1. ALI RHODES LINDSEY WOODY MARGO PEARCE Cleft Lip/Palate

2. Etiology Interaction of genetic and environmental factors: -Genetic Factors Chromosomal defects Part of a syndrome - Environmental Factors Parental age (older) Teratogens (i.e., cigarette smoke, virus)

3. Description Openings or splits in the upper lip, the palate or both Two types:  Clefts of primary palate  Clefts of secondary palate Further described by:  Complete/incomplete  Unilateral/bilateral

4. Description Cont. Cleft of Secondary Palate Cleft of Primary Palate

5. Description Cont. Bilateral Complete CleftUnilateral Complete Cleft

6. Diagnosing Cleft Lip/Palate Most cases are immediately apparent at birth. Prenatal:  Ultrasound  Sample of amniotic fluid Submucous Cleft:  Triad of symptoms

7. Ultrasound Diagnosis

8. Submucous Cleft Bifid Uvula Notch at Posterior Border of Hard Palate Zona Pellucida

9. SLP Diagnosis SLP can diagnose all of the speech features that are associated with a cleft palate  Articulation  Resonance  Nasal Air Emission  Voice Physician officially diagnoses and classifies the type of cleft

10. Evaluation Procedures Intra-Oral Exam Nasometry Nasopharyngoscopy Articulation

11. Description of Cleft to Family Verbal description Provide outside resources:  http://www.clapa.com http://www.clapa.com  http://www.cleftline.org http://www.cleftline.org

12. Technology Used For Treatment ‘Speech Adventures’  Ipad app with speech recognition software  Gives the client a phrase to say  Saying the phrase correctly lets them complete the game task http://www.youtube.com/watch?v=oKVFqbiq7bw&f eature=youtu.be http://www.youtube.com/watch?v=oKVFqbiq7bw&f eature=youtu.be

13. Questions?