Cleft Palate and Craniofacial Conditions: A Comprehensive Guide to Clinical Management: A Comprehensive Guide to Clinical Management

In case you missed Dr. Ann Kummer's Webinar discussing how to incorporate her new material and robust digital assets into the classroom, we recorded it! CLICK HERE TO VIEW Cleft Palate and Craniofacial Conditions: A Comprehensive Guide to Clinical Management, Fourth Edition is ideal for the graduate course on cleft palate and craniofacial conditions, or as a source book for healthcare professionals who provide services in this area. Updated with full color illustrations and photos, the Fourth Edition of this bestselling title has been reorganized to improve clarity and flow, with new references and information reflecting the most current research in the field. Key features such as Case Studies help the learner understand how to apply key information in a clinical setting, while Speech Notes highlight how anomalies and surgeries affect speech and resonance. As the most comprehensive text in the market, Cleft Palate and Craniofacial Conditions answers the questions of ‘when,’ ‘what,’ ‘why,’ and most importantly ‘how’ when ensuring evaluation results in an accurate diagnosis. Because the author is both an experienced clinician and instructor, this textbook goes beyond the classroom, serving as a very practical “how-to” guide as well as a source of didactic and theoretical information. New full-color design includes 689 photos and illustrations A complete Glossary of over 650 defined terms Information is summarized in tables for easy learning, including tables of terms for normal and abnormal craniofacial, oral, dental, and pharyngeal structures and anomalies A robust pedagogy includes Chapter Outlines, illustrations, Case Studies, Speech Notes, definitions, and Discussion Questions 295 Clinical Videos illustrate speech samples, evaluation techniques, videofluoroscopy, nasopharyngoscopy, nasometry, and speech therapy techniques, more than any other text in the field! Cover......Page 1 Cleft Palate and Craniofacial Conditions: A Comprehensive Guide to Clinical Management......Page 2 Copyright......Page 3 Dedication......Page 4 Contents......Page 6 Preface......Page 10 Key to Phonetic Symbols......Page 14 About the Author......Page 15 Contributors......Page 16 Reviewers......Page 18 PART 1 NORMAL AND ABNORMAL CRANIOFACIAL STRUCTURES......Page 20 CHAPTER 1 Anatomy and Physiology......Page 22 Craniofacial Structures......Page 23 Intraoral Structures......Page 28 Pharyngeal Structures......Page 33 Velopharyngeal Valve......Page 35 Variations in Velopharyngeal Closure......Page 40 Subsystems of Speech: Putting It All Together......Page 45 Summary......Page 48 References......Page 49 Credits......Page 53 CHAPTER 2 Genetics and Patterns of Inheritance......Page 54 Deoxyribonucleic Acid and Genes......Page 55 Chromosomes......Page 57 Mendelian Inheritance......Page 60 Non-Mendelian Inheritance......Page 66 For Review and Discussion......Page 67 References......Page 68 Credits......Page 69 CHAPTER 3 Clefts of the Lip and Palate......Page 70 Embryological Development......Page 71 Causes of Clefts......Page 72 Types and Classification of Clefts......Page 73 Clefts of the Primary Palate......Page 74 Clefts of the Secondary Palate......Page 79 Submucous Cleft Palate......Page 84 Facial Clefts......Page 87 Incidence of Clefts......Page 89 For Review and Discussion......Page 91 References......Page 92 Credits......Page 95 CHAPTER 4 Dysmorphology and Craniofacial Syndromes......Page 96 Dysmorphology......Page 97 Craniofacial Syndromes and Conditions......Page 101 Craniosynostosis Syndromes......Page 117 The Genetics Evaluation......Page 119 References......Page 123 Credits......Page 127 Appendix 4A......Page 128 CHAPTER 5 Facial, Oral, and Pharyngeal Anomalies......Page 138 The Ear......Page 139 Facial Structures......Page 145 Oral Cavity......Page 148 Tonsils and Adenoids......Page 154 Laryngeal Anomalies......Page 157 Upper Airway Obstruction......Page 158 For Review and Discussion......Page 162 References......Page 163 Credits......Page 167 CHAPTER 6 Dental Anomalies......Page 168 Normal Dentition and Dental Occlusion......Page 171 Dental Anomalies......Page 173 Normal Skeletal Occlusion and Skeletal Malocclusion......Page 181 Dental Development and Stages of Treatment......Page 184 The Role of Speech Therapy......Page 200 For Review and Discussion......Page 201 References......Page 202 Credits......Page 208 PART 2 FUNCTIONAL EFFECTS OF CLEFTS AND CRANIOFACIAL CONDITIONS......Page 210 CHAPTER 7 Early Feeding Problems......Page 212 Infant Feeding and Early Development......Page 213 Anatomy and Physiology Relevant to Infant Feeding......Page 214 Feeding Problems Caused by Clefts and Other Craniofacial Conditions......Page 217 Feeding Modifications and Facilitation Techniques......Page 220 Assessment and Management of Complex Feeding Problems......Page 231 For Review and Discussion......Page 233 References......Page 234 Credits......Page 237 Appendix 7A......Page 238 Appendix 7B......Page 240 CHAPTER 8 Developmental Aspects: Speech, Language, and Cognition......Page 244 Prerequisites for Normal Development......Page 245 Development in Children with Clefts and Craniofacial