Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
25 Cards in this Set
- Front
- Back
|
Cleft of the secondary palate only is frequently seen in _____.
|
a syndrome like Treacher Collins Syndrome or Stickler Syndrome
|
|
|
Describe 3 characteristics of Treacher Collins Syndrome?
|
macrostomia (abnormal largeness of mouth)
cleft lip/and or palate downward slanting separation of upper and lower eyelids |
|
|
Describe 3 characteristics of Stickler's syndrome.
|
genetic disorder
affects connective tissue of bones, eyes, ears cleft palate |
|
|
What sequence commonly causes a cleft palate?
|
Pierre-Robin sequence
|
|
|
What is micrognathia?
|
commonly seen in Pierre-Robin sequence, it is a very small jaw. During formation at birth, this can cause a cleft palate.
|
|
|
Name 4 environmental factors that can cause clefts.
|
fetal alcohol syndrome, drugs use, rubella, prescription drug side effects
|
|
|
What is a major cause of hypernasal speech in a child with a previously repaired cleft palate?
|
velopharyngeal insuffieciency, or too short a velum
|
|
|
What is an incomplete cleft lip?
|
can be unilateral or bilateral
only the soft tissue of lip is clefted |
|
|
What is a complete cleft lip?
|
can be unilateral or bilateral
the lip and anterior alveolar ridge are clefted |
|
|
The soft palate is also know as ____?
|
the secondary palate
|
|
|
What muscles cannot interdigitate with a cleft of the hard and soft palate.
|
the levator palatini and tensor palatini muscles.
|
|
|
What does the levator palatini muscle do?
|
raise the velum
|
|
|
What does the tensor palatini muscle do?
|
open the Eustachian tubes
|
|
|
What is a primary surgery in relation to cleft palates?
|
This the is the first surgery to close the cleft. Examples include the Von Langenbeck and Double Z Furlow
|
|
|
What are secondary surgeries in relation to cleft palates?
|
These are done after the first surgery to improve appearance and ability to function. Examples include lip and palatal surgery.
|
|
|
What is the V-Y retroposition method?
|
-used to close cleft palate
-single flaps raised on either side of cleft and brought back together -lengthens palate |
|
|
What is the Von Langenbeck method?
|
-used to fix cleft palate
-raise 2 bipedicled flaps and bringing them together -the flaps then are used to cover the cleft -doesn't lengthen palate |
|
|
What is a pharyngeal flap?
|
-secondary surgery
-muscular flap cut from back pharyngeal wall, raised, and attached to velum -helps close VP port and decrease hypernasality |
|
|
What is a delayed hard palate?
|
this is where the soft palate is surgically closed before the hard palate
|
|
|
What is Pharyngoplasty?
|
Substances (i.e. silicon gel bag, Teflon, cartilage) is injected into the posterior pharyngeal wall to help VP port close
|
|
|
CHildren with severe hypernasality due to VP incompetence need ___ and/or ____ before speech therapy can be successful?
|
prosthetics (speech bulb) and/or surgery
|
|
|
What types of sounds are taught first to a child receiving speech therapy for VP incompetence?
|
stops and fricatives because they are more visable
|
|
|
Name 3 common compensatory articulation errors seen in children with clefts?
|
backing
glottal stops use of pharyngeal stops, affricates, and fricatives |
|
|
What is the main objective of speech therapy for children with VPI?
|
get rid of compensatory errors, such as backing of sounds to pharynx and larynx
|
|
|
What techniques are not effective to treat VPI?
|
blowing, sucking, swallowing exercises (non-speech oral motor exercises)
E-stim Tactile stimulation |
