Etichetă: open rhinolalia

Influența protocolului de intervenție chirurgicală ales în cazul despicăturilor facio-labio-palatine asupra procesului de intervenție logopedică

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Influența protocolului de intervenție chirurgicală ales în cazul despicăturilor facio-labio-palatine asupra procesului de intervenție logopedică

The influence of the surgical intervention protocol chosen in the case of facio-labio-palatine clefts on the speech therapy intervention process

Ioana Mălina ORIAN, Rada BERESCHI BENE
Abstract

Labio-maxillo-palatine clefts is the most common congenital anomaly among congenital malformations of the face. The approach to clefts is done within a multidisciplinary team, in a management that starts from the pre-natal or immediately post-natal period until the adult life of the patient. The surgical protocol chosen for lip and palate reconstruction is a significant step for the upcoming speech process. The purpose of the paper is to highlight the importance of the surgical intervention protocol in the case of clefts, taking into account the speech difficulties that may occur and the therapeutic process of speech therapy intervention that can take place over a significant period of time. We highlighted this aspect through two presented case studies.

Keywords:labio-maxillo-palatine cleft, open rhinolalia, palatal fistula, speech intelligibility, speech disorder
pdf

DOI:10.26744/rrttlc.2023.9.1.08
Published on line: 03/31/2023
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Abordarea interdisciplinară a despicăturilor facio-labio-palatine

asttlr

Abordarea interdisciplinară a despicăturilor facio-labio-palatine

Interdisciplinary approach to facio-labio-palatine clefts

Ioana Mădălina ORIAN
Abstract

Labio-maxillo-palatine clefts represent the most common congenital anomaly of all congenital malformations of the face and they are the most frequent cause of rhinolic disorders. The complexity of the therapeutic approach is determined by nutrition and eating problems, hearing and ENT problems, dento-facial and orthodontic abnormalities, breathing disorders, phonation disorders, reduced speech intelligibility, various physiognomic disorders.
The presented case study emphasizes the need of an interdisciplinary approach to labio-maxillo-palatine clefts and follows the recovery process from a multidisciplinary perspective. The conclusions of the paper support the idea that the recovery process of the child with facio-labio-palatine cleft is a complex, long-termed one and the concern of the speech and language therapist to expand his field of activity is justified because this disorder involves pre and post surgery intervention and the therapist supports the entire process in all the mentioned areas.

Keywords: labio-maxillo-palatine cleft, open rhinolalia, orthodontic devices, speech intelligibility, speech disorder

"/pdfDOI: 10.26744/rrttlc.2021.7.1.04

Published on line: 31/03/2021
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Rinolalia deschisă în context sindromic și non-sindromic

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Rinolalia deschisă în context sindromic și non-sindromic

Rhinolalia aperta in a syndromic and non-syndromic context

Oana-Maria ȘOMFELEAN
Abstract

This article describes the results obtained in a research which study the symptomatology of open rhinolalia in syndromic and non-syndromic context.
Open rhinolalia represents a real, complex, less common problem with major implications for language development, both organic and functional, and whose diagnosis, evaluation and intervention approach is poorly known and adopted in speech therapy practice.
The approach in the research of both the specifics of non-syndromic rhinolalia and syndromic rhinolalia aims at identifying the particularities and symptoms of this speech disorder and focuses mainly on the identification of the degree of development of expressive language and the intelligibility of speech, but also on finding the level and the type of the associated voice disorder and the similarities and differences between the specificity of non-syndromic rhinolalia and syndromic rhinolalia. In the case of syndromic rhinolalia, it has been observed how optimal development and rehabilitation of language is influenced by association with Down syndrome and Pierre-Robin syndrome.

Keywords: open rhinolalia, non-syndromic rhinolalia, syndromic rhinolalia, voice disorder, speech disorder, speech intelligibility
pdf

DOI: 10.26744/rrttlc.2017.3.2.07

Published on line: 31/10/2017

References:

Anca, M., Bodea Hațegan, C., Talaș, D. (2013). Pierre-Robin Syndrome: A Romanian Psycho-Pedagogical Case Report, Procedia- Social abd Behavioral Science, Volumul 78, 13 mai 2013, 245-249.

