Velopharyngeal Anatomy and Physiology

No AccessSIG 5 Craniofacial and Velopharyngeal DisordersArticle1 Jan 2018Velopharyngeal Anatomy and Physiology Katelyn J. Kotlarek, and Jamie L. Perry Katelyn J. Kotlarek Department of Communication Sciences and Disorders, East Carolina UniversityGreenville, NC Google Scholar and Jamie L. Perry Department of Communication Sciences and Disorders, East Carolina UniversityGreenville, NC Google Scholar https://doi.org/10.1044/persp3.SIG5.13 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationTrack Citations ShareFacebookTwitterLinked In A thorough understanding of the anatomy and physiology of the structures involved in speech production is the foundation for accurate diagnosis and effective treatment of communication disorders. This is particularly important when dealing with cases of velopharyngeal dysfunction, such as that seen occasionally in individuals with repaired cleft palate. The purpose of this article is to provide a review of normal anatomy and physiology of the velopharynx. A brief application to velopharyngeal dysfunction and anatomical differences common to those with cleft palate will be provided. References Abe, M., Murakami, G., Noguchi, M., Kitamura, S., Shimada, K., & Kohama, G. I. (2004). Variations in the tensor veli palatini muscle with special reference to its origin and insertion.Cleft Palate-Craniofacial Journal, 41(5), 474–484. Google Scholar Azzam, N. A., & Kuehn, D. P. (1977). The morphology of musculus uvulae.The Cleft Palate Journal, 14, 78–87. Google Scholar Barsoumian, R., Kuehn, D. P., Moon, J. B., & Canady, J. W. (1998). An anatomic study of the tensor veli palatini and dilator tubae muscle in relation to the Eustachian tube and velar function.Cleft Palate-Craniofacial Journal, 35(2), 101–110. Google Scholar Bicknell, S., McFadden, L. R., & Curran, J. B. (2002). Frequency of pharyngoplasty after primary repair of cleft palate.Journal of the Canadian Dental Association, 68(11), 688–692. Google Scholar Boorman, J. G., & Sommerlad, B. C. (1985). Levator palate and palatal dimples: Their anatomy, relationship and clinical significance.British Journal of Plastic Surgery, 38(3), 326–332. Google Scholar Cassell, M. D., Moon, J. B., & Elkadi, H. (1990). Anatomy and physiology of the velopharynx.In J. Bardach & H. L. Morris (Eds.), Multidisciplinary management of cleft lip and palate. Philadelphia, PA: Saunders. Google Scholar Croft, C. B., Shprintzen, R. J., & Rakoff, S. J. (1981). Patterns of velopharyngeal valving in normal and cleft palate subjects: A multiview videofluoroscopy and nasendoscopic study.Laryngoscope, 91, 265–271. Google Scholar D'Antonio, L. L., Muntz, H. R., Province, M. A., & Marsh, J. L. (1988). Laryngeal/voice findings in patients with velopharyngeal dysfunction.Laryngoscope, 98(4), 432–438. Google Scholar Dickson, D. R. (1975). Anatomy of the normal velopharyngeal mechanism.Clinics in Plastic Surgery, 2, 235–247. Google Scholar Dickson, D. R., & Dickson, W. M. (1972). Velopharyngeal anatomy.Journal of Speech and Hearing Research, 15(2), 372–381. ASHAWireGoogle Scholar Ettema, S. L., & Kuehn, D. P. (1994). A quantitative histologic study of the normal human adult soft palate.Journal of Speech and Hearing Research, 37(2), 303–313. ASHAWireGoogle Scholar Finkelstein, Y., Lerner, M. A., Ophir, D., Nachmani, A., Hauben, D. J., & Zohar, Y. (1993). Nasopharyngeal profile and velopharyngeal valve mechanism.Plastic and Reconstructive Surgery, 92, 603–614. Google Scholar Fritzell, B. (1969). The velopharyngeal muscle sin speech. An electromyographic and cineradiographic study.Acta Oto-Laryngologica, (Suppl. 