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Craniofacial > Team care, Dental and Audiology, Feeding > Flashcards

Team care, Dental and Audiology, Feeding Flashcards

1
Q

Three professionals needed on a cleft team

A

SLP, surgeon, team coordinator (usually nurse)

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2
Q

Why team care?

A

Allows for continuity for long-term treatment and for greater communication between professionals working on the same case.

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3
Q

SLP’s role on a cleft team

A 
Provide input to the team
Provide support to the family
Re-evaluate yearly
Assist in developing and implementing plans for services
Initiate further referrals
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4
Q

Professionals involved in dental care

A

Pediatric dentist
Orthodontist
Prosthodontist
Oral surgeon

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5
Q

Primary teeth labelling

A

A-J on top (starting with right second molar)

K-T on bottom (starting with left second molar)

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6
Q

Secondary teeth labelling

A

1-16 on top
17-32 on bottom

Pattern: Central incisor, lateral incisor, cuspid, bicuspid 1, bicuspid 2, molar 1, molar 2, sometimes molar 3/wisdom tooth

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7
Q

Types of occlusion

A

Class I: Normal
Class II: Overbite–top teeth are 1/2 ahead of bottom teeth
Class III: Underbite–bottom teeth whole tooth ahead of top teeth

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8
Q

Overjet

A

Significant horizontal space between top and bottom teeth

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9
Q

Crossbite

A

Upper teeth inside lower jaw

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10
Q

Maxillary expanders

A

Used to widen the palate, particularly for kids with pierre robin

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11
Q

Palatal lift

A

Lifts the velum–appropriate when VPI is caused neurologically-based

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12
Q

Palatal obtorator

A

Closes off a fistula or a cleft for improved resonance, feeding, etc. Less expensive than surgery

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13
Q

Speech bulb

A

Occludes the velopharyngeal port for speech only

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14
Q

Hearing loss in kids with CP

A

Tends to be bilateral conductive hearing loss

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15
Q

Outer ear pathologies

A

Microtia; anotia; atresia

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16
Q

Middle ear pathologies

A

Ossicular detachment or fixation

Eustachian tube malformations

17
Q

Guidelines for infant feeding

A 
Bottling is efficient (20-30 minutes)
Consistent bubbling in the bottle
Coordinated ssb
Adequate intake with minimal effort
Consistent feeding times
Consistent weight gain
18
Q

Cleft lip and feeding

A

CL only children rarely have problems feeding–only sometimes with latching on

19
Q

Problems in feeding cleft palate are mostly due to

A

nasal reflux and failure to create intraoral pressure

20
Q

Precautions for feeding CP infant

A 
Selection of appropriate nipple and bottle
Positioning of nipple and baby (upright)
Follow a feeding schedule
More frequent burping
Nasal saline post-feed
21
Q

Clinical signs/symptoms of airway involvement in feeding problems

A 
Nasal flaring
Inspiratory stridor
Difficulty maintaining O2 saturations
Gulping
Liquid loss
Choking/coughing
22
Q

Clinical signs/symptoms of neurological impact

A

Hyper/hypotonicity
Lack of sucking effort
State control and organizational difficulties
Lack of basic oral attempt/interest

23
Q

Medical red flags for feeding

A 
Excessive vomiting
Mucus in stool
Constipation
Eczema/rashes
Chronic nasal congestion
Excessive bloating/gas after feeds
24
Q

Possible recommendations

A 
Increased calorie formula
Modifications in positioning
Bottle changes
Chin/cheek support
Compression of nipple
Frequent weight checks
25
Q

Pediatric feeding interventions

A

Pacing
Boundaries (cheek/jaw support)
Positioning
Modifications

26
Q

4 parameters of bottles

A

Pliability of nipple
shape of nipple
size of nipple
size of hole

27
Q

Haberman special needs feeder

A

Two chambers separated by a disk to allow one-way flow

Adjustable flow nipple the parent can control

28
Q

Pigeon

A

Larger; occludes cleft
Fast flowing nipple with one-way valve
Baby has to suck/extract independently

29
Q

Mead-johnson nurser

A

Cheaper than other bottles
Longer, softer, cross-cut nipple
Can be used for thickened liquids
Parent controls flow by squeezing bottle

30
Q

Feeding changes for surgery

A

Cup feeding only
Thickened formula after lip repair
Thickened formula, then purees after palate repair

31
Q

Early artic errors/delays in cleft (0-3)

A

Deletion of final consonants, backing, syllable reduction

Less vocal play, later babbling with restricted inventory, more glottal productions and delayed/limited lexicon

Craniofacial (5 decks)

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