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COSD ch. 6 part 2 notes: Cleft Palate

by: Maycie Tidwell

COSD ch. 6 part 2 notes: Cleft Palate COSD 10303

Maycie Tidwell
GPA 3.8

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About this Document

These notes cover what we learned on cleft lips and palates.
Survey of Communication Disorders
Class Notes
COSD, communication, disorders, cleft, palate
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This 2 page Class Notes was uploaded by Maycie Tidwell on Tuesday March 15, 2016. The Class Notes belongs to COSD 10303 at Texas Christian University taught by Watson in Spring 2016. Since its upload, it has received 7 views. For similar materials see Survey of Communication Disorders in Nursing and Health Sciences at Texas Christian University.

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Date Created: 03/15/16
COSD Ch. 6 Pt. 2: Cleft Palate: Steven: Most immediate need: getting food and nutrition to stay alive. Facial Development: -Mandible forms during 4 and 5 weeks of gestation. th -Upper face structures form during 5 and 8th weeks. -Hard and soft palate fusion during the 8 – 12 weekh -Face forms from 4 to 12th week. Classifications of cleft: Veau system: Class 1-4: Class 1: soft palate only Class 2: hard and soft palate all the way to incisive foramen. Class 3: Complete unilateral cleft of soft & hard pal and lip and alveolar ridge on 1 side. (steven) Class 4: Complete bilateral cleft of the soft and hard pal and/or lip and alveolar ridge on both sides Cleft of lip alone: minor “V” shape. (rare) Unilateral cleft of the lip and palate: STEVEN has this.  Extends from the upper lip, through the alveolus and hard and soft palate  Nasal septum attaches to the larger of the 2 palatal segments How often do these clefts occur? 1 in 750 live births. TEST Q 2 times more often in males Differences in racial/ethnic groups Black: less common Native Americans: more frequent Whites: average/ in the middle Seems to be increasing (prenatal care, increased gene pool) Who serves on the cleft palate team? Name 6 Nurses, nutritionist, occupational therapist, SLPs, parents, oral and plastic surgeon, geneticist, prosthodontics, pediatrician, radiologist, anesthesiologist, What are the primary and secondary surgeries associated with cleft lip and palate? Primary Lip surgery: 11 weeks Repair of cleft: 11 months Secondary Pharyngeal flap to correct Velopharyngeal incompetence Describe the dental and audiological issues associated with cleft lip and palate. Dental Orthodontics Prosthodontist- obturator Audiological Higher incidence of hearing disorders Usually a conductive loss (middle ear) Otitis media Testing needs to be done every 3-6 months Communication problems: 14 month: working on sound production -articulation -hypernasality -nasal emission 80%: reasonably good speech -Voice disorders -Resonance disorders -Articulation disorders -Language Problems What are other problems that may be present in children who have a cleft lip and palate? Child and parents response lead to social and emotional problems Academic performance Parental responses Childs needs Feeding problems Middle ear disease Hearing impairment Dental problems


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