IV: Structural Communication and Swallowing Disorders Flashcards Preview

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Flashcards in IV: Structural Communication and Swallowing Disorders Deck (165)
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1

craniofacial

outer nasal structures (4)

nasal bridge, columella (supports nasal tip), ala nasi (curved part around nostril), naris

2

craniofacial

nasal septum (6)

divides the nasal cavity into two sections, includes: vomer bone, perpendicular plate of the ethmoid, quadrangular cartilage, turbinates/conchae (divided into superior, middle and inferior), meatus (also divided into superior, middle and inferior)

3

craniofacial

upper lip (4)

philtrum, cupid's bow, labial tubercle, vermillion (red lip tissue)

4

craniofacial

tongue (2)

dorsum of tongue (dorsal/top surface) :: ventrum of tongue (ventral/under surface)

5

craniofacial

faucial pillars and tonsils (4)

anterior/posterior faucial pillars, palatine tonsils, lingual tonsils

6

craniofacial

bones of the oral cavity (5)

alveolar ridge, incisive foramen, pre maxilla, hard palate, pterygoid process of the sphenoid bone

7

craniofacial

velar structures (3)

velum/soft palate, median palatine raphe, uvula

8

craniofacial

pharyngeal structures (3)

pharynx (oropharynx, nasopharynx, hypopharynx, posterior pharyngeal wall, lateral pharyngeal walls), adenoids/pharyngeal tonsils (removal can affect velopharyngeal function), eustachian tube (connects middle ear to pharynx, responsible for middle ear function)

9

craniofacial

properties related to velopharyngeal function (3)

knee action (bending to provide maximum contact with the posterior pharyngeal wall), velar dimple (formed by contraction of the levator muscles), passavant's ridge (shelf-like projection from the posterior pharyngeal wall)

10

craniofacial

pharyngeal wall movement (2)

lateral:to close against velum :: posterior:assists in achieving contact against the velum

11

craniofacial

muscles of the velopharyngeal valve (1)*

velopharyngeal sphincter (levator veli palatini, superior constrictors, palatopharyngeus, palatoglossus, salpingopharyngeus, musculus uvulae, tensor veli palatini)

*all muscles are paired on each side of midline

12

craniofacial

innervation of velopharyngeal complex (6)

pharyngeal plexus (network of nerves that lies along the posterior pharyngeal wall), involvement of cranial nerves: V, VII, IX, X, IIX

13

craniofacial

variations in velopharyngeal closure (3)

coronal (most common, complete closure with little contribution from lateral pharyngeal walls), circular (second most common, complete true-sphincter closure), sagittal (complete closure due to lateral movement medially)

14

craniofacial

primary palate structures (3)

those located anterior to the incisive foramen, includes lip and alveolar ridge, develops at 7 weeks gestation, embryological path from the incisive foramen to the lip

15

craniofacial

primary palate clefts (2)*

complete clefts of the primary palate:extend through the lip and alveolus to incisive foramen :: incomplete clefts:do not extend all the way to the incisive foramen and can include: forms frustrating (slight lip notch), cleft of the lip only, or cleft of the lip and just part of the alveolus

*can be unilateral or bilateral where incisive sutures are primarily affected

16

craniofacial

secondary palate structures (4)

located posterior to incisive foramen, develops at 9 weeks gestation, embryological path from the incisive foramen to the uvula, includes: hard palate, velum, uvula

17

craniofacial

secondary palate clefts (2)

complete clefts of the secondary palate:extend from the uvula to the incisive foramen :: incomplete clefts:do not extend all the way to the incisive foramen and can include: bifid uvula, cleft of the velum only, or cleft of the velum and just part of the hard palate

18

craniofacial

effects of cleft lip and palate on speech (3)

dental and occlusal anomalies (cross bites, class III malocclusions), hearing loss due to eustachian tube malfunction, velopharyngeal insufficiency (VPI)

19

craniofacial

effects of cleft lip and palate on feeding (2)

cleft lip:usually does not affect feeding :: cleft palate:inability to build up suction/compress nipple (thus, breastfeeding is not possible)

20

craniofacial

pierre robin sequence (5)

a wide bell-shaped cleft palate, micrognathia (small mandible), glossoptosis (posterior tongue position), airway and feeding difficulties, speech issues secondary to velopharyngeal insufficiency (VPI)

21

craniofacial

velocardiofacial syndrome (5)

deletion 22q11.2 syndrome, usually occult submucous cleft palate or velopharyngeal hypotonia, velopharyngeal dysfunction causing hyper nasality, cardiac and vascular anomalies, facial anomalies (microcephaly, micrognathia, nasal)

22

craniofacial

stickler syndrome (5)

cleft palate only, pierre robin sequence, wide flat face, sensorineural hearing loss, risk for velopharyngeal insufficiency

23

craniofacial

FAS (5)

fetal alcohol syndrome, pierre robin sequence, cleft palate and cleft lip, short nose and flat philtrum and thin upper lip, developmental disabilities with behavioral problems

24

craniofacial

trisomy 13 (4)

cleft lip and palate with possible midline cleft, eye defects, midline facial deformities, fatal before first birthday

25

craniofacial

wolf-hirschhorn syndrome (6)

common cleft palate, microcephaly and micrognathia, short philtrum, developmental disabilities, speech and language disorders, occasional hearing loss

26

craniofacial

opitz g syndrome (3)

flat nasal bridge and thin upper lip, low set ears, type of cleft: laryngeal cleft (voice and swallowing problems), cleft lip, cleft palate

27

craniofacial

van der wood syndrome (3)

cleft lip and palate, bilateral lip pits on the lower lip and missing teeth, speech disorders related to cleft lip and palate

28

craniofacial

OFD I (5)

orofacialdigital syndrome type I, notching in alveolar ridge, absence of corpus collosum, developmental disabilities and speech and language disorders, type of cleft: cleft lip, cleft palate, midline cleft lip

29

craniofacial

saethre-chotzen syndrome (4)

cleft palate or submucous cleft palate, ptosis of the eyelids, external ear anomalies, risk for developmental disabilities

30

craniofacial

crouzon syndrome (3)

cleft palate (submucous cleft is occasionally seen), craniofacial features similar to apert syndrome (broad forehead, class III malocclusion, low-set ears), risk for developmental disabilities and upper airway obstruction