Objective To assess the quality of nasopharyngoscopy video recordings used for velopharyngeal insufficiency (VPI) surgical planning and identify factors that limit evaluation of velopharyngeal closure. Design Prospective observational study. Setting Metropolitan-based hospitals with craniofacial clinics in the United States and Canada. Participants One-hundred and forty-two (142) patients with VPI across 10 hospitals. Assessment(s) Nasopharyngoscopy video recordings used for VPI surgical planning . Main Outcome Measure(s) Ratability of nasopharyngoscopy video recordings, with “ratable” defined as the video (1) visualized the velum, lateral pharyngeal wall, and posterior pharyngeal walls at some point during speech production and (2) contained an oral speech sample at the phrase level or above. Results One-hundred and forty-two (142) nasopharyngoscopy video recordings were obtained from patients undergoing VPI evaluation, of which 59.9% (n=85) were ratable. A multilevel logistic regression model was used to identify factors that influenced the quality of nasopharyngoscopy video recordings. Factors associated with unratable nasopharyngoscopy videos were age ( P=.030), sex ( P=.005*), type of scope camera used ( P=.039), presence of compensatory misarticulations ( P=.008), and a limited speech sample ( P=.040). Conclusions A substantial proportion of nasopharyngoscopy video recordings obtained during VPI evaluation are not sufficient for rating velopharyngeal closure. Lack of ratability could impact the surgery selected to treat VPI. Younger patients, those with limited speech samples, or patients with extensive compensatory articulations may be more successful in completing other VPI imaging techniques, such as videofluoroscopy or magnetic resonance imaging.

Taylor D. Snodgrass

Thomas J. Sitzman

Jessica L. Chee-Williams

Hamy Temkit

Jamie L. Perry

The Cleft Palate-Craniofacial Journal

CLEFT PALATE-CRANIOFACIAL JOURNAL (CPCJ) 是首屈一指的同行评审、跨学科、国际期刊，致力于在与颅面异常相关的所有领域进行当前的病因学、预防、诊断和治疗研究。 CPCJ 报告旨在更好地阐明裂隙和颅面畸形的发病机制、病理学和最佳治疗方法的基础科学和临床研究。该杂志致力于促进各专业专业人士之间的交流与合作。

The Cleft Palate-Craniofacial Journal (CPCJ) is a leading peer-reviewed, interdisciplinary international journal dedicated to current research in all areas related to craniofacial anomalies, including etiology, prevention, diagnosis, and treatment. CPCJ aims to elucidate the mechanisms of occurrence, pathology, and optimal treatment methods for clefts and craniofacial deformities through both basic science and clinical research. The journal is committed to fostering communication and collaboration among professionals across various specialties.

《Cleft Palate-Craniofacial Journal》（CPCJ）是一本国际同行评审的跨学科期刊，专注于颅面畸形相关领域的最新研究，包括病因学、预防、诊断和治疗。CPCJ的目标是通过基础科学和临床研究，深入探讨裂隙和颅面畸形的发病机制、病理学及最佳治疗方案。该期刊致力于促进各专业人士之间的交流与合作。

Category	Quartile
医学	4
医学, 牙科与口腔外科	4
医学, 外科	4

Factors That Limit Evaluation of Velopharyngeal Closure During Nasopharyngoscopy

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