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Cleft Palate Case Studies

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Cleft Palate Case Studies
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Cleft palate is recognized as the fourth most common congenital malformation, and is a key feature of over 200 syndromes (Cielo & Marcus, 2015). Researchers universally recognize the importance of a multidisciplinary team approach when evaluating and treating CLP patients. CLP creates deficits in feeding, swallowing, respiratory function, and speech among many others insufficiencies due to velopharyngeal incompetence (Ysunza et al., 2015). Evaluations for feeding, swallowing, and speech are performed by an SLP and is required in the successful treatment a CLP child. QoL for both the child and his/her family is often negatively impacted due to the diagnosis of CLP. The child’s need for surgeries and continuous treatment for feeding, swallowing, and speech affects not only the child’s physical health, psychological health, and social health but also the families. When providing treatment, it is important for the healthcare professionals treating the child with CLP to consider the impact the treatment strategies have on that
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The diagnostic and treatment process for an infant born with CLP is a long process that can last well into adulthood (Klassen et al., 2012).
As technology has advanced over the years, the use of imaging instruments has become a vital component to the early evaluation and diagnosis of CLP (Ysunza, Pamplona, & Repetto, 2015). Ultra sound imaging, VSS, and FEES are the most common instruments that can be used to diagnosis CLP, swallowing difficulties, and speech disorders. If a diagnosis of CLP goes undiagnosed in utero the infant is usually diagnosed promptly after birth based on the physical structural abnormalities. A sub-mucous cleft is more difficult to diagnosis due to the mucosal lining covering the cleft in the palate. Sub-mucous clefts are commonly not diagnosed until feeding/swallowing problems

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