Speech and Resonance Disorders Related to Cleft Palate and Velopharyngeal Dysfunction: A Guide to Evaluation and Treatment Children with speech and/or resonance disorders due to structural anomalies present challenges for speech-language pathologists in all settings. The purpose of this article is to provide current, practical information regarding the evaluation and treatment of children with speech/resonance disorders secondary to cleft palate and noncleft causes of velopharyngeal dysfunction. Simple ... Article
Article  |   June 01, 2014
Speech and Resonance Disorders Related to Cleft Palate and Velopharyngeal Dysfunction: A Guide to Evaluation and Treatment
Author Affiliations & Notes
  • Ann W. Kummer
    Division of Speech Pathology, Cincinnati Children's Hospital Medical Center Department of Clinical Pediatrics, Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center, Cincinnati, OH
  • Disclosure: Financial: Ann W. Kummer receives royalties for the following textbook: Kummer, A.W. (2014) . Cleft Palate and Craniofacial Anomalies: The Effects on Speech and Resonance. Clifton Park, NY: Cengage Learning. The author also receives royalties on the following device: Oral & Nasal Listener, Super Duper Publications.
    Disclosure: Financial: Ann W. Kummer receives royalties for the following textbook: Kummer, A.W. (2014) . Cleft Palate and Craniofacial Anomalies: The Effects on Speech and Resonance. Clifton Park, NY: Cengage Learning. The author also receives royalties on the following device: Oral & Nasal Listener, Super Duper Publications.×
  • Nonfinancial: Ann W. Kummer has been a member of the Cleft Palate-Craniofacial Team at Cincinnati Children's Hospital for over 25 years and may have a bias based on personal experience.
    Nonfinancial: Ann W. Kummer has been a member of the Cleft Palate-Craniofacial Team at Cincinnati Children's Hospital for over 25 years and may have a bias based on personal experience.×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Special Populations / Genetic & Congenital Disorders / School-Based Settings / Articles
Article   |   June 01, 2014
Speech and Resonance Disorders Related to Cleft Palate and Velopharyngeal Dysfunction: A Guide to Evaluation and Treatment
SIG 16 Perspectives on School-Based Issues, June 2014, Vol. 15, 57-74. doi:10.1044/sbi15.2.57
SIG 16 Perspectives on School-Based Issues, June 2014, Vol. 15, 57-74. doi:10.1044/sbi15.2.57

Children with speech and/or resonance disorders due to structural anomalies present challenges for speech-language pathologists in all settings. The purpose of this article is to provide current, practical information regarding the evaluation and treatment of children with speech/resonance disorders secondary to cleft palate and noncleft causes of velopharyngeal dysfunction. Simple “no-tech” procedures for assessment will be described so that the reader will be able to determine which children will benefit from therapy and which will require surgical intervention. Finally, specific speech therapy techniques will be given for changing placement from the pharynx to the oral cavity, thus eliminating phoneme-specific nasal emission.

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