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ECU Craniofacial Anomalies + Laryngeal Rehab > 3.1 Intro > Flashcards

3.1 Intro Flashcards

1
Q

What are the high incidence problems?

A
  • Articulation
  • Language
  • Swallowing
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2
Q

What are the low incidence problems?

A
  • Voice
  • Resonance
  • Fluency
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3
Q

_________ supply of patients to a _______ demand of training programs and a _________ demand for clinical experts.

A

Low
Low
Low

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4
Q

What is the world rate of clefting?

A

11k/hour

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5
Q

What is the clefting incidence per live births (world)?

A

1 : 595-1000

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6
Q

What is the US rate of children born with cleft?

2

A

1/66 minutes

6,000 per year

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7
Q

What is the US rate of cleft palate (only) caused by a syndrome?

A

25-30%

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8
Q

What is the US rate of cleft lip/palate caused by a syndrome?

A

5-10%

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9
Q

Children born with cleft palate are at an inherently higher risk of developing __________ .

A

Velopharyngeal dysfunction (VPD)

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10
Q

What percentage of children with repaired clefts will need a pharyngoplasty to manage VPD?

A

20%

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11
Q

What percentage of pharyngoplasties required for children without clefts?

A

30%

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12
Q

How many causes are there of velopharyngeal dysfunction?

A

numerous

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13
Q

What is the cumulative incidence of VPD?

8

A
  • Cleft palate and craniofacial anomalies
  • Congenital palatal insufficiency
  • Nasopharyngeal obstruction
  • Nasal obstruction
  • Upper motor lesions: brain injury, stroke, etc.
  • Lower motor lesions
  • Oral surgery
  • Nasopharyngeal irradiation
  • Orofacial Trauma
  • “functional” or “sound specific” VPI
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14
Q

Resonance and voice disorders have a _________ degree of medical impact?

A

High

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15
Q

Is the high degree of medical impact only associated with resonance and voice disorders?

A

NO

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16
Q

What kind of training do you need to work with resonance and voice disorders?

Is this training required?

A

Specialized training

It is not required

17
Q

In regards to resonance and voice disorders, what does a complete evaluation require?

(4)

A
  • Instrumentation
  • Imaging
  • Close association with medical, surgical and allied health
  • Specialists
18
Q

VPD and clefting has are relatively ______ incidence disorders?

A

Low

19
Q

According to ASHA, VPD and clefting make up _____% incidence of voice disorders in schools?

A

6%

20
Q

Do we know the incidence of resonance disorder?

A

We don’t know the percentage of incidence

21
Q

Is hypernasality a voice disorder?

A

No

22
Q

What kind of disorder is hypernasality?

A

Disorder of Velopharyngeal function

23
Q

“Labeling a speech disorder should ____________ reflect the anatomical nature of the disorder and avoid ______________ or ambiguous connotations”

A

Accurately

Erroneous

24
Q

What was hypernasality previously known as?

A

A voice disorder

25
Q

The new scope of practice separates “voice” (layngeal) from what?

A

“resonance disorders” (velopharyngeal) disorders

26
Q

The standard practice for children who are hypernasal and present with a cleft palate is what?

A

To label them as VPI and refer to specialists at a craniofacial center

27
Q

Children who are hypernasal and Do Not present with a cleft palate are labeled as “voice disordered” and referred to who?

A

To an individual Ear Nose and Throat specialist (who may or may not have experience evaluating VPI) which is an inappropriate referral

28
Q

What is the more appropriate refer for an individual with a cleft palate?

A

craniofacial team

29
Q

Cleft lip/plate may be identified when?

A

perinatally or prenatality

30
Q

Cleft palate closure is before when?

A

One year of age

31
Q

Pharyngoplasties for residual VPI are often completed before when?

A

five years of age

32
Q

Children with Non-cleft hypernasality from 22q11.2 deletion (velo-cardio syndrome) was when?

A

9.2 years

33
Q

VPD and cleft and craniofacial disorders are ________ incidence.

A

Low

34
Q

____ - ____% of hypernasal patients who require a pharyngeal do not have a cleft?

A

25 - 30%

35
Q

Is hypernasality a voice disorder?

A

No

36
Q

VPI incidence is ____% post-palatoplasty

A

20%

37
Q

Delayed identification leads to delayed management resulting in what?

A

Poorer outcomes

ECU Craniofacial Anomalies + Laryngeal Rehab (35 decks)

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