Biomaterial Database

A proposal for standardization of speech and hearing evaluations to assess velopharyngeal function. 1997

J Hirschberg, and D R Van Demark

Madarász Children's Hospital, Budapest, Hungary.

The article comprises the proposal made by the Cleft Palate Committee of IALP to standardize the parameters of the speech and hearing evaluation in individuals with cleft palate/velopharyngeal incompetence (CP/VPI). The suggested parameters are the following: nasal resonance, nasal escape, articulation and its disorders, facial grimacing, speech intelligibility, patient teachability, expressive language and voice. The authors recommend a five-point scale description system, which can be used also for assessment of hearing, velopharyngeal competence and other attributes of the CP/VPI individual. The most important diagnostic procedures are: X-ray (video/cinefluoroscopy), nasopharyngoscopy, nasometry; in dubious cases it is also fundamental to clarify the etiology with electrophysiological methods. The utilization of this proposal might contribute to a more accurate diagnosis and a more effective treatment on an international basis.

UI	MeSH Term	Description	Entries
D010348	Patient Care Team	Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.	Health Care Team,Interdisciplinary Health Team,Medical Care Team,Multidisciplinary Care Team,Multidisciplinary Health Team,Healthcare Team,Care Team, Health,Care Team, Medical,Care Team, Multidisciplinary,Care Team, Patient,Care Teams, Health,Care Teams, Patient,Health Care Teams,Health Team, Interdisciplinary,Health Team, Multidisciplinary,Healthcare Teams,Interdisciplinary Health Teams,Medical Care Teams,Multidisciplinary Care Teams,Multidisciplinary Health Teams,Patient Care Teams,Team, Health Care,Team, Healthcare,Team, Interdisciplinary Health,Team, Medical Care,Team, Multidisciplinary Care,Team, Multidisciplinary Health,Team, Patient Care,Teams, Interdisciplinary Health
D012016	Reference Values	The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality.	Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002972	Cleft Palate	Congenital fissure of the soft and/or hard palate, due to faulty fusion.	Cleft Palate, Isolated,Cleft Palates,Palate, Cleft,Palates, Cleft
D006311	Hearing Disorders	Conditions that impair the transmission of auditory impulses and information from the level of the ear to the temporal cortices, including the sensorineural pathways.	Distorted Hearing,Dysacusis,Paracousis,Paracusis,Hearing Disorder,Hearing, Distorted
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001184	Articulation Disorders	Disorders of the quality of speech characterized by the substitution, omission, distortion, and addition of phonemes.	Phonological Impairments,Speech Articulation Disorders,Articulation Disorders, Developmental,Developmental Articulation Disorders,Disarticulation Disorders,Misarticulation,Phonology Impairment,Unintelligible Articulation,Articulation Disorder,Articulation Disorder, Developmental,Articulation Disorder, Speech,Articulation Disorders, Speech,Articulation, Unintelligible,Articulations, Unintelligible,Developmental Articulation Disorder,Disarticulation Disorder,Disorder, Disarticulation,Disorders, Disarticulation,Impairment, Phonological,Impairment, Phonology,Impairments, Phonological,Impairments, Phonology,Phonological Impairment,Phonology Impairments,Speech Articulation Disorder,Unintelligible Articulations
D013062	Speech Articulation Tests	Tests of accuracy in pronouncing speech sounds, e.g., Iowa Pressure Articulation Test, Deep Test of Articulation, Templin-Darley Tests of Articulation, Goldman-Fristoe Test of Articulation, Screening Speech Articulation Test, Arizona Articulation Proficiency Scale.	Articulation Test, Speech,Articulation Tests, Speech,Speech Articulation Test,Test, Speech Articulation,Tests, Speech Articulation
D014681	Velopharyngeal Insufficiency	Failure of the SOFT PALATE to reach the posterior pharyngeal wall to close the opening between the oral and nasal cavities. Incomplete velopharyngeal closure is primarily related to surgeries (ADENOIDECTOMY; CLEFT PALATE) or an incompetent PALATOPHARYNGEAL SPHINCTER. It is characterized by hypernasal speech.	Palatopharyngeal Incompetence,Inadequate Velopharyngeal Closure,Velopharyngeal Incompetence,Incompetence, Palatopharyngeal,Incompetence, Velopharyngeal,Insufficiency, Velopharyngeal,Velopharyngeal Closures, Inadequate

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