Evaluation and Treatment of Resonance Disorders

1996 ◽  
Vol 27 (3) ◽  
pp. 271-281 ◽  
Author(s):  
Ann W. Kummer ◽  
Linda Lee
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Speech Pathology ◽  
Craniofacial Anomalies ◽  
Prosthetic Devices ◽  
Craniofacial Anomaly ◽  
Structural Abnormalities ◽  
History Of ◽  
Resonance Disorder

Resonance disorders can be caused by a variety of structural abnormalities in the resonating chambers for speech, or by velopharyngeal dysfunction. These abnormalities may result in hypernasality, hypo- or denasality, or cul-de-sac resonance. Resonance disorders are commonly seen in patients with craniofacial anomalies, particularly a history of cleft palate. The appropriate evaluation of a resonance disorder includes a speech pathology evaluation, and may require a video-fluoroscopic speech study or nasopharyngoscopy assessment. Treatment may include surgery or the use of prosthetic devices, and usually speech therapy. Given the complexity of these disorders in regard to evaluation and treatment, the patient is best served by an interdisciplinary craniofacial anomaly team.

An Innovative Collaborative Treatment Model: The Community-Based Speech-Language Pathologist and Cleft Palate Team

2017 ◽  
Vol 54 (2) ◽  
pp. 242-244 ◽  
Author(s):  
Lynn Marty Grames ◽  
Mary Blount Stahl
Keyword(s):  
Cleft Palate ◽  
Continuing Education ◽  
Collaborative Care ◽  
Speech Therapy ◽  
Care Program ◽  
Speech Pathology ◽  
Treatment Model ◽  
Community Based ◽  
Speech Language Pathologist ◽  
Articulation Disorders

Problem Children with cleft-related articulation disorders receive ineffectual or inappropriate speech therapy locally due to lack of training and a disconnect between the team and local speech-language pathologists. Solution A collaborative care program that is billable for the team allows the local speech-language pathologist to earn continuing education units and facilitates effective local speech therapy. This program is the first of its kind, according to the American Speech-Language-Hearing Association Continuing Education Board for Speech Pathology.

Speech Therapy where there are No Speech Therapists: The Task Force for the American Cleft Palate–Craniofacial Association

2014 ◽  
Vol 51 (6) ◽  
pp. 135-137 ◽  
Author(s):  
Nancy J. Scherer ◽  
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Task Force ◽  
Survey Methods ◽  
Craniofacial Anomalies ◽  
Speech Language Pathology ◽  
Initial Task ◽  
Language Pathology ◽  
Delivery Models ◽  
Speech Therapists

This paper describes the outcome of the 2013 American Cleft Palate–Craniofacial Association Task Force entitled “Speech Therapy Where There Are No Speech Therapists.” The membership and goals of the initial task force are presented. Survey methods, communication of the members, and meeting discussion of the task force at the 12th International Congress for Craniofacial Anomalies in Orlando, Florida, in May 2013 are described. Conclusions of the task force and recommendations for the future comprised four areas: organization and communication, protocols, service delivery models, and development of training programs/modules in speech-language pathology for craniofacial conditions.

Facilitating Communication among Speech Pathologists Treating Children with Cleft Palate

2005 ◽  
Vol 42 (6) ◽  
pp. 585-588 ◽  
Author(s):  
Michael P. Karnell ◽  
Philip Bailey ◽  
Lynn Johnson ◽  
Ariel Dragan ◽  
John W. Canady
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Speech Disorders ◽  
Craniofacial Anomalies ◽  
Web Based ◽  
Video Clips ◽  
Cleft Palate Speech ◽  
Speech Pathologists ◽  
Web Based System

An interactive web-based system was designed to facilitate communication between nonspecialist speech pathologists who provide therapy for individuals with speech disorders associated with cleft palate or craniofacial anomalies and specialist speech pathologists who provide physiologically based assessments of speech production. The web site includes instructional presentations, streaming video clips of endoscopic examinations, and exchange of information about the nature of therapy as recommended by the specialist and as provided by the nonspecialist. The approach demonstrates use of web-based computer facilities to improve the quality of communication among professionals with the goal of improving the outcomes of speech therapy. Information from the site can also be used in academic training programs as a teaching tool in courses on cleft palate speech.

Songs from the Outback: The Effectiveness of Music in Treating Articulation Disorders in Children Aged 2–5 Years with Cleft Palate and Velopharyngeal Dysfunction

2014 ◽  
Vol 24 (2) ◽  
pp. 59-66
Author(s):  
Sarah C. Kilcoyne ◽  
Helen Carrington ◽  
Katie Walker-Smith ◽  
Helen Morris ◽  
Anita Condon
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Speech Sound ◽  
Speech Pathology ◽  
Preliminary Evaluation ◽  
Sound Stimulation ◽  
Centered Care ◽  
Articulation Disorders ◽  
Clinical Resource ◽  
Motivation To Participate

The Royal Children's Hospital Speech Pathology Department (RCH SPD) provides services to children with Cleft Palate (CP) and velopharyngeal dysfunction (VPD) in a geographical region that is more than twice the size of Texas, with 30% of the children residing in regional areas. The geographical distribution of the population means that many families are unable to access local speech therapy. To address this problem, the RCH SPD and Music Therapy departments (MTD) collaborated to create a clinical resource for regional children and families. The package is intended to facilitate an increase in children's consonant inventory, frequency of vocalizations, vocabulary, and communicative opportunity and increase oral airflow during speech. It is also intended to facilitate family-centered care and increase the parent and child's motivation to participate in speech therapy activities within the home environment. The clinical resource has now been distributed to 70 children with cleft palate in Queensland. This paper presents results of preliminary evaluation of the program and explores the use of music to facilitate speech sound stimulation for children with CP and VPD aged 2–5 years. This resource will be of interest to speech therapists and families with limited or no access to services.

Submucous Cleft Palate: Evaluation and Treatment Principles for Speech-Language Pathologists

2020 ◽  
Vol 5 (6) ◽  
pp. 1482-1491 ◽  
Author(s):  
Graham C. Schenck
Keyword(s):  
Cleft Palate ◽  
Best Practice ◽  
Speech Therapy ◽  
Craniofacial Anomalies ◽  
Review Of The Literature ◽  
Speech Language Pathologists ◽  
Unique Challenge ◽  
Perceptual Evaluation ◽  
Submucous Cleft Palate ◽  
Practical Recommendations

Purpose This clinical focus article intends to provide speech-language pathologists (SLPs) with a review of the literature and practical recommendations for the evaluation and treatment of individuals with submucous cleft palate (SMCP). Method A review of the literature focused on definition, incidence, and diagnostic recommendations for SMCP was completed. Descriptions of physical and auditory–perceptual features common during evaluation were described in detail. Guiding principles for clinical management related to surgery and/or speech therapy were provided. Results Several discrepancies in the definition, incidence, and outcomes across SMCP studies were discovered in the literature. The importance of a comprehensive perceptual evaluation, including an oral mechanism examination by an SLP trained in the assessment of individuals with craniofacial anomalies, was emphasized. Conclusions SMCP is a less understood subtype of cleft palate that presents a unique challenge for clinicians. A trained SLP's comprehensive perceptual evaluation and thorough oral mechanism examination are critical for diagnosis and treatment. SLPs can promote best practice for this population by initiating referrals to an accredited cleft palate–craniofacial team for further evaluation of their speech and assessment of surgical candidacy.

Special Considerations for Evaluation and Treatment of Spanish-Speaking Patients with Cleft Palate

2016 ◽  
Vol 1 (5) ◽  
pp. 41-49
Author(s):  
Ellen Moore
Keyword(s):  
Cleft Palate ◽  
The United States ◽  
Culturally Competent ◽  
Speech Language Pathology ◽  
Spanish Speaking ◽  
Appropriate Treatment ◽  
Oral Pressure ◽  
Language Pathology ◽  
History Of ◽  
Spanish Speaking Population

As the Spanish-speaking population in the United States continues to grow, there is increasing need for culturally competent and linguistically appropriate treatment across the field of speech-language pathology. This paper reviews information relevant to the evaluation and treatment of Spanish-speaking and Spanish-English bilingual children with a history of cleft palate. The phonetics and phonology of Spanish are reviewed and contrasted with English, with a focus on oral pressure consonants. Cultural factors and bilingualism are discussed briefly. Finally, practical strategies for evaluation and treatment are presented. Information is presented for monolingual and bilingual speech-language pathologists, both in the community and on cleft palate teams.

Patients With a History of Oronasal Fistula Repair Exhibit Lower Oral Health Measured With Patient-Centric Outcomes Measures

2020 ◽  
pp. 105566562098133
Author(s):  
Alyssa Fritz ◽  
Diana S. Jodeh ◽  
Fatima Qamar ◽  
James J. Cray ◽  
S. Alex Rottgers
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Cleft Palate ◽  
Fistula Repair ◽  
Old Patients ◽  
Oronasal Fistula ◽  
Patient Reported ◽  
History Of ◽  
The Impact

Introduction: Oronasal fistulae following palatoplasty may affect patients’ quality of life by impacting their ability to eat, speak, and maintain oral hygiene. We aimed to quantify the impact of previous oronasal fistula repair on patients’ quality of life using patient-reported outcome psychometric tools. Methods: A cross-sectional study of 8- to 9-year-old patients with cleft palate and/or lip was completed. Patients who had a cleft team clinic between September 2018 and August 2019 were recruited. Participants were divided into 2 groups (no fistula, prior fistula repair). Differences in the individual CLEFT-Q and Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19) Oral Health scores between the 2 groups were evaluated using a multivariate analysis controlling for Veau classification and syndromic diagnosis. Results: Sixty patients with a history of cleft palate were included. Forty-two (70%) patients had an associated cleft lip. Thirty-two (53.3%) patients had no history of fistula and 28 (46.7%) patients had undergone a fistula repair. CLEFT-Q Dental, Jaw, and Speech Function were all higher in patients without a history of a fistula repair; however, none of these differences were statistically significant. The COHIP-SF 19 Oral Health score demonstrated a significantly lower score in the fistula group, indicating poorer oral health ( P = .05). Conclusions: One would expect that successful repair of a fistula would result in improved function and patient satisfaction, but the consistent trend toward lower CLEFT-Q scores and significantly increased COHIP-SF 19 Oral Health scores in our study group suggests that residual effects linger and that the morbidity of a fistula may not be completely treated with a secondary correction.

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