Med Speech Flashcards
What are obligatory errors?
Errors are all speech mechanism, not language based. (Nasal air emission and hypernasality). Because of structural anomalies, they are obligated to make speech sound errors.
What are compensation errors?
Made deliberately (substitutions and glottal stops)
Which lip repair is best for unilateral cleft?
Tension-Randall
Cuts out a section of tissue on both sides and then the lip can be pulled down
What lip repair technique is best for bilateral cleft but can be done for unilateral cleft as well?
Millard rotation advancement
No loss of tissue.
What is a straight line lip repair?
They cut off some tissue, raise some tissue on the other side and overlap the tissue. Not common anymore.
What are the palate repairs?
Free-flap repair
Tissue taken from somewhere else like your arm but hair growth is a problem
Furlow Z-plasty
Tissue is removed from both the nasal side of palatial shelves and oral side—so you have this double cross over to make it as strong as you can. For both Soft and hard palate
Von Langenbeck
Most common
Pull up flaps of tissue and flap them over. Paper over the soft tissue.
Not removing tissue
Wardill-Pushback
Soft tissue closure
Cutting these slots to give more length in the tissue
Lengthening your repair which will end up lengthening the velum
Vomer Flap- used in a larger cleft
What does gnathic mean?
Jaw
Why do we need orthognathic surgery?
His bone graft has to take place later when there’s been a whole lot more facial growth to move the maxilla or mandible.
What procedures are there to allow for corrective facial growth?
Lefort I, II, III
I- only the alveolar area of maxilla is bright forth to improve the match between the upper and lower jaws
II- the whole maxilla is brought forward including the bridge of the nose
III- everything pulled forward including the eye sockets
What are the goals for palate repair therapy?
decrease velopharyngeal patency
decrease air emission, increase oral air pressure
decrease hypernasality- decrease/eliminate compensatory strategies
General stoma care
Clean the stoma with soap and water 2x daily
Clean crust with tweezers
Put ky jelly on stoma (never vaselines)
Use a filter
Shower guards
Shaving- electric shaver
What is a tracheotomy
Emergency airway
What is a tracheostomy
Creates a stoma or semi permanent opening
General stoma care
Clean the stoma with soap and water 2x daily
Clean crust with tweezers
Put ky jelly on stoma (never vaselines)
Use a filter
Shower guards
Shaving- electric shaver
What is a tracheotomy
Emergency airway
