Non-cleft Velopharyngeal Insufficiency

  • Katherine M. McConville
  • Catharine B. GarlandEmail author


Non-cleft velopharyngeal dysfunction is an eclectic concept. It involves the intersection of multiple etiologies of disorders (neuromuscular, functional, or postsurgical) that impact the normal function of the aerodigestive tract for voicing, speaking, swallowing, and other oral pressure generation tasks (like blowing up balloon and playing a brass or woodwind instrument). Specifically defining the affected population is challenging, as even patients with similar etiologies may present in a widely different manner. Milder cases may go undetected or ignored due to burden of care, medical complexity, or poor awareness of the signs and symptoms of velopharyngeal dysfunction. A thorough and flexible assessment of the disorder and its impact on swallowing, resonance, speech intelligibility, and overall patient quality of life is particularly important in order to tailor a treatment protocol.


Non-cleft velopharyngeal insufficiency Velopharyngeal dysfunction Velopharyngeal insufficiency Velopharyngeal incompetence Hypernasality Velar dysplasia 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Katherine M. McConville
    • 1
  • Catharine B. Garland
    • 2
    Email author
  1. 1.Department of Speech-Language Pathology, Michigan MedicineUniversity of MichiganAnn ArborUSA
  2. 2.Department of Surgery, Division of Plastic and Reconstructive SurgeryUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA

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