{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:59:40Z","timestamp":1792108780211,"version":"4.4.0"},"reference-count":38,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2024,7]]},"DOI":"10.1016\/j.jvoice.2021.12.003","type":"journal-article","created":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T05:55:08Z","timestamp":1641880508000},"page":"911-917","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Surgical Treatment of Acquired Velopharyngeal Insufficiency in Adults With Dysphagia and Dysphonia"],"prefix":"10.1016","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3738-5111","authenticated-orcid":false,"given":"Caroline A.","family":"Lynch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0953-9008","authenticated-orcid":false,"given":"David W.","family":"Rule","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernice","family":"Klaben","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3232-6799","authenticated-orcid":false,"given":"Liran","family":"Oren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5615-3442","authenticated-orcid":false,"given":"Aaron D.","family":"Friedman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sid M.","family":"Khosla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5503-0325","authenticated-orcid":false,"given":"Rebecca J.","family":"Howell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2021.12.003_bib0001","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1055\/s-0031-1277717","article-title":"Types and causes of velopharyngeal dysfunction","volume":"32","author":"Kummer","year":"2011","journal-title":"Semin Speech Lang"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0002","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1001\/jamafacial.2017.0639","article-title":"Association of velopharyngeal insufficiency with quality of life and patient-reported outcomes after speech surgery","volume":"19","author":"Bhuskute","year":"2017","journal-title":"JAMA Facial Plast Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0003","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijporl.2019.109643","article-title":"Quality of life outcomes following velopharyngeal insufficiency surgery","volume":"127","author":"Li","year":"2019","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0004","doi-asserted-by":"crossref","first-page":"E395","DOI":"10.1002\/lary.27792","article-title":"Validation of the Chinese velopharyngeal insufficiency effects on life outcomes instrument","volume":"129","author":"Huang","year":"2019","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0005","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1097\/MOO.0000000000000494","article-title":"Velopharyngeal incompetence: role in paediatric swallowing deficits","volume":"26","author":"Swibel Rosenthal","year":"2018","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0006","doi-asserted-by":"crossref","first-page":"97","DOI":"10.2340\/16501977-2506","article-title":"Effects of mechanical inspiration and expiration exercise on velopharyngeal incompetence in subacute stroke patients","volume":"51","author":"Jang","year":"2019","journal-title":"J Rehabil Med"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0007","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1002\/hed.26029","article-title":"Pharyngeal swallowing mechanics associated with upper esophageal sphincter pressure wave","volume":"42","author":"May","year":"2020","journal-title":"Head Neck"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0008","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1053\/apmr.2001.21939","article-title":"Quantifying swallowing function after stroke: a functional dysphagia scale based on videofluoroscopic studies","volume":"82","author":"Han","year":"2001","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0009","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1007\/s00455-019-10026-9","article-title":"Variations in healthy swallowing mechanics during various bolus conditions using Computational Analysis of Swallowing Mechanics (CASM)","volume":"35","author":"Lenell","year":"2020","journal-title":"Dysphagia"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0010","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1097\/00005537-200409000-00009","article-title":"Development and validation of the voice handicap index-10","volume":"114","author":"Rosen","year":"2004","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0011","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1080\/09638288.2017.1398787","article-title":"Construct validity of the Eating Assessment Tool (EAT-10)","volume":"41","author":"Wilmskoetter","year":"2019","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0012","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1007\/s00455-008-9185-9","article-title":"MBS measurement tool for swallow impairment\u2013MBSImp: establishing a standard","volume":"23","author":"Martin-Harris","year":"2008","journal-title":"Dysphagia"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0013","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1007\/s00455-013-9463-z","article-title":"Preliminary investigation of the effect of pulse rate on judgments of swallowing impairment and treatment recommendations","volume":"28","author":"Bonilha","year":"2013","journal-title":"Dysphagia"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0014","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1016\/j.apmr.2018.10.015","article-title":"Do ratings of swallowing function differ by videofluoroscopic rate? An exploratory analysis in patients after acute stroke","volume":"100","author":"Mulheren","year":"2019","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0015","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0094-1298(20)30071-7","article-title":"Normal velopharyngeal function in speech","volume":"2","author":"Lubker","year":"1975","journal-title":"Clin Plast Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0016","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1044\/jshr.1902.225","article-title":"An electromyographic study of velopharyngeal function in speech","volume":"19","author":"Bell-Berti","year":"1976","journal-title":"J Speech Hear Res"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0017","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1597\/1545-1569(2003)040<0590:TRBTCO>2.0.CO;2","article-title":"The relationship between the characteristics of speech and velopharyngeal gap size","volume":"40","author":"Kummer","year":"2003","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0018","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1177\/1055665619858873","article-title":"Understanding