{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T08:36:37Z","timestamp":1792917397506,"version":"4.5.0"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R21DC021023"],"award-info":[{"award-number":["R21DC021023"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the utility of velopharyngeal MRI in contributing additional diagnostic information for patients with velopharyngeal insufficiency (VPI) of unknown etiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary children's hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Children with clinically significant VPI without a confirmed etiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Standardized perceptual speech assessment with nasometry, non-sedated MRI, and multidisciplinary review for treatment planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>MRI-informed etiologic classification, anatomic and functional contributors to VPI, and management recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 89 children, six (6.7%) presented with clinically significant VPI of unknown etiology on routine examination. MRI identified occult submucous cleft palate or atypical levator veli palatini morphology in five (83.3%) and adenoid-supported VP closure in three (50%). Involution was expected to unmask increased pharyngeal depth in two (33.3%). MRI supported patient-specific recommendations for speech therapy, surgical interventions, and longitudinal monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MRI provided clinically meaningful diagnostic information beyond routine examination and informed management decisions for children with VPI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261497973","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:11:27Z","timestamp":1792588287000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Utility of Velopharyngeal MRI in Children With Unexplained Velopharyngeal Insufficiency"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8668-6965","authenticated-orcid":false,"given":"Emily K.","family":"Sherrod","sequence":"first","affiliation":[{"name":"University of Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Black","sequence":"additional","affiliation":[{"name":"University of Virginia Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6839-9116","authenticated-orcid":false,"given":"Kazlin N.","family":"Mason","sequence":"additional","affiliation":[{"name":"University of Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.12.036"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000009822"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003335"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-040"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1590\/1678-7757-2021-0320"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241239459"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221141188"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231161991"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010798"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231173500"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211057361"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000011619"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1044\/2026_AJSLP-26-00265"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-027"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211044656"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241298833"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000005617"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1044\/persp2.SIG5.35"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221122634"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(53)80060-3"},{"key":"e_1_3_3_22_2","first-page":"356","article-title":"The occult submucous cleft palate","volume":"12","author":"Kaplan EN.","year":"1975","unstructured":"Kaplan EN. 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