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Cleft Palate > June 23 Slides > Flashcards

June 23 Slides Flashcards

1
Q

What is the primary goal of audiologic testing and monitoring?

A

Ascertain whether peripheral hearing is adequate for the acquisition of speech and language skills

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2
Q

Name one thing that children with cleft palate are at high risk for.

A

Middle ear issues

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3
Q

What is comprised in children with cleft palate?

A

Musculature affecting Eustacian tube function

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4
Q

Do new born babies with cleft palate usually fail or pass new born hearing screenings?

A

Fail

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5
Q

If a child with cleft palate passes a hearing screening, what is still possible in early childhood?

A

Frequent ear infections and middle ear effusion

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6
Q

If a child with cleft palate fails a hearing screening, what will this trigger?

A

More diagnostic testing

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7
Q

Name an audiologic diagnostic test that will be administered if a newborn with a cleft palate fails a hearing screening.

A

Diagnostic auditory brainstem response test.

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8
Q

What step should be taken prior to a diagnostic auditory brainstem test for a child that is 3 months or under?

A

deprive baby of sleep

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9
Q

What step needs to be taken if more ABR testing needs to be administered?

A
  • may need sedation in later stages of ABR testing
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10
Q

In what 2 instances should a child be referred to an ENT for follow up testing?

A
  1. if hearing loss is identified

2. Tympanograms are abnormal

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11
Q

What does an ENT monitor?

A

ENTs focus on middle ear status.

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12
Q

An ENT determines if what 2 placements are made?

A
  • myringotomy

- tubes

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13
Q

M&T

A

myringotomy (BY-lat-er-ull my-ring-GOT-a-mee) and tubes is a surgery in which a small opening is made in the eardrum and a small tube is placed in the opening on each side

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14
Q

BMT

A

Bilateral myringotomy (BY-lat-er-ull my-ring-GOT-a-mee) and tubes is a surgery in which a small opening is made in each eardrum and a small tube is placed in the opening on each side.

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15
Q

When are tubes usually placed?

A

in conjunction with another surgury

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16
Q

Children with ear tubes need careful monitoring. Name 3 ways how careful monitoring is carried out.

A
  1. post op audiogram
  2. follow up every 6 mos: ENT and audio
  3. know that tubes tend to extrude after 12 - 18 mos
17
Q

When can behavioral hearing testing begin?

A
  1. later in infancy

2. often begins in the sound field

18
Q

What is a big kind of hearing problem with in children with cleft?

A

fluctuant hearing loss

19
Q

How does fluctuant hearing loss occur?

A
  • middle ear fluid can change over time and make hearing fluctuate.
20
Q

What is a problem relating to speech that can occur with fluctuant hearing?

A

Child will not hear all components of speech at “equal” intensity levels

21
Q

Name a reason relating to the brain why fluctuant hearing loss can be a problem?

A

The brain has to process and reprocess acoustic information.

22
Q

What might be constantly changing for children with fluctuant hearing loss?

A

acoustic set

23
Q

What kind of monitoring do children with cleft need?

A

regular and frequent audiologic hearing monitoring

24
Q

What kind of hearing loss do children with middle ear effusion usually have?

A

mild conductive loss in lower frequencies

25
Q

How is the hearing in children with perforated tympanic membranes affected? What does it depend on?

A
  • mild conductive loss across the speech frequencies

- it depends on the size and location on the eardrum

26
Q

What frequencies does perforations typically affect?

A

lower and higher frequencies

27
Q

What might happen to hearing in children with tubes?

A

might have slight roll off in higher and lower frequencies

28
Q

Do tubes make a difference in hearing?

A

Yes, hearing is usually markedly better than before the tubes.

29
Q

When going over IEP and meeting with the parents. What are 3 things you should always ask for/include?

A
  1. most recent hearing test
  2. ask if student with tubes is seeing the ENT every six months
  3. hearing information in the present level of functioning
30
Q

True or False: You should assume that hearing status has NOT changed since the last hearing test.

A

FALSE

31
Q

In regards to hearing, what should you be alert to when working with a child with cleft palate?

A

be alert to behaviors that suggest hearing has changed

32
Q

Who should you collaborate with?

A

teachers

33
Q

What should you do if you are struggling with teaching a consonant sound?

A

Consider if it falls within the problem area for the child’s hearing.

Cleft Palate (5 decks)

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