Anne Dworschak-Stokan

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OBJECTIVES To profile the presentation and management of patients seen at a velopharyngeal insufficiency (VPI) clinic and to explore the role of commonly used investigations in the workup of VPI. DESIGN Retrospective review. SETTING Tertiary care VPI clinic. METHODS A computerized database created at the time of patient assessment was accessed to(More)
OBJECTIVE Velopharyngeal insufficiency (VPI) is an often underrecognized disorder of palatal and nasopharyngeal closure that leads to the production of hypernasal speech. However, the potential clinical association between VPI and neurofibromatosis type 1 (NF1) remains undefined in the literature. The purpose of this study sought to identify and describe(More)
Purpose: Comprehensive evaluation of velopharyngeal insufficiency (VPI) typically includes auditoryperceptual assessment, nasometry, and anatomical evaluations. At times, these examinations are limited by the resources, invasiveness, time and expertise required to perform them. In such instances, the mirror-fogging test would be an ideal screening tool for(More)
OBJECTIVE To evaluate the intermediate and longer-term perceptual and objective speech outcomes in velopharyngeal insufficiency (VPI) patients treated with a superiorly based pharyngeal flap. DESIGN Retrospective review. SETTING Tertiary care centre, London, Ontario. METHODS Forty consecutive VPI patients (mean age 14.5 years) from 2004 to 2008 who(More)
OBJECTIVE This investigation evaluated the construct of communication apprehension (CA) in adolescents with velopharyngeal inadequacy (VPI). DESIGN Prospective comparative study. SETTINGS The investigation was conducted in a hospital-based clinic, voice laboratory, and the homes of participants. PARTICIPANTS Two groups of children participated in this(More)
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