Aerophonoscope is an ultra sensitive and original instrument for detecting nasal airflow and analysing the Velo-Pharyngeal Sphincter –VPS - movements. It reveals the aerodynamic function of the VPS, in the usual conditions of speaking and breathing. It has been created for patients with facial cleft, of 4 years old upwards, after primary surgery and during their growth, in a harmless, non-invasive way. There are several sorts of assessments of Velo-Pharyngeal Incompetence (VPI): from an anatomical point of view, a perceptive, acoustic, aerodynamic one. The Aerophonoscope belongs to the latter one. We know the difficulties to treat this pathology in the fields of surgery and speech therapy mostly because of misunderstanding VP physiology and physiopathology, which are complex. Then aerophonoscopy allows us to understand this complexity. So we are able to easily assess excessive Nasal Loss -NL- factors. The NL is linked mainly with a VPS persistent lack of closing, of course. But it varies according to its stiffness, tonicity, and its smaller and slower movements. The latters are according to each phoneme or syllable, and they have more or less speedy succession of the “phonological verbal chain”. So we aim at presenting this instrument that enables an aerodynamic assessment of the VPS precisely. We can analyse many characteristics of its pathological movements with different tests in our protocol (passive, active, effort, successive movements and so on) and show the results of about 652 individuals. These data contribute to guide therapeutic decisions, (choice of type of surgery, targets of rehabilitation), such as to restore the VPS physiology at the very most. Furthermore, it provides a pleasant and efficient means of rehabilitation of the VPS
| Published in | American Journal of Pediatrics (Volume 9, Issue 1) |
| DOI | 10.11648/j.ajp.20230901.14 |
| Page(s) | 20-42 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Aerophonoscope, Velo-Pharyngeal Sphincter, Aerodynamic Assessment, Nasal Loss, Surgical Decisions, Visual Feed-Back for Rehabilitation
| [1] | RINEAU G, ROUSTEAU G, BOURIC, JM. L’aérophonoscope: principes et intérêts [aerophonoscope: procedure and interests] Bulletin d’audiophonologie, Ann. scientifiques univ. Franche-Comté 1995. Vol XI, n°6: 571 à 603. |
| [2] | DELAIRE, J. Thérapeutiques médicales et chirurgicales, syndromes malformatifs, [medical and surgery therapies, malformative syndromes]. Vè congrès de stomatologie et chirurgie maxillo-faciale. Paris ed. Masson. 1983. Aérophonologie. Pratique phoniatrique en ORL Paris, ed. Masson. 1992. |
| [3] | FREILICH MM. The use of aerophonoscope for detection of nasal air emission. Compilation and normative data. Dalhousie Univ. Halifax. 1998. |
| [4] | MARTINET A. Les voyelles nasales du français. [French nasal vowels] La linguistique. 1965. 1: 117-122. |
| [5] | BELL-BERTI F. and HIROSE H. Patterns of palatoglossus activity and their implications for speech organization. Speech Research. 1975; 30: 203-209. |
| [6] | LEGENT F, PERLEMUTER L, VANDENBROUCK CI. Cahiers d’anatomie ORL [Anatomy drawing ENT]. 3ème Ed. Paris. Ed Masson. 1981. |
| [7] | WARREN DW. Nasal emission of air and velopharyngeal function. Cleft Palate Journal, 1987; 4, 148-156. |
| [8] | WARREN DW. Effects of size of the nasal airway on nasal airflow rate. Arch Otolaryngol. 1987; 113: 405-408. |
| [9] | OHALA JJ. Phonetic explanations for nasal sounds patterns. Symposium for nasal and nasalisation. Language Universal Project 289-316. Ed. Ferguson. 1975. |
| [10] | BAKEN RJ, ORLIKOFF RF. Clinical measurement of speech and voice. Langage learning. 2000. |
