Module 13: Cleft Palate

fusion

With Cleft Palate, the cleft of the lip and/or palate occur when programmed __1__ of the lip and/or palate tissue are disrupted along the lines of __1__.
One or both types may be present in an individual, depending on the cause(s) of the disruption

unilateral (one sided) or bilateral (both sides)

A cleft lip may be _____ or _______.

1. Incomplete

2. Complete

List 2 types of Clefts of the lips and palate

1. ____: less than all of the possible lip or palate structures are cleft
2. ____: all of the possible lip or palate structures are cleft

hard palate

Clefts do not occur alone due to the anterior to posterior fusion of the bones of the ___ ___

Obligatory

____ Errors are errors that the child is forced to produce due to missing structures

ex: He can't pressurize for /p/ and /b/, so those letters sound like /m/

ex: saying mamama instead of papapa when they have a cleft palate because the structure is not allowing them to make the proper sounds

NOT

Speech therapy is ___ appropriate for Obligatory Errors

Compensatory

____ Errors are errors the children adopt when they don't have structures in place as a referential point to make constriction to produce articulatory target.

They will produce the target in a different place in their mouth.

Speech

_____ therapy IS appropriate for Compensatory Errors and should be targeted

Velopharyngeal Insufficiency (or Incompetency)

What does VPI stand for?

Velopharyngeal

____ Insufficiency (or Incompetency) (VPI) is the inability to close off the oral cavity from the nasal cavity due to the soft palate not making contact with the pharyngeal wall which causes hypernasality.

1. mild

2. inconsistent

3. compensatory

4. oral

5. Surgical, prosthetic

Hypernasality or nasal emission can be improved with Velopharyngeal Insufficiency (or Incompetency) (VPI) if:

1. It is a ____ case

2. It is ____, especially when the child is tired

3. Related to the child’s ____ articulation errors, like is it a valving or tongue placement related issue

4. Due to ____ motor function, such as apraxia or dysarthria

5. __1__ or __2__ correction of VP port is completed, but the child needs to learn to use the newly __1__ modified structure or __2__

stops, fricatives, affricates

Velopharyngeal Insufficiency (or Incompetency) makes 16 velopharyngeal pressure consonants, like ___, ___, ___, difficult to produce