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There is currently not a single known factor that causes cleft palates.
Majority of isolated clefts seem to be caused by a combination of genetic
and environment factors. Cleft conditions can be genetic and chances of
having children with a cleft increase if more clefts are present in immediate
family. Risk factors include number of family members with clefts, how
closely related those family members are, and sex and race.
,Give a brief description of each instrumental technique used to estimate VP function
and/or speech resonance
- Nasometry
- Nasoendoscopy
- Videofluoroscopy
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Nasometry analyzes acoustic energy from oral and nasal cavities. The
scores for the assessment are obtained whole the speaker repeats words
and sentences.
Videofluoroscopy is a multi-view radiographic assessment that provides a
lateral, anterior-posterior, and base view. This assessment gives direct
visualization of VP movement and can determine the size and shape of VPI.
Nasoendoscopy allows direct observation of structures and function of the
VP mechanism, provides the location of the opening, the scope can be
passed by either a surgeon or SLP, a speech sample should be done by
SLP, and interpretation requires the expertise of the surgeon and SLP.
There are a number of factors that appear to have a potential negative influence on
speech and language development in the population of children with cleft and
craniofacial anomalies. List at least 3 factors that might place a child with an oral cleft
at risk for speech or language delay or disorder
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, 1) Articulation errors: developmental, obligatory,
maladaptive/compensatory errors
2) Obligatory vs Learned Audible Nasal Emissions or Nasal Turbulence
3) Nasal air emission, nasal turbulence
4) Timing of surgery that interacts with early speech development and initial
palatoplasty does not always provide adequate VP closure and sometimes
VPI persists after the initial injury
Knowledge about the structure and function of the normal VP valve is important.
Please explain the contribution of each of the following structures for VP closure:
Pharyngeal Wall (lateral and posterior walls)
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anterior movement of the posterior pharyngeal and medical movement of
the lateral wall at the level of the velum contributes to the closure of the
velopharyngeal
Describe the contributing factors to the development of a communication disorder in
patients with Velocardiofacial Syndrome
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-cognitive difficulties
-delayed acquisition of speech sounds
-delayed language development and meeting milestones
-possible reduced tone of facial muscles
-conductive hearing loss
-velopharyngeal dysfunction