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CD: Cleft Palate
Week 8
61
Other
Undergraduate 3
12/03/2009

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Term
The oral, nasal, and pharyngeal cavities are all part of this system.
Definition
Articulatory & Resonances System
Term
Velum is another word for...
Definition
Soft palate
Term
Anterior 2/3 of the oral cavity?
Definition
hard palate.
Term
Posterior 1/3 of the oral cavity?
Definition
Soft palate.
Term
Open for nasal breathing but closed for other sounds, swallowing, and oral breathing.
Definition
Velopharyngeal Mechanism
Term
Congenital malformations involving the head and face affecting speech.
Definition
Craniofacial Anomalies
Term
Abnormal openings in anatomical structures such as the lip and/or hard/soft palate.
Definition
Cleft
Term
Frequently a result of palatal clefts this defect in velar soft and muscle tissue, results in the inability to separate the oral and nasal cavities during swallowing and speech production
Definition
Velopharyngeal Incompetence (VPI)
Term
Challenges associated with cleft palate at 12 months?
Definition
Obstructive breathing problems, feeding problems
Term
Surgical closure of cleft lip occurs at this age.
Definition
12 months
Term
Treatment for cleft palate at 1-2 years of age.
Definition
Clefts of hard and soft palate closed, SLP begins to work with child
Term
These treatments for cleft occur during childhood through adolescence
Definition
Orthodontics, cosmetic surgery, psychological counseling, continued work with SLP,
Term
This treatment for cleft occurs at two years of age.
Definition
Reconstruction of abnormal dentition and dental occlusion begins, SLP works with child re: speech and language development
Term
These facial structure form during the 4th and 5th week of gestation.
Definition
Mandible and lower lip
Term
Structures of the upper face, including the palate, develop during this period of gestation.
Definition
5th through 8th week
Term
The fusion of these two facial structures occur during the 8th-the 12th week of gestation.
Definition
hard and soft palate
Term
These are the markers of facial development at 6 weeks of age.
Definition
Frontonasal process has grown downward; Nasomedian processes and lateral nasal processes are 2 distinct tissue masses; depressions between 2 nasal processes = olfactory pits; right and left mandibular processes fused in the middle.
Term
The olfactory pits will eventually become these.
Definition
Right and left nasal cavitiies
Term
These are the markers of facial development at 8 weeks of age.
Definition
Lateral nasal processes fuse with maxillary processes to form nasal alae and under eyes; Nasomedian processes fuse with maxillary processes
Term
This is another term for for the flared portion of the nostrils.
Definition
Nasal Alae
Term
When the nasomedian processes fuse with the maxillary processes these facial structures are formed.
Definition
anterior portions of the upper lip; alveolus, upper frontal incisor teeth, anterior aspect of the hard palate
Term
Premaxilla is another term for this.
Definition
anterior aspect of the hard palate.
Term
Clefts of the lip, alveolus, and/or premaxilla may occur when this happens.
Definition
Fusion process between the nasomedian and maxillary processes has been interupted.
Term
These are reasons that the fusion between the nasomedian and maxillary processes would be interrupted.
Definition
Abnormal genetic condition, and teratogens such as certain drugs, chemicals, nicotine, irradation
Term
Unilateral cleft lip most commonly occurs on this side.
Definition
The left.
Term
Bilateral cleft lip usually also involves this.
Definition
palate
Term
This type of cleft lip is characterized by a minor V shaped notch in the vermillion.
Definition
Incomplete Cleft Lip
Term
This type of cleft lip is characterized by separation of upper lip tissue into the nostril floor, and flattening of the nose.
Definition
Bilateral Cleft lip
Term
Columnella is another term for this.
Definition
The portion of your nose between our nostrils.
Term
This type of cleft is rare occurring in less than 5% of all cases.
Definition
Isolated cleft lip
Term
This type of cleft extends from the upper lip, through the alveolus and hard and soft palates and in which the septum attaches to the larger of the two palatal segments.
Definition
Unilateral Cleft of the Lip and Palate.
Term
Due to severe tissue deficiency this is the most severe type of cleft.
