OBJECTIVES Resonance problems in hearing impaired (HI) individuals have been described as aspects of nasality. However, there are limitations in being able to explain the range of resonance problems. Therefore, this study suggests a perceptual rating that will effectively explain the characteristics of resonance problems in HI individuals. METHODS Nasalance scores were obtained from 32 subjec...

OBJECTIVE To identify children who may benefit from calcium hydroxylapatite (CaHA) injection pharyngoplasty for symptomatic velopharyngeal insufficiency (VPI). DESIGN Retrospective review of children with VPI who underwent injection pharyngoplasty with CaHA. SETTING Multidisciplinary pediatric aerodigestive center. PATIENTS Children with symptomatic VPI as defined by abnormal speech assoc...

The objective of this study was to describe the process of intensive speech therapy for a 6-year-old child using compensatory articulations while presenting with velopharyngeal insufficiency (VPI) and a history of cleft lip and palate. The correction of VPI was temporarily done with a pharyngeal obturator since the child presented with very little movement of the pharyngeal walls during speech,...

The hot gases produced by the internal combustion engines passes through the exhaust valve and causes high temperatures in the exhaust valve and its seat. To avoid damaging the exhaust valve, heat must be transferred from the valve to its seat during the contact they make at the opening and closing cycle. Heat transfer rate from the exhaust valve to its seat is a function of many factors. One o...

OBJECTIVE 22q11 deletion syndrome, a common human interstitial deletion syndrome (1:5000), is associated with a heterogeneous physical phenotype, including several factors that markedly increase the risk for olfactory disorder. Despite its potential consequences, pediatric studies of impaired olfaction are rare, and odor detection in children with 22q11 deletion syndrome has not yet been examin...

OBJECTIVE Our purpose was to compare speech outcomes among three primary procedures for symptomatic submucous cleft palate (SMCP): two-flap palatoplasty with muscular retropositioning, double-opposing Z-palatoplasty, or pharyngeal flap. DESIGN Retrospective review. SETTING Tertiary hospital. PATIENTS, PARTICIPANTS All children with SMCP treated by the senior author between 1984 and 2008. ...