250), 1–81. Google Scholar George, T. N., Kotlarek, K. J., Kuehn, D. P., Sutton, B. P., & Perry, J. L. (in press). Differences in the tensor veli palatini between adults with and without cleft palate using high resolution three-dimensional magnetic resonance imaging.Cleft Palate-Craniofacial Journal. Google Scholar Groher, M. E., & Crary, M. A. (2010). Dysphagia clinical management in adults and children (1st ed.). Maryland Heights, MO: Mosby Elsevier. Google Scholar Grossman, R., & Hattis, B. (1964). Oral mucosal sensory innervation and sensory experience.In J. Bosma (Ed.), First symposium on oral sensation and perception. Springfield, IL: Charles C. Thomas. Google Scholar Huang, M. H., Lee, S. T., & Rajendran, K. (1998). A fresh cadaveric study of the paratubal muscles: Implications for Eustachian tube function in cleft palate.Plastic and Reconstructive Surgery, 100(4), 833–842. Google Scholar Inouye, J. M., Lin, K. Y., Perry, J. L., & Blemker, S. S. (2016). Contributions of the musculus uvulae to velopharyngeal closure quantified with a 3-dimensional multimuscle computational model.Annals of Plastic Surgery, 77(1), S70–C75. Google Scholar Jones, D. L. (1991). Velopharygneal function and dysfunction.Clinics in Communication Disorders, 1(3), 19–25. Google Scholar Jones, D. L. (2012). The basics of velopharyngeal function: A brief review for the practicing clinician.Perspectives on Speech Science and Orofacial Disorders, 22, 25–35. ASHAWireGoogle Scholar Kanagasuntheram, R., Wong, W., & Chan, H. (1969). Some observations on the innervation of the human nasopharynx.Journal of Anatomy, 104, 361–376. Google Scholar Kennedy, J. G., & Kuehn, D. P. (1989). Neuroanatomy of speech.In D. P. Kuehn, M. P. Lemme, & J. M. Baumgartner (Eds.), Neural bases of speech, hearing, and language. Boston, MA: Little Brown. Google Scholar Kotlarek, K. J., Perry, J. L., & Fang, X. (2017). Morphology of the levator veli palatini in adult with repaired cleft palate.The Journal of Craniofacial Surgery, 28(3), 833–837. Google Scholar Kuehn, D. P. (1979). Velopharyngeal anatomy and physiology.Ear, Nose, and Throat Journal, 58(7), 316–321. Google Scholar Kuehn, D. P., & Azzam, N. A. (1978). Anatomical characteristics of palatoglossus and the anterior faucial pillar.The Cleft Palate Journal, 15, 349–359. Google Scholar Kuehn, D. P., Folkins, J. W., & Cutting, C. B. (1982). Relationships between muscle activity and velar position.The Cleft Palate Journal, 19, 25–35. Google Scholar Kuehn, D. P., Folkins, J. W., & Linville, R. N. (1988). An electromyographic study of the musculus uvulae.The Cleft Palate Journal, 25, 348–355. Google Scholar Kuehn, D. P., & Kahane, J. C. (1990). Histologic study of the normal human adult soft palate.The Cleft Palate Journal, 27(1), 26–34. Google Scholar Kuehn, D. P., & Moon, J. B. (2005). Histologic study of intravelar structures in normal human adult specimens.Cleft Palate-Craniofacial Journal, 42(5), 481–489. Google Scholar Kuehn, D. P., Templeton, P. J., & Maynard, J. A. (1990). Muscle spindles in the velopharyngeal musculature of humans.Journal of Speech and Hearing Research, 33, 488–493. ASHAWireGoogle Scholar Kummer, A. W. (2008). Cleft palate and craniofacial anomalies: Effects on speech and resonance (2nd ed.). New York, NY: Thomson Delmar Learning. Google Scholar Leider, J., Hamlet, S., & Schwan, S. (1993). The effect of swallowing bolus and head position and Eustachian tube function via sonotubometry.Otolaryngology–Head and Neck Surgery, 109(1), 66–70. Google Scholar Liss, J. M. (1990). Muscle spindles in the human levator veli palatini and palatoglossus muscles.Journal of Speech and Hearing Research, 33, 736–746. ASHAWireGoogle Scholar Lithovius, R. H., Ylikontiola, L. P., & Sandor, G. K. (2014). Frequency of pharyngoplasty after primary repair of cleft palate in northern Finland.Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, 117(4), 430–434. Google Scholar Logemann, J. A. (1998). Evaluation and treatment of swallowing disorders (2nd ed.). Austin, TX: Pro-Ed. Google Scholar Moll, K. L., & Daniloff, R. G. (1971). Investigation of the timing of velar movements during speech.The Journal of the Acoustical Society of America, 50, 678–684. CrossrefGoogle Scholar Moon, J. B., & Kuehn, D. P. (2004). Anatomy and physiology of normal and disordered velopharyngeal function for speech.In K. R. Bzoch (Ed.), Communicative disorders related to cleft lip and palate (5th ed., pp. 67–98). Austin, TX: Pro-Ed. Google Scholar Moon, J. B., Smith, A. E., Folkins, J. W., Lemke, J. H., & Gartlan, M. (1994). Coordination of velopharyngeal muscle activity during position of the soft palate.Cleft Palate-Craniofacial Journal, 31(1), 45–55. Google Scholar Nishio, J., Matsuya, T., Machida, J., & Miyazaki, T. (1976). The motor supply of the velopharyngeal muscles.The Cleft Palate Journal, 13, 20–30. Google Scholar Perry, J. L. (2011). Anatomy and physiology of the velopharyngeal mechanism.Seminars in Speech and Language, 32(2), 83–92. CrossrefMedlineGoogle Scholar Perry, J. L., & Kuehn, D. P. (2016). Anatomy and physiology of the velopharynx.In J. E. Losee & R. E. Kirschner (Eds.), Comprehensive cleft care (2nd ed., pp. 475–491). Boca Raton, FL: CRC Press Taylor & Francis Group. Google Scholar Perry, J. L., Kuehn, D. P., & Sutton, B. P. (2013). Morphology of the levator veli palatini muscle using magnetic resonance imaging.Cleft Palate-Craniofacial Journal, 50, 64–75. CrossrefGoogle Scholar Peterson-Falzone, S., Hardin-Jones, M., & Karnell, M. (2001). Cleft palate speech. St. Louis, MO: Mosby. Google Scholar Pruzansky, S., & Mason, R. (1969). The "stretch factor" in soft palate function.Journal of Dental Research, 48, 972. Google Scholar Seaver, E. J., & Kuehn, D. P. (1980). A cineradiographic and electromyographic investigation of velar positioning in non-nasal speech.The Cleft Palate Journal, 17, 216–226. Google Scholar Shimokawa, T., Yi, S., & Tanaka, S. (2005). Nerve supply to the soft palate muscles with special reference to the distribution of the lesser palatine nerve.Cleft Palate-Craniofacial Journal, 42, 495–500. Google Scholar Siegel-Sadewitz, V. L., & Shprintzen, R. J. (1986) Changes in velopharyngeal valving with age.International Journal of Pediatric Otorhinolaryngology, 11(2), 171–182. CrossrefGoogle Scholar Skolnik, M. L., Shprintzen, R. J., McCall, G. N., & Rakoff, S. (1975). Patterns of velopharyngeal closure in subjects with repaired cleft palate and normal speech: A multiview videofluoroscopic analysis.The Cleft Palate Journal, 12, 369–376. Google Scholar Subtelny, J., & Koepp-Baker, H. (1956). The significance of adenoid tissue in velopharyngeal function.Plastic and Reconstructive Surgery, 12, 235–250. Google Scholar Walker, R. P., & Gopalsami, C. (1996). Laser-assisted uvulopalatoplasty: Postoperative complications.Laryngoscope, 106(7), 834–838. Google Scholar Woo, A. S. (2012). Velopharyngeal dysfunction.Seminars in Plastic Surgery, 26(4), 170–177. Google Scholar Additional Resources FiguresReferencesRelatedDetails Volume 3Issue 5January 2018Pages: 13-23 Get Permissions Add to your Mendeley library HistoryReceived: Sep 20, 2017Revised: Dec 2, 2017Accepted: Jan 1, 2018 Published in issue: Jan 1, 2018 Metrics Topicsasha-topicsasha-sigsasha-article-typesCopyright & PermissionsCopyright © 2018 American Speech-Language-Hearing AssociationPDF downloadLoading ...

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.