the abstract and 3 after reading the full text. Finally, based on the methodology developed, 33 articles were used in this review. From the review carried out, it is concluded that the parameters most used in the evaluation are hypernasality, nasal emission and the compensatory joint associated with IVF. These parameters are evaluated mainly in sentences, spontaneous speech and words, by an expert speech therapist, live and through audio recordings.

Keywords:

Velopharyngeal Insufficiency, Cleft Palate, Speech-Language Pathology, Speech Production Measurement

Downloads

Altmetrics
How to Cite
Inostroza-Allende, F., Baeza-Pavez, G., Del-Valle-Román, P., Fernández-Antifil, J., Yáñez-Pavez, C., & Pino-Castillo, J. (2021). Perceptual evaluation of velopharyngeal insufficiency in people with cleft palate: an integrative literature review. Revista Chilena De Fonoaudiología, 20, 1–22. https://doi.org/10.5354/0719-4692.2021.61602
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Endnote/Zotero/Mendeley (RIS) BibTeX
 
Revista Chilena de Fonoaudiología
Facultad de Medicina
Universidad de Chile
DATOS DE INVESTIGACIÓN
Dirección de Servicios de Información y Bibliotecas (SISIB)