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Question 13#

During assessment of velopharyngeal incompetence, the following patterns of velopharyngeal closure can be seen on videofluoroscopy: 

a. Coronal
b. Sagittal
c. Sphincteric
d. Sphinteric with Passavant’s ridge
e. None of the above

Correct Answer is E

Comment:

None of the above. These patterns of velopharyngeal closure are seen when assessed by nasendoscopy. This procedure is undertaken with the patient awake to enable co-operation and assessment. In general, coronal patterns of velopharyngeal closure are best treated with sphincter pharyngoplasty whereas sagittal patterns are best treated with posterior pharyngeal flaps.