Evidence map›Paper›PMID 39898817›Full record

ArticleAmerican journal of speech-language pathology2025

Does Successful Surgical Treatment of Velopharyngeal Insufficiency Aid in the Remediation of Compensatory Misarticulation Errors?

Jessica L Chee-Williams, Kate Bunton, Elizabeth Alvarez-Montoya, Kelly Nett Cordero, Jamie L Perry, Jenny Philp, Davinder J Singh, Thomas J Sitzman

Abstract read
In one paragraph

Article in American journal of speech-language pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Examining Percent Consonants Correct Produced by Preschool Children With and Without Cleft Palate Using the American English Phrase Sample.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  2. Examining Factors That Impact Speech Acceptability and Intelligibility in 4- to 7-Year-Old Children With Cleft Palate.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jessica L Chee-WilliamsPhoenix Children's Center for Cleft and Craniofacial Care, Phoenix Children's Hospital, AZ.ORCID 0000-0002-2882-7275
Kate BuntonDepartment of Speech, Language, and Hearing Sciences, The University of Arizona, Tucson.
Elizabeth Alvarez-MontoyaPhoenix Children's Center for Cleft and Craniofacial Care, Phoenix Children's Hospital, AZ.ORCID 0009-0008-3848-5855
Kelly Nett CorderoPhoenix Children's Center for Cleft and Craniofacial Care, Phoenix Children's Hospital, AZ.ORCID 0000-0001-9426-8638
Jamie L PerryDepartment of Communication Sciences and Disorders, East Carolina University, Greenville, NC.ORCID 0000-0001-7866-9159
Jenny PhilpPhoenix Children's Center for Cleft and Craniofacial Care, Phoenix Children's Hospital, AZ.ORCID 0009-0007-7618-9435
Davinder J SinghPhoenix Children's Center for Cleft and Craniofacial Care, Phoenix Children's Hospital, AZ.ORCID 0009-0004-4982-1405
Thomas J SitzmanPhoenix Children's Center for Cleft and Craniofacial Care, Phoenix Children's Hospital, AZ.ORCID 0000-0002-2173-923X

Funding

Velopharyngeal insufficiency following cleft palate repair: a comparative effectiveness study of existing surgical procedures and identification of criteria to guide a personalized treatment approachU01DE029750 · NIDCR · PHOENIX CHILDREN'S HOSPITAL · PI SITZMAN, THOMAS JAMES · 2020 to 2024
$4.2M
Understanding and Reducing Variation in Outcomes of Cleft Lip and Palate SurgeryK23DE025023 · NIDCR · PHOENIX CHILDREN'S HOSPITAL · PI SITZMAN, THOMAS JAMES · 2016 to 2020
$598k
NIDCR NIH HHS K23 DE025023NIDCR NIH HHS U01 DE029750
6 · The paper itself

Abstract

purposeThe aim of this study was to investigate whether successful surgical management of velopharyngeal insufficiency (VPI) aids in the remediation of compensatory misarticulation errors (CMAs) among children with VPI and CMAs.

methodFourteen participants with VPI and use of CMAs from a larger study were included in this retrospective cohort study. The mean age at the time of preoperative evaluation was 8.9 years (

resultsNine participants had resolved hypernasality after surgery, and five had persistent hypernasality. Among those with resolved hypernasality, the mean percentage of CMAs significantly decreased from 14.6% preoperatively to 1.1% postoperatively (

conclusionsCorrection of VPI may aid in the remediation of CMAs as participants have more normal anatomy to achieve velopharyngeal closure. These findings suggest correction of VPI may reduce the amount of speech therapy needed to treat CMAs.

Indexed as

Velopharyngeal InsufficiencyVoice DisordersAdolescentChildChild, PreschoolFemaleHumansMagnetic Resonance ImagingMaleRetrospective StudiesSpeech Production MeasurementSpeech TherapyTreatment OutcomeVoice Quality

Identifiers

PMID39898817
PMCPMC11902990

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.