nasal emission during speech production: a review of types, terminology, and causality","volume":"57","author":"Oren","year":"2020","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0019","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1177\/1055665619894183","article-title":"Using high-speed nasopharyngoscopy to quantify the bubbling above the velopharyngeal valve in cases of nasal rustle","volume":"57","author":"Oren","year":"2020","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0020","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1016\/j.bjps.2005.02.012","article-title":"Evaluation of VPI-assessment with videofluoroscopy and nasoendoscopy","volume":"58","author":"Havstam","year":"2005","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0021","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1097\/00000637-200045060-00019","article-title":"The evolution of velopharyngeal imaging","volume":"45","author":"Witt","year":"2000","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0022","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1097\/01.moo.0000186204.53214.62","article-title":"Velopharyngeal dysfunction: evolving developments in evaluation","volume":"13","author":"Rowe","year":"2005","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0023","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.otohns.2005.11.028","article-title":"A comparison of nasendoscopy and multiview videofluoroscopy in assessing velopharyngeal insufficiency","volume":"134","author":"Lam","year":"2006","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0024","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1597\/1545-1569_1994_031_0134_lvamta_2.3.co_2","article-title":"Lateral videofluoroscopy: a modification to aid in velopharyngeal assessment and measurement","volume":"31","author":"Sommerlad","year":"1994","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0025","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1001\/archotol.132.9.947","article-title":"Interrater and intrarater reliability in the evaluation of velopharyngeal insufficiency within a single institution","volume":"132","author":"Yoon","year":"2006","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0026","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1001\/archotol.134.7.757","article-title":"Multicenter interrater and intrarater reliability in the endoscopic evaluation of velopharyngeal insufficiency","volume":"134","author":"Sie","year":"2008","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0027","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1007\/s004550010015","article-title":"Clinical utility of the modified barium swallow","volume":"15","author":"Martin-Harris","year":"2000","journal-title":"Dysphagia"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0028","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1097\/MOO.0b013e32832cbd6b","article-title":"Velopharyngeal insufficiency: diagnosis and management","volume":"17","author":"Shprintzen","year":"2009","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0029","series-title":"Evaluation and Treatment of Swallowing Disorders","author":"Logemann","year":"1983"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0030","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1097\/01.sap.0000200284.15801.7c","article-title":"Acute onset of velopharyngeal insufficiency and dysphagia after sternocleidomastoid myotomy for congenital muscular torticollis","volume":"56","author":"S\u00f6nmez","year":"2006","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0031","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.prosdent.2016.10.018","article-title":"Palatal lift prosthesis for bolus transport in a patient with dysphagia: a clinical report","volume":"118","author":"Ohno","year":"2017","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0032","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1177\/0194599816688646","article-title":"Long-term incidence of velopharyngeal insufficiency and other sequelae following uvulopalatopharyngoplasty","volume":"156","author":"Tang","year":"2017","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0033","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1177\/0003489419882063","article-title":"Autologous fat injection pharyngoplasty in adults with velopharyngeal insufficiency","volume":"129","author":"Contrera","year":"2020","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0034","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/S0377-1237(06)80010-9","article-title":"Furlow's palatoplasty for cleft palate repair","volume":"62","author":"Ravishanker","year":"2006","journal-title":"Med J Armed Forces India"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0035","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1001\/archotol.1994.01880260088017","article-title":"Unilateral palatal adhesion for paralysis after high vagal injury","volume":"120","author":"Netterville","year":"1994","journal-title":"Arch Otolaryngol Neck Surg"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0036","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1007\/s00455-019-09982-z","article-title":"Dysphagia in parkinson's disease improves with vocal augmentation","volume":"34","author":"Howell","year":"2019","journal-title":"Dysphagia"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0037","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1177\/000348940311201004","article-title":"Hypopharyngeal pharyngoplasty in the management of pharyngeal paralysis: a new procedure","volume":"112","author":"Mok","year":"2003","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2021.12.003_bib0038","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1177\/000348940611500411","article-title":"Electromyography findings of the cricopharyngeus in association with ipsilateral pharyngeal and laryngeal muscles","volume":"115","author":"Halum","year":"2006","journal-title":"Ann Otol Rhinol Laryngol"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199721004173?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199721004173?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,7,13]],"date-time":"2024-07-13T06:46:25Z","timestamp":1720853185000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199721004173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["S0892199721004173"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2021.12.003","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Surgical Treatment of Acquired Velopharyngeal Insufficiency in Adults With Dysphagia and Dysphonia","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2021.12.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}