| [11] | AMELOT. A. Etude aérodynamique, fibroscopique, acoustique et perceptive des voyelles nasales du français. [aerodynamic, fiberscopic, acoustic and perceptive study of French vowels] Thèse de doctorat – UFR Linguistique et Phonétique générales et appliquées – Univ. Paris III – Sorbonne Nouvelle. 2013. |
| [12] | SICARD E, MENIN-SICARD A, ROUSTEAU G, MICHEL S. Profils types des oppositions orales-nasales dans le contexte de la rééducation orthophonique. [typically patterns of oral-nasal vowels oppositions for logopedy], in Rapport de recherche Lurco/UNADREO, INSA Toulouse. 2021. Hal- 03131029. |
| [13] | SICARD E, MENIN-SICARD A, SEGALOWITCH A, ROUSTEAU G. Oppositions de voyelles et consonnes nasales: identification des formants selon le genre. [Vowels and consonant oppositions: formants identification according to gender]. Rapport de recherches LURCO/UNADREO, INSA Toulouse. 2022. https://hal.archives-ouvertes.fr/hal-03826558 |
| [14] | DEMOLIN D, DELVAUX V. Determination of velum opening for french nasal vowels by Magnetic Resonance Imagery. Journal of voice; Vol 17 n°4. 2008. |
| [15] | DELVAUX. V. Les voyelles nasales du français: aerodynamique, articulation, acoustique and perception. [French nasal vowels: aerodynamic, articulation, acoustic and perceptive point of view] PIE, PeterLang SA. Edition Scientifiques internationales. Berne 2012. |
| [16] | SKOLNICK ML, BARNES M. The sphincteric mechanism of Velo-pharyngeal closure. Cleft Palate J. 1973; 10: 286-305. |
| [17] | DURAND M. De la formation des voyelles nasales. [About nasal vowels structuration] Studia linguistica. 1953.7, 33-53. |
| [18] | BASSET P, AMELOT A, VAISSIERE J. et al. Nasal air flow in French spontaneous speech. Journal of the International Phonetics Association. 2001. 31, 1-87-100. |
| [19] | VAISSIERE J. Nasalité et Phonétique, [Nasalization and phonetics] Colloque sur le voile pathologique, Lyon, Société Française de Phoniatrie. 1996. |
| [20] | SOLE M, OHALA JJ Differentiating between phonetic and phonological processes: the case of nasalization. Actes du XIIème congrès international des sciences phonétiques, Aix en Provence, 1991; 3: 110-113. |
| [21] | STARKA G. L’évolution phonétique du latin au français sous l’effet de l’énergie et de la faiblesse articulatoire. [phonetic evolution from Latin to French, according to articulatory energy and weakness] Travaux de linguistique et de littérature de l’univ. de Strasbourg. 1964. |
| [22] | HOUSE AS and FAIRBANKS G. The influence of consonant environment upon the secondary acoustical characteristics of vowels (JASA 1953; 25, 105-113.) |
| [23] | DELVAUX V, DEMOLIN D, HARMEGNIES B, SOQUET A. The aerodynamics of nasalization in French. Journal of Phonetics. Elsevier Ltd. 2008; 36: 578-606. |
| [24] | KENT RD, MINIFIE FD. Co-articulation in recent speech production models. Journal of Phonetics. 1997. 46: 1016-1018. |
| [25] | BENGUEREL AP. Nasal air flow pattern and velar co-articulation in French. Stockholm; Alquist and Wicksell 1974; 2: 105-112. |
| [26] | ABUOUDEH M. De l’impact des variations temporelles sur les transitions formantiques. [About timing variations on formantic transitions] Thèse de doctorat, Laboratoire de linguistique de Nantes. University Bretagne-Loire 2018. |
| [27] | ARONSON AE. Les troubles cliniques de la voix. [Voice disorders] Ed Grasst 1997. |
| [28] | DEWEY. D. What is Development Dyspraxia. Brain and cognition. 1995; 29: 254-74. |
| [29] | FORREST K. Diagnostic criteria of development apraxia of speech used by clinical speech language pathologists; An 5. Speech language pathology, 2003. 12, 3: 376-380. |
| [30] | KARLING J, LARSON O, LEANDERSON R, HENNIGSON G. Speech in unilateral and bilateral cleft patients from Stockolm; Cleft Palate Craniofacial Journal. 1993; 30 (1): 73-77. |
