Essay On Pharyngeal Flap Surgery

Ava Bracciante, an eight year-one month old female, who has been attending Lehman College Speech and Hearing Clinic since spring 2014 due to parental concerns regarding her articulation. She is currently attending the clinic once a week for 50-minute sessions. Ava’s parents, Mr. and Mrs. Bracciante, provided the case history report and stated that Ava received a speech-language evaluation at the Ampark School in 2014. The evaluation revealed gliding of the lingua-palatal rhotic /r/ and vocalization of the rhotic diphthong /ɚ/; her intelligibility was not compromised; therefore, she did not qualify for services. Mrs. Bracciante reported that she has seen an improvement in Ava’s speech and is an active participant to her progress.

The scope of practice of speech-language pathology describes the ethical and clinical responsibility of clinicians to implement therapy techniques, which contains efficacy that is supported by evidence. Non-speech oral-motor exercises (NSOMEs), in particular have raised controversy among speech-language pathologists (SLPs) and researchers when treating children with articulation and phonological disorders. The use of NSOMEs is a debated issue in the profession due to the lack of evidence based practice (EBP), poor clinical assumptions, and the avoidance of meeting the client’s needs.

IDEA definition applies to cleft palate due to this disorder happens during development. Children with clef palate can have speech and language impairment which the student may need services to help with language development.

Watching my friends’ face quiver in disgust after recounting my experience of a videofluoroscopicy and my excitement from viewing the barium travel through the oropharyngeal and pharyngeal phases of swallowing, I realized I wanted to study the extraordinary field of Communication Sciences and Disorders. During my undergraduate career at East Carolina University, my anatomy and physiology class further fostered my enthusiasm for the field when discovering how intricate and complex it is for the human body to perform a simple task such as breathing and swallowing. I was able to utilize my thirst for knowledge of the human anatomy working in Dr. Perry’s Speech Imaging and Visualization Laboratory and enhance my writing skills by reviewing peer reviewed journal articles. Ultimately working and observing lab assistants create 3D anatomical models of the laryngeal mechanism, velopharyngeal mechanism, swallowing mechanism, skull and cranium,

Kara-lynn is a 3 year; 6 month old female presenting with a severe phonological disorder. Her results from testing indicate that her speech intelligibility is significantly reduced due to multiple phoneme collapses into /d/ of the following phonemes and consonant clusters: /p/, /g/, /k/, /s/, /z/, /θ/, /ð/, /tr/,and /gr/. In addition, the use of multiple phonological processes, including: final consonant deletion, initial consonant deletion, cluster reduction, vocalization, and deaffrication also significantly contribute to her reduced intelligibility. Her speech intelligibility in known context was calculated to be 64%, which is low for a child who is 3 years; 6 months(consider adding reference). Reduced intelligibility can impact a child’s ability to communicate wants and needs, making Kara-Lynn’s speech intelligibility an area of need.

The purpose of this evidence based research paper is to evaluate the efficacy of the cycles approach when compared to the traditional articulation therapy approach in the treatment of children who are highly unintelligible. The Cycles Phonological Remediation Approach (Hodson, 2011) is a treatment method for children with severe speech sound disorders. This approach targets phonological pattern errors in a sequential manner. During each cycle, one or more phonological patterns are targeted and after each cycle is complete, another cycle begins. Recycling of phonological patterns continues until the targeted patterns are generalized into the child’s conversational speech. The cycles approach is meant to mirror typical phonological development in children (Hodson, 2011).

