Velopharyngeal Inadequacy Flashcards
Causes of Velopharyngeal insufficiency:
insufficient tissue to achieve closure. Can be congenital or genetic
what is the cause of VP incompetence:
problem with movement. Can be organic or congenital (cerebral palsy) or acquired (stroke, progressive neurological disease)
What is a cleft lip?
incomplete fusion at midline of face; can be genetic or acquired or separate disorders but can co-exist
What is a cleft palate?
opening between oral and nasal cavities
What is partial cleft palate?
only hard palate or only soft palate- can be unilateral or bilateral
what is a full cleft palate?
clefting through to incisive foremen and anterior alveolar ridge
What is a submucous cleft?
soft tissue from and is joined but bony palate is not formed
What is a unilateral cleft?
incomplete closure only on one side
What is a Bilateral cleft?
incomplete closure on both sides
Are cleft lip & palate genetically the same?
causes are genetically different, but can occur
what are secondary problems associated with cleft palate?
otitis media, language disorder
Difficulty to achieve _____, when oral and nasal cavities are openly connected. This is connected to cleft _____
- suction
- palate
what is the initial primary issue or concern aside from speech?
difficulty feeding
when is surgery performed for cleft lip?
2-3 mos. old
when is surgery performed for cleft palate?
SLP’s:
Doctors:
SLP’s- 6-8 mo.
Doctors: 1 yr.
what are effects of cleft on dentition?
may have more teeth or teeth in palate
what are characteristics of cleft speech?
- resonance & arctic. problems
What are typical error patterns for cleft speech?
- nasal emission
- nasalized vowels
- Backing
- voiced produced more correctly than unvoiced cognates
- more errors in consonant clusters
- Frequent substitution errors
- Distortions
Does tongue and maxilla affect speech?
yes, depends on how much of the tongue is worked on
What manners of speech are affected?
fricatives and stops
