{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:43:21Z","timestamp":1793069001941,"version":"4.5.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["F31DE033236"],"award-info":[{"award-number":["F31DE033236"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["U01DE029750"],"award-info":[{"award-number":["U01DE029750"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the relationship in ratings of velopharyngeal closure between connected speech and sustained speech, as visualized on nasopharyngoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Craniofacial clinics in the United States and Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Fifty-two participants with velopharyngeal insufficiency (VPI) who underwent nasopharyngoscopy and produced both connected speech and sustained speech of either \/i\/or \/s\/ during the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measure(s)<\/jats:title>\n                    <jats:p>Correlations and differences between connected speech and sustained speech for velopharyngeal closure percentage, velar movement, lateral pharyngeal wall movement, and velopharyngeal closure pattern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were moderate to very strong correlations observed between connected speech and sustained \/i\/ for velopharyngeal closure percentage (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01); extent of velar movement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01), and left (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01) and right (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01) lateral pharyngeal wall movement. Findings were similar between connected speech and sustained \/s\/. Differences between ratings made during connected and sustained speech were small: for velopharyngeal closure percentage, there was a 5% difference in the mean between connected speech and sustained \/i\/ (77.5% vs 72.5%) and a 7% difference for \/s\/ (79.3% vs 86.7%). Overall differences across ratings ranged from 2% to 12%. Closure pattern was rated the same for both connected speech and sustained \/i\/ in 90% of videos (n\u2009=\u200944\/49;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.38) and the same for connected speech and sustained \/s\/ in 95% of videos (n\u2009=\u200942\/44;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20091.00).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ratings of velopharyngeal movement during nasopharyngoscopy are similar between connected speech and sustained \/i\/ and \/s\/ suggesting elicitation of only sustained \/i\/ and \/s\/ may be adequate in most cases when assessment of connected speech is not possible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251399782","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T17:34:46Z","timestamp":1764092086000},"page":"463-471","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["How Do Nasopharyngoscopy Ratings of Sustained Speech Differ From Connected Speech?"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8315-6016","authenticated-orcid":false,"given":"Taylor D.","family":"Snodgrass","sequence":"first","affiliation":[{"name":"Syracuse University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2882-7275","authenticated-orcid":false,"given":"Jessica L.","family":"Chee-Williams","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"},{"name":"Department of Speech and Hearing Science, College of Health Solutions, Arizona State University, Tempe, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2173-923X","authenticated-orcid":false,"given":"Thomas J.","family":"Sitzman","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"},{"name":"Division of Plastic Surgery, Mayo Clinic Arizona, Scottsdale, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangming","family":"Fang","sequence":"additional","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7866-9159","authenticated-orcid":false,"given":"Jamie L.","family":"Perry","sequence":"additional","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"2024-ACPA_ParametersOfCare_Final.pdf. 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