Wilson and Dyson (1982) targeted speech and language characteristics of children with Noonan Syndrome. They used the following assessments to evaluate the speech and language development of children: The Vocabulary Comprehension Scale, Peabody Picture Vocabulary Test, and an Oral Mechanism Exam. A language sample was also taken and used to analyze pragmatic skills, semantic relationships, and phonological processes. (Wilson & Dyson, 1982)

The cleft needs to be repaired (through surgical interventions like palatoplasty) because it’s extremely important for feeding and swallowing, as well as speech. Similar to sleep, without sufficient nutrition, an individual will not be able to fully develop. A lack of sufficient nutrition will affect an individual’s cognitive ability, as well as their physical health. This is why surgical intervention is such a critical component of the process and one of the steps that is completed earlier on in the process. In addition to cleft palates, velopharyngeal insufficiency is a common symptom for about forty percent of individuals with TCS, and is often related to a cleft palate. Velopharyngeal insufficiency can be related to issues with breathing and feeding. It is also related to articulation problems and hypernasality. The articulation issues are likely due to the lack of ability to build pressure and without pressure consonants are altered (Goorhuis-Brouwer & Priester, 2008,

f you have extreme gingivitis or periodontal disease, then your dentist may suggest gum flap surgery in order to make the area easier to clean. Gum flap surgery involves lifting your gums in order to remove any tartar or plaque. Once this is done, your gums are placed back around your teeth so that they fit snuggly. This eliminates any pockets where bacteria and tartar can easily hide. Since this surgical procedure involves lifting the gums, you will experience some pain once the procedure is done. The pain will eventually go away on its own but it can be uncomfortable to deal with. Luckily, there are a few herbal teas that you can drink in order to reduce pain during this time.

Ibrahim, Kilpatrick, Reilly, and Vogel (2009) performed a comparative study of the acoustic measures of hypernasality in the speech of school-aged children aged 2-14 years, some with cleft lip/palate and others without cleft lip/palate. Ibrahim, Kilpatrick, Reilly, and Vogel (2009) provided perceptual ratings of the hyper/hyponasality of vowel production in the children’s speech. Any child who was sick or had acquired an upper respiratory infection was excluded from the study, as was any child with cleft lip/palate who also had any other disorders or comorbidities. The study included a perceptual assessment in which two speech therapists were required to agree upon the perception of the phonemes the child produced. Each child held and sustained two vowels, followed by production of two CVC words without nasal phonemes. This process was repeated five times with each child. The

There are many different language delays and disorders found in the pediatric population. Childhood apraxia of speech (CAS) is one of the most common of these disorders. Dr. Libby Kumin defines CAS as “a motor speech disorder where children have difficulty planning, coordinating, producing and sequencing speech sounds” (Kumin, n.d.). Apraxia does not occur because of weakness or paralysis of facial and oral muscles. It occurs when a child’s brain cannot properly plan the movement of body parts necessary for normal speech production (“Childhood Apraxia,” 2011). Though CAS is the most common name for this specific disorder, it is also referred to as a variety of other names. Some of these names include: dyspraxia, developmental

Mrs. Helen Bessler, mother of George Bessler, was hospitalized 16March2015 and underwent surgery of the right lung on 17March2015. She had cancer of the right lung that required removal of two lobes and a section of the superior vena cava.

The first study deals with the age at which each participant started, the degree of their hearing loss and children’s speech production, language development, and auditory skills that were evaluated when they finished the program. Also, during this study information from the family was taken regarding their view on the time they started early intervention for their child. The first set of results found that the pretest scores of Group one, the youngest children scored the lowest on expressive and receptive language while the oldest group, Group three, scored the highest. On the other hand, when given the posttest, Group one scored higher than Group three. For speech production and auditory discrimination, all groups were at a basic level. At the

“Phonological disorders in children can result from physical or organic causes or may be functional in nature ("Phonological disorders in," 2013)”. Children with a phonological disorder may experience a higher risk for reading and writing disabilities. “If left unresolved, phonological disorders have long-term consequences that may interfere with an individual's future social, academic, and vocational well-being, largely resulting from persistent, reduced intelligibility of speech ("Phonological disorders in," 2013).”

Normal respiration consists of inhalation and exhalation. Inhalation is taking in oxygen and delivering it to all cells in the body and exhalation is picking up carbon dioxide waster product of cells and taking it out. Air travel from the nose or mouth into the larynx into the trachea and ends up in the lungs where oxygen is dropped and carbon dioxide is picked up. Oxygen is really important for cell function and when oxygen is not delivered, cells begin to die. So when process of breathing does not work properly other methods of delivering oxygen are used such as tracheostomy.