AGRC 311 Lecture Notes - Lecture 3: Ossicles, Thalidomide, Phenytoin
Document Summary
Environmental tetragons: cig smoke, phenytoin (dilantin used for mothers for morning sickness cause kids to have malformations missing limbs clefts etc, thalidomide, valium, lead pollution, systemic corticosteroid treatment. Causes: vp insufficiency: most common: structural impairment of the velum ie. velum to sort, deep pharynx, hx of cleft palate, vp incomplete: physiological deficiency that results in poor movement of vp structures ie. poor elevation and inadequate movement of the velum during speech, apraxia, hypotonia of velum, etc , vp mislearning (due to appropriate placement of certain sounds, faulty articulation, lack of auditory feedback) eg ng/l, ng/r therefore, hypernasality can be phoneme specific. Individuals with craniofacial anomalies, including cl&p, often demonstrate multiple complex issues, including: early feeding and nutritional problems, developmental delay, hearing loss, speech and resonance issues, dentofacial and orthodontic issues, aesthetic issues, possible psychosocial issues. Cleft palate team: surgeon, ortho, slp, + at least 1 more specialist, others might include:
