Table 1:

The definitions for pertinent measurements for quantitatively examining VPIa,44

VariableDescription
Pharyngeal depthLinear distance (mm) from PNS to PPW or adenoid pad as seen on the midsagittal image
Velar lengthCurvilinear distance (mm) from the posterior nasal spine to the tip of the uvula as seen on the midsagittal image
VP ratioCalculation obtained from the dividing velar length by pharyngeal depth
Effective velar lengthLinear distance (mm) from the posterior border of the hard palate to the point of levator muscle insertion into the velum as seen on the midsagittal image
EVP ratioCalculation obtained from dividing effective velar length by the pharyngeal depth
Adenoid depthLinear distance (mm) along the palatal plane from the adenoid pad to the posterior end of the adenoid
  • Note:—PNS indicates posterior nasal spine; PPW, posterior pharyngeal wall; VP, velopharyngeal; EVP, effective VP.

  • a Adapted with permission from Perry JL, Kotlarek KJ, Sutton BP, et al. Variations in velopharyngeal structure in adults with repaired cleft palate. Cleft Palate Craniofac J 2018;55:1409-18.