CLEFT

Question 1

Glue Ear

Answer 1

OME - inflammation in the middle ear

Hence Otitis Media Effusion

Question 2

What is the Eustachian Tube

Answer 2

• connection between the nose to the ear

Question 3

Why do you get glue ear

Answer 3

Eustachian tube is short

Question 4

Nasendonscopy

Answer 4

Camera up the nose

Question 5

Factors of OME

Answer 5

Deafness

Can cause chronic ear ache
Glue ear - grommet -
To relief the middle ear pressure

Question 6

OME

How can we treat?

Answer 6

Non-surgical
- antibiotics
Auto-inflation
Hearing aid

Surgical
Myringotomy - myring - drum - gotomy - hole in the ear drum

Question 7

Can glue ear OME resolve

Answer 7

Yes after 3 months in children can resolve

Glue ear in adults may not resolve after two to three weeks

Question 8

GP- approach them to support your debilitating condition.

Answer 8

They show now empathy
You will approach many and many and they showed no care
You approach them with the condition and leave feeling as if they showed no compassion. Why would they? They are not fighting that battle.

Question 9

Bone conduction amplification

Answer 9

See images

Question 10

Risk of Grommet

Answer 10

Pierce the ear drum

• place a grommet

Question 11

Hearing aid band

Answer 11

It all depending on compliance - will they continue with what’s required of them?

Take the required meds

Life is about compliance with orders given.
That occurs with everything.
On chemo? Requiring compliance

Question 12

Speech across different levels

Answer 12

Mmmm and nnnn - give parent different sounds to model - are they only using nasal sounds

Word level is assessed at all stages - S&W model

We need to assess their connected speech - why? Soft palate is muscular and mobile. - muscle can fatigue.

Just as you’re in a gym lifting 50kg

GOSPASS - Great Ormand Street - how is their palate working.

Question 13

When assessing children..

Answer 13

Focus on a few things and ignore everything else that’s going on!!

So when the child says puppy dining in the room - I’m only looking at the P ignoring everything else

Question 14

How to carry out the stimulability test

Answer 14

Can you copy this sound.

Question 15

Phonetic and phonological Analysis

Answer 15

Child saying nanny

This could be a phonetic basis, unable to produce the sound but also phonological processing. So phonological difficultly

Question 16

A number of SLT

Answer 16

But a fair number are part time

Question 17

Hyper

Answer 17

Too much air

Passive CSCs - signs of velo pharyngeal dysfunction

Question 18

Hypo nasality

Answer 18

Not enough air
On nasal sounds

Blockage somewhere

Question 19

Active nasal fricative

How to diagnose?

Answer 19

Result of misleading -
Only frocstive sounds which are affective

Turbulence of emission replace fricative
all other consonants are normal!!

Fricatives - s, f v z sh dz

Active nasal fricative: doctors - turbulence on the s sound .

Trying to do the right thing with /s/ forcing air down the nose.

Passive /s/ air leaking down the nose.
Active nasal fricative -

When and s sound - air going down the nose

Question 20

What is dysphonia

Answer 20

This is related to voice

Not muscle

Phonia- sounds phonation - phonetic

having an abnormal voice.
hoarseness.
Changes to the voice can occur suddenly or gradually over time. The voice can be described as hoarse, rough, raspy, strained, weak, breathy, or gravely.

Question 21

Phonia - what is it

Answer 21

Phonia is sound
Dys phonia - unable to produce sound through voice. Wrong - sound is voice

So it’s unable to produce sound through speech

Question 22

What is the difference between dysphonia and hypotonia ?

Answer 22

Dysphonia - problems with sound to proude speech

Abnormal voice

• hypotonia… you are right - low muscle tone