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Assessment 2

Cleft Palate Exam 3

QuestionAnswer
What are indirect measures? Do not allow for direct visualization, but provide objective data for VP function
Two types of indirect measure of VPI Nasometry and aerodynamic pressure flow
What are direct measures? Visualize aspects of velopharyngeal function but still requires interpretation
Two types of direct measures of VPI Speech videofluotoscopy, Nasopharyngoscopy
What is Nasometry? Measures amount of nasal acoustic energy in a person's speech, gives nanogram
Nasalance A measure of nasal energy
Two advantages of nasometry Easy to use, non-invasive, normative data for comparison, biofeedback
Two disadvantages of nasometry Cost of machine, difficult to properly fit mask
What is aerodynamic pressure flow? Measures oral air pressure, nasal air pressure, and rate of nasal airflow
Two advantages of aerodynamic pressure flow Minimally invasive, objective data for multiple measures, minimal patient risk
Two disadvantages of aerodynamic pressure flow Cost, difficult to use, lots of equipment to fit
What is video fluoroscopy? Similar to MBSS but barium is in the nasal cavity, used to visualize structures during speech and at rest
Two advantages of videofluoroscopy? Obtain images in multiple views (lateral, frontal, etc.), easy to conduct, good for velar length, closure, shape
Two disadvantages of video fluoroscopy Radiation (exam <3 mins.), difficult to record sound and synchronize with image, invasive
Nasopharyngoscopy (flexible nasal endoscope) ENT does this, flexible scope through nasal cavity to view VP port
Advantages for nasopharyngoscopy View VP closure dynamically, can see exact measures of VP gap, phoneme specific emissions
Disadvantages for nasopharyngoscopy invasive, high level of cooperation required, costly equipment, if need anesthetic can't eat or drink after
What is magnetic Resonance Imaging? Post-surgery when suspect VPIdue to attachment of elevator fibers to hard palate, confirms sub mucous cleft, whole head scan
Clinical application of MRI Only way to see muscle working in living person
Where do you refer a child with resonance issues, regardless of cleft? Cleft craniofacial team and SLP, not ENT
Where do you refer a child with speech errors unique to cleft speech, regardless of cleft? SLP who specializes in resonance, not ENT
Why don't refer to ENT? They're not as good at diagnosis with this kids
Created by: morganmc3
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