Structural Flashcards
Types of velopharyngeal closure patterns: Coronal closure
movement is velum to PPW more velar closure/movement could be a functional or structural issue- Sphincter Phayngoplasty- taking portions of posterior and lateral PW and bulking it up to create extra tissue and close velopharyngeal port.
Types of velopharyngeal closure patterns: Sagittal
lateral wall closure=pharyngeal flap. Bridge to the velum and palate to get closure, functional issue- pharyngeal flap- take mucosal issue form PPW and insert it into the velum majority of closure with lateral walls.
Types of velopharyngeal closure patterns: Circular
all of it closes, a combination of the two lateral walls and posterior and velum all closing around the center. Could be a functional or structural issue - Sphincter Phayngoplasty
What is Laucial Coding
CAPS=complete Lower case= incomplete L-lips A- alveolar H- hard palate S- soft palate * submucosal cleft Doesn’t change following surgery
Malocclusions
- Normal occlusion
- Class I malocclusion
- Labioversion
- Torsiversion
- Class II malocclusion
- Overbite
- Class III malocclusion
- Underbite
Effects on social & educational
- No relationship between IQ and cognitive abilities and cleft
- Language learning
- Anything will be related to otitis media
- Will be treated differently
- Lower expectations
- Will advocate for nonsyndromic cleft
- Hospitalizations will cause them to miss school
What sentence for hyponasality
Mamma made lemon jam
What sentence for hypernasality
Papa plays baseball
Types of surgery
- Initial closer of lip- 6 weeks (raw edges put
- Initial closure of palate- 12-15 months
- Lip/nose revision in preschool years
- Alveolar bone grafting- age 9-10
- Lengthening of velum might be needed- puberty 9-10
- Surgical advancement of maxilla in teenage years
When and why do you do: Initial closer of lip
- 6 weeks, follow up at 3-4 months
- Closed for feeding
- 10 pounds 10 weeks 10 hemoglobin (10-10-10 Rule)
- 3-4 months use the name brand to take into consideration muscle orientation and reduce of scaring, allow them to lengthen the tissue
When do: Initial closure of palate
-12-15 months
Type of palate surgery
- Z plasty
- VY pushback
- Von Langenbeck
What is the lip/nose revision for and when is it done?
- Build nose so it is not flat
- Cheiloplasty - lip repair
- Symmetry
- Preschool years
When is Alveolar bone grafting done
Around age 9-10, wait because if done too early it can impede on development
What is the relationship between cognition and intelligence
- No difficulty with IQ or academic performance b/c of cleft
- Maybe when there is a disorder linked to the cleft, midline or otitis media
