cleft lip/palate

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?