COMMDIS 415 CLEFT Flashcards
Cleft Lip/Palate & Craniofacial Disorders
Non-syndromic clefts - Teratogen
MOST COMMON
Syndromic clefts (e.g. Apert syndrome)
-over 300 syndromes associated with clefting
Van der Woude Syndrome
used to cut out tissue
left cosmetic defects
lower lip pits unique to this syndrome
language delays, challenges related to it
Dysmorphic Features Associated with Select Syndromes
(something is off, different, atypical)
FACIAL PROPORTIONS
1/3 FACE
1/3 FACE
1/3 FACE
Malar
Cheeks
Hypoplasia
underdeveloped
Dysmorphic Features Associated with Select Syndromes
APERT SYNDROME: eyes slant down
midface hypoplasia
CLEFT LIP/PALATE
kids start to produce compensatory articulation
produce wrong articulations, correct it w SLP
severity can change
lip is repaired at 3 months
palate is 9-12 months, off bottle feeding
Clefts of the Lip and Palate: Overview
One in every 750 live births (Cleft Palate Foundation)
Cleft of the lip and/or palate is a congenital malformation that occurs in utero
during the first trimester of pregnancy
Clefts may be caused by a combination of genetic and environmental factors
Cleft lip presents with more cosmetic concerns than cleft palate, but a cleft palate presents with more serious problems (speech, resonance, feeding, and hearing issues)
genetics, first trimester causes cleft to occur
radiation exposure, maternal exposures, chemicals
Cleft Lip
- Effects on feeding
lips need to close
broad base nipple: wider and fill in cleft defect to generate suction
breast feeding fills in naturally
do not have problems long term w speech
Cleft palate
Effects on feeding
- pushing food into nasal passage
* Effects on resonance
* Effects on articulation
- compensatory articulation, distorted sounds, moved to pharynx
* Effects on hearing
* How do we assess these areas?