Syndromes......Page 249 For Review and Discussion......Page 252 References......Page 253 Credits......Page 257 CHAPTER 9 Psychosocial Aspects......Page 258 Family Issues......Page 259 School Issues......Page 262 Societal Issues......Page 266 Behavior and Psychiatric Issues......Page 268 Summary......Page 271 References......Page 272 Credits......Page 277 CHAPTER 10 Speech/Resonance Disorders and Velopharyngeal Dysfunction......Page 278 Voice, Resonance, and Airflow......Page 279 Resonance Disorders......Page 281 Types of Velopharyngeal Dysfunction......Page 285 Effects of Velopharyngeal Insufficiency/Incompetence on Speech......Page 287 Causes of Velopharyngeal Dysfunction......Page 295 For Review and Discussion......Page 305 References......Page 306 Credits......Page 312 PART 3 ASSESSMENT PROCEDURES: SPEECH, RESONANCE, AND VELOPHARYNGEAL FUNCTION......Page 314 CHAPTER 11 Speech and Resonance Assessment......Page 316 Timetable for Assessment......Page 317 Language Screening......Page 318 Speech Assessment......Page 321 Speech Samples......Page 322 What to Evaluate......Page 325 Supplemental Evaluation Procedures......Page 329 Differential Diagnosis of Cause......Page 334 Follow-Up......Page 339 Summary......Page 340 References......Page 341 Credits......Page 343 CHAPTER 12 Orofacial Examination......Page 344 General Methodology......Page 345 Important Observations......Page 349 Infection Control during the Examination......Page 365 Summary......Page 368 References......Page 369 Credits......Page 371 CHAPTER 13 Overview of Instrumental Procedures......Page 372 Indirect Procedures......Page 373 Direct Procedures......Page 376 Imaging for Research......Page 381 For Review and Discussion......Page 382 References......Page 383 Credits......Page 384 CHAPTER 14 Nasometry......Page 386 Nasometry and Its Clinical Uses......Page 387 Equipment......Page 388 Nasometric Procedures......Page 389 Nasometric Results......Page 398 Interpretation of Nasometric Results......Page 400 Use in Treatment......Page 405 Summary......Page 408 References......Page 409 Credits......Page 412 Appendix 14A......Page 413 Appendix 14B......Page 414 CHAPTER 15 Videofluoroscopy......Page 418 History of Radiography for VPI......Page 419 Videofluoroscopy Procedure......Page 421 Interpretation......Page 425 Reporting the Results......Page 429 Advantages and Limitations of Videofluoroscopy......Page 430 Summary......Page 432 References......Page 433 Credits......Page 435 CHAPTER 16 Nasopharyngoscopy......Page 436 History of Endoscopy for VPI......Page 437 Nasopharyngoscopy Overview......Page 438 Equipment......Page 439 Preparation of the Patient......Page 441 Nasopharyngoscopy Procedure......Page 444 Interpretation......Page 448 Reporting the Results......Page 455 Cleaning and Storing the Endoscope......Page 458 Advantages and Limitations of Nasopharyngoscopy......Page 459 References......Page 460 Credits......Page 465 Appendix 16A......Page 466 Appendix 16B......Page 468 PART 4 TREATMENT PROCEDURES: SPEECH, RESONANCE, AND VELOPHARYNGEAL DYSFUNCTION......Page 470 CHAPTER 17 Surgical Management......Page 472 Cleft Lip Repair......Page 473 Cleft Palate Repair......Page 476 Surgery for Velopharyngeal Insufficiency/Incompetence (VPI)......Page 480 Alveolar Bone Grafting......Page 491 Oronasal Fistula Repair......Page 493 Maxillary Advancement......Page 494 Summary......Page 504 For Review and Discussion......Page 505 References......Page 506 Credits......Page 513 CHAPTER 18 Prosthetic Management......Page 514 Prosthetic Devices......Page 515 Speech Appliances......Page 519 Advantages and Disadvantages of Prosthetic Management......Page 527 Summary......Page 528 References......Page 529 Credits......Page 532 CHAPTER 19 Speech Therapy......Page 534 Timetable for Intervention and Goals......Page 535 Speech Therapy versus Physical Management......Page 537 Biofeedback for Nasality......Page 540 Speech Therapy Techniques......Page 545 Other Treatment Methods......Page 549 Motor Learning and Motor Memory......Page 550 Summary......Page 552 References......Page 553 Credits......Page 557 Appendix 19A......Page 558 PART 5 INTERDISCIPLINARY CARE......Page 568 CHAPTER 20 The Team Approach......Page 570 Need for Team Management......Page 571 Characteristics of Teams......Page 572 Team Interactions......Page 578 Resources for Services......Page 579 Summary......Page 581 References......Page 582 Credits......Page 583 CHAPTER 21 Cleft Care in Developing Countries......Page 584 Clefts in Developing Countries......Page 585 International Cleft Care......Page 586 The Role of the Speech-Language Pathologist on a Mission Trip......Page 587 Cleft Lip/Palate Surgical Missions......Page 589 Preparing for International Travel......Page 596 Summary......Page 598 References......Page 599 Credits......Page 601 Glossary......Page 602 Index......Page 624 Cleft Palate and Craniofacial Conditions is the marketing leading title for the graduate course on craniofacial conditions and cleft palate or as a sourcebook for health care professionals who provide service in this area. It is designed to be a how-to guide as well as a source of didactic and theoretical information. Author, Ann Kummer, is a highly recognized and respected actice clinician with a specialty in the field.