Definition
Bilateral cleft of the lip and palate.
Term
In which type of cleft is the columella absent, the septum unattached, and the premaxilla free-floating.
Definition
Bilateral cleft of the lip and palate.
Term
With this type cleft, which is often not detected until later childhood, the muscular region of the soft palate is affected and a thin layer of mucus covers the cleft.
Definition
Submucous Cleft
Term
This type of malformity results in a bluish coloration in the soft palate, and a notch on the border of the hard palate.
Definition
Bifid Uvula
Term
These are the four etiologies of clefts.
Definition
Genetic Disorders, Chromosomal Aberrations, Teratogenically Induced, Mechanically Induced
Term
This type of genetic disorder is characterized by micrognathia tongue retrusion into pharynx, isolated cleft palate, congeital heart problems, digital anomalies, conductive hearing loss developmental and cognitive deficits, and severely delayed language development.
Definition
Pierre Robin Syndrome
Term
This genetic disorder is characterized by, malar hypoplasia underdeveloped mandible, malformation of external ear, conductive hear loss, cleft palate, projection of scalp hair onto cheek, communication disorders related to hearing loss and VPI.
Definition
Mandibulofacial Dysostosis
Term
This is a term for underdeveloped cheekbones.
Definition
Malar Hypoplasia
Term
This genetic disorder is characterized by small stature, a broad flattened nose, underdeveloped cheekbones, heart problems, delayed onset of expressive language and persisting language problems, and perseverative behaviors.
Definition
Velocardiofacial Syndrome
Term
Craniosynostosis is another term for this.
Definition
premature closing of the skull sutures
Term
This genetic disorder is characterized by craniosynostosis, syndactyly, a high and narrow palate, conductive hearing loss, and delays in expressive language.
Definition
Apert Sndrome
Term
This genetic disorder is characterized by Trisomy 13, and has a 60-70% rate of cleft palate.
Definition
Chromosomal Aberrations
Term
These are the genetic disorders which may lead to clefts.
Definition
Pierre Robin Syndrome, Mandibulofacial Dstosis, Velocardial Syndrome, chromosomal aberrations and Apert Syndrome
Term
These are environmental teratogens associated with clefting.
Definition
Dilantin (anticonvulsant, Thalidomide (sedative), Retinoid (topical acne med), excessive use of alcohol, aspirin, nicotine, caffeine; x-rays, certain viruses.
Term
These are mechanically induced abnormalities associated with clefting.
Definition
Amniotoc rupture, intrauterine crowding, uterine tumor, irregularly shaped uterus.
Term
Clefts occur 1 in how many live births?
Definition
750
Term
This type of cleft occurs the most frequently.
Definition
Clefts of the lip with or without cleft palate.
Term
This type of cleft occurs more frequently in females.
Definition
Cleft palate alone.
Term
This type of cleft occurs twice as frequently and is more severe in males.
Definition
clefts of the lip with or without cleft palate
Term
This ethnic group has the highest rate of cleft palate.
Definition
Native American
Term
These are the members of the cleft palate team.
Definition
Surgeons, Dental Professionals, SLP's, audiologists
Term
Surgery to repair cleft lip is usually performed before this age.
Definition
3 months
Term
Surgery to repair cleft palate is usually performed at this age.
Definition
Between six and eighteen months
Term
These are the results of creating a velopharyngeal valving mechanism.
Definition
Increase in swallowing ability, decreased ear/respiratory infections, and increased speech production.
Term
These are the audiological considerations for those with cleft.
Definition
Hearing disorders, middle ear disease which results in conductive hearing loss.
Term
These are the voice disorders associated with clefting.
Definition
bilateral vocal nodules, soft voice syndrome.
Term
This is the percentage of the cleft population with a voice disorder.
Definition
80%
Term
These are the resonance disorders associated with VPI.
Definition
hypernasality
Term
Due to structural abnormalities, an misaligned or missing teeth, these are the articulation disorders associated with clefts.
Definition
pressure consonants, nasal emission
Term
Due to hearing loss a child with cleft may experience these language disorders.
Definition
Higher incidence of language delay, more research needed
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