The VPI video instruction tool is a collection of nasendoscopic examinations from children with velopharyngeal insufficiency.  There are nine segments representing a spectrum of velopharyngeal function ranging from complete closure to a large gap.  These segments were selected by members of the ASPO VPI Study Group as described by Tieu, et al.  Concensus ratings were assigned to the segments using the standardized rating scale proposed by an international working group as described by Golding-Kushner, et al in 1990. 


There are 2 versions of the instruction tool, a long version and a short version.  Both versions are comprised of the same nine endoscopic examinations.  The long version has an unedited copy of the endoscopic examination followed by a representative sample of the examination with the ratings indicated in the border.  The short version has a brief segment of the endoscopic examination followed by a repeat version of the same exam with the ratings indicated in the border.


Each segment has ratings assigned for right and left lateral wall movement, right and left palate movement, posterior pharyngeal wall movement and subjective notation of the presence of dorsal palatal notch, aberrant pulsations and Passavant’s ridge.

The VPI video instruction tool was developed as a teaching tool to demonstrate the application of this rating scale in the assessment of velopharyngeal nasendoscopy .

Golding-Kushner KJ, Argamaso RV, Cotton RT, et al. Standardization for the reporting of 218 nasopharyngoscopy and multiview videofluoroscopy: a report from the International Working 219 Group. Cleft Palte J. 1990; 27:337-347.
Tieu, D, Gerber M, Milczuk H, Parikh S, Perkins J, Sie K C Y. Generation of concensus in the application of a rating scale to endoscopic assessment of velopharyngeal function, Arch Otolaryngol Head Neck Surg, 2012: 138(10): 923-928.


 

You are able to make full screen by hitting the flower-like button on the lower right of the video
You are able to go even larger by toggling the “scaling off” tab to “scaling on” in the upper right corner


You are able to make full screen by hitting the flower-like button on the lower right of the video
You are able to go even larger by toggling the “scaling off” tab to “scaling on” in the upper right corner