Velopharyngeal Inadequacy Flashcards

1
Q

Causes of Velopharyngeal insufficiency:

A

insufficient tissue to achieve closure. Can be congenital or genetic

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2
Q

what is the cause of VP incompetence:

A

problem with movement. Can be organic or congenital (cerebral palsy) or acquired (stroke, progressive neurological disease)

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3
Q

What is a cleft lip?

A

incomplete fusion at midline of face; can be genetic or acquired or separate disorders but can co-exist

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4
Q

What is a cleft palate?

A

opening between oral and nasal cavities

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5
Q

What is partial cleft palate?

A

only hard palate or only soft palate- can be unilateral or bilateral

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6
Q

what is a full cleft palate?

A

clefting through to incisive foremen and anterior alveolar ridge

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7
Q

What is a submucous cleft?

A

soft tissue from and is joined but bony palate is not formed

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8
Q

What is a unilateral cleft?

A

incomplete closure only on one side

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9
Q

What is a Bilateral cleft?

A

incomplete closure on both sides

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10
Q

Are cleft lip & palate genetically the same?

A

causes are genetically different, but can occur

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11
Q

what are secondary problems associated with cleft palate?

A

otitis media, language disorder

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12
Q

Difficulty to achieve _____, when oral and nasal cavities are openly connected. This is connected to cleft _____

A
  • suction

- palate

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13
Q

what is the initial primary issue or concern aside from speech?

A

difficulty feeding

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14
Q

when is surgery performed for cleft lip?

A

2-3 mos. old

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15
Q

when is surgery performed for cleft palate?
SLP’s:
Doctors:

A

SLP’s- 6-8 mo.

Doctors: 1 yr.

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16
Q

what are effects of cleft on dentition?

A

may have more teeth or teeth in palate

17
Q

what are characteristics of cleft speech?

A
  1. resonance & arctic. problems
18
Q

What are typical error patterns for cleft speech?

A
  1. nasal emission
  2. nasalized vowels
  3. Backing
  4. voiced produced more correctly than unvoiced cognates
  5. more errors in consonant clusters
  6. Frequent substitution errors
  7. Distortions
19
Q

Does tongue and maxilla affect speech?

A

yes, depends on how much of the tongue is worked on

20
Q

What manners of speech are affected?

A

fricatives and stops