| [31] | GANRY L, BLOT P, BOURIC JM, and al. Quantitative study of phonation by aerophonoscopy. Reproductibility study on healthy volunteers. Rev. Stomatologie et de Chirutgie. Maxillofaciale. 117: 62-66. 2016. |
| [32] | ROUSTEAU G. Dyspraxies verbales et feed-backs sensoriels. [Apraxia of speech and sensorial feed-backs] Actes des entretiens d'orthophonie de Bichat. Site www.entretiensdebichat.com. Paris. 2015. |
| [33] | HENNINGSSON G, KUEHN DP, SELL D, SWEENEY T, TROST-CARDAMONE JE, WHITEHILL TL. Universal parameters for reporting speech outcomes in individuals with cleft palate. Cleft Palate Facial J; 2008 Jul; 45: 1-17.; 452-3. |
| [34] | NAIMAN A-N, DISANT F. Chirurgie de l’insuffisance vélaire, [Velar incompetence surgery] Techn. Chir. EMC, 2006. |
| [35] | SOMMERLAD BC. A technique for cleft palate repair. Plast. Reconstr. Surg. 2003: 112. |
| [36] | ANDRADES P, ESPINOSA de LOS MONTEROS A, SHELL DH THURSTON TE; The importance of radical intravelar veloplasty during two flap palastoplasty. Plast. Reconstructive Surgery. 2008 122 (4): 1121-1130. |
| [37] | TALMANT JC, TALMANT JC, LUMINEAU JP, ROUSTEAU G. Traitement chirurgical secondaire des fentes labio-alvéolo-palatines.[Secondary surgery of labio-alveolo-palate clefts] 45585, Vol4, EMC nov. 2020. |
| [38] | TALMANT JC, TALMANT JC, LUMINEAU JP. Traitement chirurgical secondaire des fentes labio-alvéolo-palatines. [Secondary surgery of labio-alveolo-palate clefts] EMC-Chirurgie plastique reconstructive et esthétique 2012 art 45-585. |
| [39] | TALMANT JC, LUMINEAU JP, ROUSTEAU G. Prise en charge des fentes labio-maxillo-palatines par l’équipe du Dr Talmant à Nantes [Care of labio-maillo-palate clefts par Dr Talmant team] EMC Ann chir Plast Esthé 2002 47: 116-125. |
| [40] | TALMANT JC. Evolution of the functional concept for cleft lip and palate patients. Indian Plast Surgery. 2006; 39: 96- 209. |
| [41] | TALMANT JC. Fentes labiales et palatines. Traitement primaire [Primary treatment of labio-palate clefts] EMC 2011 (art 45 - 580). |
| [42] | COHN A. Phonetic and phonological rules of nasalization, Working papers of the university of California, Los Angeles, 76, 1990. |
| [43] | MANN R. Double opposing buccal flap for palatal lengthening. Plastic and reconstructive surgery 2413, 8, 2011. |
APA Style
Gabriel Rousteau, Jean Claude Talmant. (2023). The Use of the Aerophonoscope for Assessing Velo-Pharyngeal Incompetence and Therapeutic Decisions. American Journal of Pediatrics, 9(1), 20-42. https://doi.org/10.11648/j.ajp.20230901.14
ACS Style
Gabriel Rousteau; Jean Claude Talmant. The Use of the Aerophonoscope for Assessing Velo-Pharyngeal Incompetence and Therapeutic Decisions. Am. J. Pediatr. 2023, 9(1), 20-42. doi: 10.11648/j.ajp.20230901.14
AMA Style
Gabriel Rousteau, Jean Claude Talmant. The Use of the Aerophonoscope for Assessing Velo-Pharyngeal Incompetence and Therapeutic Decisions. Am J Pediatr. 2023;9(1):20-42. doi: 10.11648/j.ajp.20230901.14
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Download@article{10.11648/j.ajp.20230901.14,
author = {Gabriel Rousteau and Jean Claude Talmant},
title = {The Use of the Aerophonoscope for Assessing Velo-Pharyngeal Incompetence and Therapeutic Decisions},
journal = {American Journal of Pediatrics},
volume = {9},
number = {1},
pages = {20-42},
doi = {10.11648/j.ajp.20230901.14},
url = {https://doi.org/10.11648/j.ajp.20230901.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20230901.14},
