Speech Therapy

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The Role of Speech and language Pathologist In cleft lip and palate patients is dynamic, It includes assessment, referral and therapeutic protocols

Speech evaluation covers following aspects:

  • Personal History
  • Case history
  • Developmental problems
  • Oral motor examination
  • General behavior observation
  • Hearing problems
  • Language
  • Receptive and expressive language
  • Speech sampling by video recordings before and after surgery
  • Voice
  • Resonance
  • Articulation and phonology
  • Nasoendoscopy
  • Feeding and swallowing disorders

During assessment nasal air emission,nasality level, phonation and articulation are closely observedand scored . Good Articulation depends on the intactness of oral cavity. Articulation is a joint ventureof the articulators (Tongue, Lips, Teeth, Hard & Soft palate). Articulation is manner of placement, voicing and correct production of consonants

We doobjective assessment by nasometer II which gives us complete picture of:

Hyper nasality in percentageHypo nasality
V P I
Maximumnasalance
Minimumnasalance
Mean level of naslance

Management and Intervention

Guidelines for patients and family members include:

  • Counseling
  • Training speech sessions
  • Sharing Tangible Goals
  • Use of technology nasometerII
  • Monitoring the Improvement