Velopharyngeal insufficiency or VPI is the inability of the velum (the soft palate) and related anatomy to close the nasopharynx. The nasopharynx separates the oral and nasal cavities and is used to make the sounds of consonants during speech. An insufficiency can have a variety of causes ...
First Nathan had an appointment with Speech there.
Then he saw an ENT and got a scope done (very tiny camera with a light, put down his nose) ... we got to see how the muscles in his throat, the structures that are used for speech ... are and aren't working (they ask him to say a bunch of words to see how the structures are working).... and then he had an X-Ray with barium that basically recorded an x-ray of him talking.
They took a front facing and a side facing one. I have a video of the scope test and one of the x-ray test sideways (not front on) ... We have to get another sleep study and see if we can find a place (Speech Therapy) that will keep him on consistently.
He needs very consistent and hard therapy. So ... that's about where we are. After getting the sleep study, I need to call and make another appointment with his Cranial-Facial team.
The bridge in the first pic is the bridge in the last pic. That's how foggy it was...
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