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Nasopharyngoscopy is a minimally invasive endoscopic procedure that allows visual observation and analysis of the velopharyngeal mechanism during speech. It can be used to assess both anatomic and physiologic abnormalities of the velopharyngeal valve. In cases of suspected velopharyngeal insufficiency (VPI), nasopharyngoscopy is particularly useful in determining the size, location, and cause of the velopharyngeal opening. This information is very important for surgical planning. Nasopharyngoscopy is also useful in the assessment of secondary surgery that was done for VPI. It can help determine the need for revision and the type of revision surgery that is most likely to be successful. The purpose of the chapter is to explain how nasopharyngoscopy is used in the evaluation of velopharyngeal function. This chapter includes specific tips for achieving a successful examination in children as young as age 3. Finally, important observations from nasopharyngoscopy are described. © 2025 The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG.
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Narrative language samples can be used to measure language development in children, but research on narrative development in deaf and hard-of-hearing (DHH) children is scarce, limiting knowledge of developmental stages and best practices for collection and analysis. This scoping review included 39 articles that explored recent methodologies and achievements in oral or signed narratives of DHH children, including comparisons with hearing peers and within-group analyses of early auditory experience, device use, and other measures. Articles featured DHH participants aged < 4 to 18 years, varying in device use, communication modalities, and educational settings. Most studies utilized story generation tasks with early elementary-aged children and analyzed either microstructure or macrostructure. Mixed results in comparisons with hearing children emphasized the need to consider individual differences (e.g., speech perception and age of spoken language access) in DHH narrative assessments. Findings also suggest that comparability across studies would be improved by more consistent terminology and procedures in narrative collection/analysis.
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