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Buckley, S. (1999). Improving the Speech and Language Skills of Children and Teenagers with Down Syndrome, Down Syndrome News and Update, Volumul I, Nr. 3, 111-128. Accesat în data de 18 februarie 2017, online la

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Crowley, L., Gist, K. L., Gregson, K. M., Hufnagle, K., Peterson Falzone, S., Smythe, C. N., Trivelpiece, R. (2010). Your Baby`s First Year, Cleft Palate Foundation, Chapel Hill, Carolina de Nord. Accesat în data de online la 9 noiembrie 2016, online la

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Moldovan, I. (2006). Corectarea tulburărilor limbajului oral, Cluj-Napoca: Presa Universitară Clujeană.

Peterson-Falzone, S.J., Trost-Cardamone, J.E., Karnell, M.P., Hardin-Jones, M.A. (2006). The Clinician`s Guide to Treating Cleft Palate Speech, Missouri: Mosby Inc.

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Tote, R. et al. (2014). Aspecte Clinico-Terapeutice ale Despicăturilor Labio-Maxilo-Palatine: Date din Literatură,Romanian Journal of Medical and Dental Education, Volumul 3, Ianuarie-Iunie, 57-62. Accesat în data de 20 octombrie 2016, online la

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Speech and language therapy in open rhinolalia context

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Terapia logopedică a rinolaliei deschise

Speech and language therapy in open rhinolalia context

Mirela BUTTA
Abstract

The general purpose of speech and language therapy, concerning rhinolalia, is removing the nasality from speech by developing a functional breathing ability, differentiating between nasal and oral breathing through the correct use of the epiglottis-laryngeal mechanism of closing.
In the case of the functional open rhinolalia, it is recommended the speech and language therapy to ensure the development of a correct articulator basis.
The speech therapy exercises are aiming especially the mobility of the velum and the coordination of the phonoarticulatory organs (for the mobility of the velum there are recommended exercises of blowing into different objects because the air under pressure is acting as a good massage for the velum; exercises done by blocking one nostril and trying to breathe; exercises of frequent deglutition of slight quantities of liquids).
The next stage of the therapy will be based on differentiating between the oral and the nasal breathing, on increasing the respiratory volume and precision and on prolonging the time of breathing out in verbal production.
After gaining control over the phonoarticulatory organs and the velum, phonetic exercises need to be implemented. It is important to put a great emphasis on the special gymnastics of each organ and on exercises of oral conduction of the respiratory wave. The sound producing must be obtained by using games and play therapy background.

Keywords: open rhinolalia, voice dysfunction, speech and language therapy, nasality, hipernasality
pdf

DOI: 10.26744/rrttlc.2016.2.2.07

Published on line: 15/10/2016

References:

Anca, M. (2002). Logopedie, Cluj-Napoca: Editura Presa Universitară Clujeană.

Anca, M.; Haţegan, C., (2008). Terapia limbajului. O abordare interdisciplinară, Cluj-Napoca: Editura Presa Universitară Clujeană.

Bejan, L., Drugaş, I., Hărdălău, L., (2009). Aplicaţii practice în Logopedie şi Psihologie şcolară, Oradea: Editura Primus.

Bodea Haţegan, C. (2016). Logopedia. Terapia tulburărilor de limbaj. Structuri deschise, Bucureşti: Editura Trei.

Jurcău, E., (2003). Logopedie, Bucureşti: Editura Didactică şi Pedagogică.

Moldovan, I. (2006). Corectarea tulburărilor limbajului oral, Cluj-Napoca: Editura Presa Universitară Clujeană.

Verza, E. (2009). Tratat de logopedie (vol 2), București: Editura Semne.

Vrăşmaş, E., Stănică, C. (1997). Terapia tulburărilor de limbaj. Intervenţii logopedice. Bucureşti: Editura Didactică şi Pedagogică.