abstract = {Aerophonoscope is an ultra sensitive and original instrument for detecting nasal airflow and analysing the Velo-Pharyngeal Sphincter –VPS - movements. It reveals the aerodynamic function of the VPS, in the usual conditions of speaking and breathing. It has been created for patients with facial cleft, of 4 years old upwards, after primary surgery and during their growth, in a harmless, non-invasive way. There are several sorts of assessments of Velo-Pharyngeal Incompetence (VPI): from an anatomical point of view, a perceptive, acoustic, aerodynamic one. The Aerophonoscope belongs to the latter one. We know the difficulties to treat this pathology in the fields of surgery and speech therapy mostly because of misunderstanding VP physiology and physiopathology, which are complex. Then aerophonoscopy allows us to understand this complexity. So we are able to easily assess excessive Nasal Loss -NL- factors. The NL is linked mainly with a VPS persistent lack of closing, of course. But it varies according to its stiffness, tonicity, and its smaller and slower movements. The latters are according to each phoneme or syllable, and they have more or less speedy succession of the “phonological verbal chain”. So we aim at presenting this instrument that enables an aerodynamic assessment of the VPS precisely. We can analyse many characteristics of its pathological movements with different tests in our protocol (passive, active, effort, successive movements and so on) and show the results of about 652 individuals. These data contribute to guide therapeutic decisions, (choice of type of surgery, targets of rehabilitation), such as to restore the VPS physiology at the very most. Furthermore, it provides a pleasant and efficient means of rehabilitation of the VPS},
year = {2023}
}
TY - JOUR T1 - The Use of the Aerophonoscope for Assessing Velo-Pharyngeal Incompetence and Therapeutic Decisions AU - Gabriel Rousteau AU - Jean Claude Talmant Y1 - 2023/03/15 PY - 2023 N1 - https://doi.org/10.11648/j.ajp.20230901.14 DO - 10.11648/j.ajp.20230901.14 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 20 EP - 42 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20230901.14 AB - Aerophonoscope is an ultra sensitive and original instrument for detecting nasal airflow and analysing the Velo-Pharyngeal Sphincter –VPS - movements. It reveals the aerodynamic function of the VPS, in the usual conditions of speaking and breathing. It has been created for patients with facial cleft, of 4 years old upwards, after primary surgery and during their growth, in a harmless, non-invasive way. There are several sorts of assessments of Velo-Pharyngeal Incompetence (VPI): from an anatomical point of view, a perceptive, acoustic, aerodynamic one. The Aerophonoscope belongs to the latter one. We know the difficulties to treat this pathology in the fields of surgery and speech therapy mostly because of misunderstanding VP physiology and physiopathology, which are complex. Then aerophonoscopy allows us to understand this complexity. So we are able to easily assess excessive Nasal Loss -NL- factors. The NL is linked mainly with a VPS persistent lack of closing, of course. But it varies according to its stiffness, tonicity, and its smaller and slower movements. The latters are according to each phoneme or syllable, and they have more or less speedy succession of the “phonological verbal chain”. So we aim at presenting this instrument that enables an aerodynamic assessment of the VPS precisely. We can analyse many characteristics of its pathological movements with different tests in our protocol (passive, active, effort, successive movements and so on) and show the results of about 652 individuals. These data contribute to guide therapeutic decisions, (choice of type of surgery, targets of rehabilitation), such as to restore the VPS physiology at the very most. Furthermore, it provides a pleasant and efficient means of rehabilitation of the VPS VL - 9 IS - 1 ER -
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