title: Velopharyngeal impairment in the orthodontic population.
abstract: This article provides information concerning cleft palate teams and questions one might consider in identifying the best referral for patients manifesting velopharyngeal impairment. A discussion of the impact of velopharyngeal impairment on speech performance is followed by presentation of a variety of simple evaluative tasks that can assist the clinician in identifying patients who would benefit from referral to a cleft palate team. Finally, information is presented concerning the potential speech sequelae of maxillary advancement surgery.
authors.affiliation: Communication Sciences and Disorders Department, Jesse Jones Communication Center, University of Texas at Austin 78712-1089, USA.
authors.forename: R M
authors.initials: RM
authors.lastname: Dalston
mesh_terms: D002972:Cleft Palate / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008437:Maxilla / Q000601:surgery; D015508:Nasal Obstruction / Q000209:etiology; D019340:Osteotomy, Le Fort / Q000009:adverse effects; D010348:Patient Care Team; D012017:Referral and Consultation; D013062:Speech Articulation Tests; D013064:Speech Disorders / Q000209:etiology; D014681:Velopharyngeal Insufficiency / Q000209:etiology* / Q000503:physiopathology