Cleft Lip And Palate Management And Treatment

Question 1

What is a cleft lip?

Answer 1

An opening or slit in the upper lip that may ascend into the nose

Question 2

What is a cleft palate?

Answer 2

An opening in the roof of the mouth that may extend into the nose.

Question 3

What are the 3 parts of treatment for cleft lip, cleft palate, and other craniofacial anomalies?

Answer 3

1. Team management 2. Surgery 3. Feeding and speech intervention

Question 4

For those with cleft lip or cleft palate? Hearing is most often ___________; SNHL is unusual with ____________.

Answer 4

Conductive losses; isolated cleft palate

Question 5

Since children or those children with cleft lip and palate have structural abnormalities of the Eustachian tube, they may be more prone to _______

Answer 5

Middle ear infections

Question 6

How long does lip repair take?

Answer 6

About 3-6 months

Question 7

What does cleft lip repair do?

Answer 7

It realigns the muscle of the upper lip to provide normal lip function (including suckling) and it closes the lip

Question 8

What is palatoplasty?

Answer 8

surgical procedure used to correct or reconstruct the palate in a person with a cleft palate

Question 9

Palatoplasty typically happens when the infant is ______, following successful repair of the CL. At times, a second operation is needed. At ______, a palatoplasty is too late since the child has developed speech sounds already.

Answer 9

about 1 year old; 18 months

Question 10

Palatal expansion, a procedure done before bone grafting for those with clefting of the alveolus, occurs when the infant is ________

Answer 10

5-7 years old.

Question 11

What is a fistula? Where is it most common?

Answer 11

an abnormal or surgically made passage; it is most common at the incisive foramen and at the hard/soft palate junction.

Question 12

What is an obdurator? How does it help?

Answer 12

a prosthesis (device that replaces a missing part) that closes an opening, such as a fistula; helps with resonance and feeding

Question 13

When does bone grafting occur?

Answer 13

At about 6-9 years old

Question 14

When would one need a palatal lift?

Answer 14

Use it for a velum that does not move due to paralysis from a neurological disorder or other weakness

Question 15

What does a palatal lift do?

Answer 15

it elevates the velum so that it can make better contact with the posterior pharyngeal wall

Question 16

What are common compensatory sounds for someone with VPI?

Answer 16

pharyngeal fricative and glottal stop

Question 17

What is the pharyngeal fricative?

Answer 17

a common compensatory sound; friction in the pharyngeal area that is substituted for stops, fricatives, and affricates

Question 18

What is the glottal stop?

Answer 18

a common compensatory sound; air stream is interrupted at the glottis; substituted for fricatives and affricates