First Bite #19 – October 09, 2018

VPI…It’s more than nasal emissions, it can impact swallowing too!

(.1 ASHA CEU) For more info, click here.

Course Description

In this episode, Michelle is joined once again by the gifted Mrs. Melissa Monteil, MS CCC-SLP, (see Episode 14 “Banishing Confusion for Clefts”), from the Medical University of South Carolina and the Evelyn Tramell Institute for Voice and Swallowing.  In Melissa’s second lecture, we address both the speech component of VPI (velopharyngeal insufficiency), but also the more elusive and often misunderstood swallowing aspect of VPI.  Sit back in awe as Melissa educates colleagues about signs and symptoms that would warrant a VPI evaluation and the steps involved during the VPI eval.  If you have a patient with nasal regurgitation, then this might be perfect for you!


By the end of this PodCourse, participants will be able to identify and describe:

  • S/S of VPI and how it can affect speech production.
  • How VPI can affect swallowing.
  • 3 components of a VPI evaluation.


Melissa Montiel, MS CCC-SLP

Melissa Montiel is a pediatric speech pathologist at the Medical University of South Carolina (MUSC). She has a BS from Auburn University and her MS from MUSC. She has been practicing for 10 years and been an active member of the cleft/VPI team for 9 years. She sees a variety of patients, including acute care and outpatient populations. Melissa has been to El Salvador and Africa with the Global Smile Foundation to assist with cleft care in areas with limited access. Annually, she enjoys traveling to the American Cleft Palate Association meetings for up to date research and treatment practices.