The evolution of velopharyngeal imaging - PubMed (original) (raw)
Review
The evolution of velopharyngeal imaging
P D Witt et al. Ann Plast Surg. 2000 Dec.
Abstract
Currently, functional visualization of the velopharynx requires tests that are either invasive (endoscopy) or that impart ionizing radiation (speech videofluoroscopy). The overall intrusiveness of endoscopy may limit its clinical utility, especially in young children. As a resut of growing awareness of the long-range effects of radiation exposure associated with X-ray imaging, radiographic research on subjects and studies not judged to be clinically necessary have been all but abandoned. The static nature of lateral radiographs precludes temporal assessment, and the two dimensionally of images derived from both of these diagnostic modalities may limit understanding of spatial anatomic relationships and may preclude quantitative analysis. The need for a noninvasive, rapid, and easily repeatable method for examination of the velopharynx has fomented the innovative application of existing technologies, especially magnetic resonance imaging. We present an updated overview of techniques for imaging the velopharyngeal mechanism, with a focus on residual velopharyngeal dysfunction after initial palatoplasty. We provide a comprehensive perspective of the role of currently available instrumentation, summarize the work in our center regarding the technological developments of magnetic resonance imaging, and speculate about future applications of magnetic resonance imaging systems for evaluation of velopharyngeal dysfunction. The limitations of each of these measures discussed are emphasized.
Similar articles
- Velopharyngeal dysfunction: evolving developments in evaluation.
Rowe MR, D'Antonio LL. Rowe MR, et al. Curr Opin Otolaryngol Head Neck Surg. 2005 Dec;13(6):366-70. doi: 10.1097/01.moo.0000186204.53214.62. Curr Opin Otolaryngol Head Neck Surg. 2005. PMID: 16282766 Review. - Diagnosis and Management of Velopharyngeal Dysfunction.
Glade RS, Deal R. Glade RS, et al. Oral Maxillofac Surg Clin North Am. 2016 May;28(2):181-8. doi: 10.1016/j.coms.2015.12.004. Oral Maxillofac Surg Clin North Am. 2016. PMID: 27150305 Review. - Instrumental assessment of velopharyngeal function and resonance: a review.
Bettens K, Wuyts FL, Van Lierde KM. Bettens K, et al. J Commun Disord. 2014 Nov-Dec;52:170-83. doi: 10.1016/j.jcomdis.2014.05.004. Epub 2014 May 26. J Commun Disord. 2014. PMID: 24909583 Review. - Dynamic near-real-time magnetic resonance imaging for analyzing the velopharyngeal closure in comparison with videofluoroscopy.
Beer AJ, Hellerhoff P, Zimmermann A, Mady K, Sader R, Rummeny EJ, Hannig C. Beer AJ, et al. J Magn Reson Imaging. 2004 Nov;20(5):791-7. doi: 10.1002/jmri.20197. J Magn Reson Imaging. 2004. PMID: 15503349 Clinical Trial. - Videofluoroscopic and nasendoscopic correlates of speech in velopharyngeal dysfunction.
Lipira AB, Grames LM, Molter D, Govier D, Kane AA, Woo AS. Lipira AB, et al. Cleft Palate Craniofac J. 2011 Sep;48(5):550-60. doi: 10.1597/09-203. Epub 2010 Aug 13. Cleft Palate Craniofac J. 2011. PMID: 20815707
Cited by
- Incorporating Velopharyngeal MRI into the Clinical Decision-Making Process for a Patient Presenting with Velopharyngeal Dysfunction Following a Failed Palatoplasty.
Mason KN, Black J. Mason KN, et al. Cleft Palate Craniofac J. 2024 Sep;61(9):1563-1573. doi: 10.1177/10556656231173500. Epub 2023 May 4. Cleft Palate Craniofac J. 2024. PMID: 37143294 Free PMC article. - Magnetic Resonance Imaging for Assessing Velopharyngeal Function: Current Applications, Barriers, and Potential for Future Clinical Translation in the United States.
Mason KN. Mason KN. Cleft Palate Craniofac J. 2024 Feb;61(2):235-246. doi: 10.1177/10556656221123916. Epub 2022 Aug 29. Cleft Palate Craniofac J. 2024. PMID: 36039513 Free PMC article. - Velopharyngeal Closure and Resonance in Children Following Early Cleft Palate Repair: Outcome Measurement.
Aparna VS, Pushpavathi M, Bonanthaya K. Aparna VS, et al. Indian J Plast Surg. 2019 May;52(2):201-208. doi: 10.1055/s-0039-1696608. Epub 2019 Sep 20. Indian J Plast Surg. 2019. PMID: 31602136 Free PMC article. - Can Dynamic MRI Be Used to Accurately Identify Velopharyngeal Closure Patterns?
Perry JL, Mason K, Sutton BP, Kuehn DP. Perry JL, et al. Cleft Palate Craniofac J. 2018 Apr;55(4):499-507. doi: 10.1177/1055665617735998. Epub 2017 Dec 14. Cleft Palate Craniofac J. 2018. PMID: 29554453 Free PMC article. - Feasibility of dynamic MRI for evaluating velopharyngeal insufficiency in children.
Drissi C, Mitrofanoff M, Talandier C, Falip C, Le Couls V, Adamsbaum C. Drissi C, et al. Eur Radiol. 2011 Jul;21(7):1462-9. doi: 10.1007/s00330-011-2069-7. Epub 2011 Feb 2. Eur Radiol. 2011. PMID: 21287177
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials