Cleft Lip & Palate Primer:
Please scroll down for outcomes per discipline and other information, such as Target Audience, Course Content and Level
- Identify the embryological process and the anatomy of unilateral and bilateral clefts of the lip and palate and how it impacts velopharyngeal function during feeding and speech.
- Identify classification, embryology, related anatomy, risk factors, kinesiology of the velopharygeal valve mechanism and its relation to expression of strong consonants.
- Identify the pathokinesiology of compensatory articulation by way of Passavant's hypertrophy either prior to or following palatine cleft surgery due to velopharygeal closure impairments.
- Comprehend why receptive language development – typically learned by normal children prior to expressive language – is delayed first with cleft palate, and how this relates to the unique Eustachian tube and pathokinesiology of the middle ear.
- Identify the use of grommets, audiological testing, psychosocial impacts of clefting, prosthetic treatment, dental problems faced by these children, and why dedicated cleft lip and palate teams are superseding traditional craniofacial surgical management of cleft lip and palate
- Learn about current trends in pre-surgical cleft care.
- Understand how clefting leads to poor nutrition as well as hearing deficits/impairments and why more calories are expended during suckling than received from ingested milk; Bottles and pressure equalizing tubes will be discussed.
- Of the resonances disorders, identify the difference between compensatory and obligatory cleft speech errors.
- Describe an overview of instrumental assessment for velopharyngeal dysfunction and surgical and non surgical management of this problem.
- Identify why dedicated cleft lip and palate teams are superseding traditional craniofacial surgical management of cleft lip and palate
- Learn to communicate with a cleft team and how best utilize their services for your patient/student/client.
Speech Language Pathology
Target Audience: Speech Language Pathologists, Speech teachers and Audiologists, occupational therapists and COTA's
Course Level: Various
Subject Code: 1080 Cleft Lip/Palate, Velopharyngeal Dysfunction (VPD), and Related Craniofacial Anomalies
Content Code: Professional
AOTA Classification Codes:
Category 1: Domain of OT
Areas of Occupation: ADL – Eating; Personal Hygiene & Grooming
Client Factors - Body functions: Voice and Speech Functions; Skin and Related Structures
Body Structures - Eyes, Ear & Related Structures; Structures involved in voice & speech
Category 2: OT Process
Evaluation - Occupational Profile; Analysis of Occupational Performance
Intervention - Intervention Plan: Establish, restore, remediate
Outcomes - Occupational Performance: improvement; Adaptation
Occupational Therapy Target Population: Intermediate practitioners with a basic understanding of feeding issues, swallowing mechanisms, and the relationships between the oral and auditory areas. Pre-requisites: practitioner degree in occupational therapy or occupational therapy assistant
Causes & Risk Factors
Anatomy of Strong Consonants
Velopharygeal Kinesiology: Valving Mechanism
Normal Infant Suckling
Eustachian Ear Function
Hearing Loss & Cleft Palate
Speech Evaluations - Pre/Post Operative Intervention
Non-surgical Management with Speech Therapy
Prosthetic & Pre-operative Treatment
Cleft Lip Surgery
Cleft Palate Repair
Speech Therapy for Residual VPI Following Surgery
Best Practice in Speech Language Pathology
Prelinguistic Speech Development
Prevention or Reduction of Speech Problems
Common Craniofacial Conditions
Cleft Lip and/or Alveolus
Early Communication Strategies
Submucous Cleft Palate (SMCP)