Skip to Main ContentSkip to Footer

Velopharyngeal Insufficiency Program

Velopharyngeal insufficiency (VPI) is the improper closing of the soft palate against the back of the throat during speech. This causes too much air to pass through the nose, giving a person's speech a nasal sound. Children with VPI often have difficulty pronouncing strong consonants including "p," "b," "d," "g," and "t." This makes clear speech challenging and can contribute to difficulties in developing age-appropriate language skills and social frustration.

A referral by a your doctor is required to schedule an appointment at our VPI Clinic.

Conditions We Treat

Meet Your Care Team

Christopher T. Wootten
star empty iconstar empty iconstar empty iconstar empty iconstar empty iconstar iconstar iconstar iconstar iconstar icon
4.7

Christopher T. WoottenMD, MMHC, FACS, FAAP

    Airway Reconstruction, Breathing Disorders, ENT Ear, Nose, Throat (Otolaryngology), Hearing Loss, Otolaryngology, Pediatric Ear, Nose, and Throat Conditions, Pediatric Otolaryngology
Ryan H. Belcher
star empty iconstar empty iconstar empty iconstar empty iconstar empty iconstar iconstar iconstar iconstar iconstar icon
4.9

Ryan H. BelcherMD, MPH

    ENT Ear, Nose, Throat (Otolaryngology), Head and Neck Cancer, Hearing and Speech, Nose and Sinus Conditions, Otolaryngology, Pediatric Cleft Lip and Palate, Pediatric Otolaryngology
James D. Phillips
star empty iconstar empty iconstar empty iconstar empty iconstar empty iconstar iconstar iconstar iconstar iconstar icon
4.8

James D. PhillipsMD

    ENT Ear, Nose, Throat (Otolaryngology), Hemangiomas, Otolaryngology, Pediatric Airway Reconstruction, Pediatric Cleft Lip and Palate, Pediatric Ear, Nose, and Throat Conditions, Pediatric Otolaryngology
Lyndy J. Wilcox
star empty iconstar empty iconstar empty iconstar empty iconstar empty iconstar iconstar iconstar iconstar iconstar icon
4.5

Lyndy J. WilcoxMD, BS

    Breathing Disorders, ENT Ear, Nose, Throat (Otolaryngology), Otolaryngology, Otolaryngology Surgery, Pediatric Airway Reconstruction, Pediatric Ear, Nose, and Throat Conditions, Pediatric Otolaryngology
Melissa C. Henry

Melissa C. HenryMA, CCC-SLP

    Hearing and Speech, Hearing and Speech Sciences, Speech Language Pathology, Speech and Language Disorders
Shannon L. McGurk

Shannon L. McGurkSLP

    Autism Disorders, Hearing and Speech, Hearing and Speech Sciences, Pediatric Speech Language Pathology, Speech Language Pathology, Speech and Language Disorders
Rachel Sims

Rachel SimsCCC-SLP

    Hearing and Speech, Speech Language Pathology
Derrick R. Sowder

Derrick R. SowderSLP

    Hearing and Speech, Hearing and Speech Sciences, Pediatric Speech Language Pathology, Speech Language Pathology, Speech and Language Disorders

Why Choose Velopharyngeal Insufficiency Program at Vanderbilt

  • Surgical leaders

    Diagnosing and treating VPI requires a close partnership among parents, family doctors and specialists. At Children’s Hospital, national leaders in the diagnosis and management of voice disorders help our team gain the information we need to make appropriate and effective surgical decisions for your child.

  • Personalized care

    Our VPI team is unique. We offer of a full array of therapies. If your child needs surgery, we will offer a tailor-made operation based on a careful review of their specific problem.

  • Coordinated care

    Our VPI team coordinator serves as your single point of contact between with our physicians to ensure your child has the best plan to improve speech problems.