ALI RHODESLINDSEY WOODYMARGO PEARCE
Cleft Lip/Palate
Etiology
Interaction of genetic and environmental factors:
-Genetic Factors• Chromosomal defects• Part of a syndrome
-Environmental Factors• Parental age (older)• Teratogens (i.e., cigarette smoke, virus)
Description
Openings or splits in the upper lip, the palate or both
Two types: Clefts of primary palate Clefts of secondary palate
Further described by: Complete/incomplete Unilateral/bilateral
Description Cont.
Cleft of Secondary Palate Cleft of Primary Palate
Description Cont.
Bilateral Complete Cleft Unilateral Complete Cleft
Diagnosing Cleft Lip/Palate
Most cases are immediately apparent at birth.
Prenatal: Ultrasound Sample of amniotic fluid
Submucous Cleft: Triad of symptoms
Ultrasound Diagnosis
Submucous Cleft
Bifid Uvula
Notch at PosteriorBorder of Hard Palate
Zona Pellucida
SLP Diagnosis
SLP can diagnose all of the speech features that are associated with a cleft palate Articulation Resonance Nasal Air Emission Voice
Physician officially diagnoses and classifies the type of cleft
Evaluation Procedures
Intra-Oral Exam
Nasometry
Nasopharyngoscopy
Articulation
Description of Cleft to Family
Verbal description
Provide outside resources: http://www.clapa.com http://www.cleftline.org
Technology Used For Treatment
‘Speech Adventures’ Ipad app with speech recognition software Gives the client a phrase to say Saying the phrase correctly lets them complete the
game task
http://www.youtube.com/watch?v=oKVFqbiq7bw&feature=youtu.be
Questions?