Craniofacial Disorder Slide Deck Flashcards
McGurk Effect
Cocktail party effect
Its not just the syndrome or disorder..
its the individual with a syndrome or deformity
Beckwith-Wiedmann Syndrom
-overgrowth syndrome: macroglossia
-hemihyperplasia
-cancer risk
-abdominal wall defect
-often born premature (54%)
risk factors for communication disorders
- hearing impairment
- ear infections
- cleft palate
- global developmental delay
- long term tracheostomy
- prematurity
- problematic hyperglycemia
- fetal toxin exposure
- family history of communication disorder
BWS study found
Those with more risks needed the speech therapy
possible manifestations of untreated macroglossia
labial flaring of anterior teeth
increased interdental spacing
anterior open bite
mandibular prognathism
post operative speech for macroglossia
-back to baseline speech in 1-6 weeks
-children who required speech therapy before also need it after
conclusions
-macroglossia may not be the cause of a speech disorder
-tongue reduction surgery may not prevent a speech disorder
- presence and severity of speech language and feeding disorder is more strongly related to other risks
sagittal synostosis
-premature closure/congenital absence of sagittal suture
-elongated skull
-narrow face
corollaries
what seems benign may not be as benign as we think, what seems catastrophic may not be at all
what does the patient bring to the evaluation
learn about the syndrome, learn about the patient!
craniosynostosis
premature fusion or congenital absence of one or more of the cranial sutures
unicoronal synostosis
plagiocephaly or twisted skull
progressive facial asymmetry if untreated
bicoronal synostosis
rare disorder
facial symmetry maintained
brachiocephaly
subtle language differences
language evaluation at age 4
metopic synostosis
trigonocephaly
50% language disorder learning or behavior disorder
