Abordarea interdisciplinară a despicăturilor facio-labio-palatine

Abordarea interdisciplinară a despicăturilor facio-labio-palatine

Interdisciplinary approach to facio-labio-palatine clefts

Ioana Mădălina ORIAN

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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Reabilitarea preoperatorie sau pregatirea fizica inainte de operatie


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Rinolalia deschisă în context sindromic și non-sindromic

Rinolalia deschisă în context sindromic și non-sindromic

Rhinolalia aperta in a syndromic and non-syndromic context


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

DOI: 10.26744/rrttlc.2017.3.2.07

Published on line: 31/10/2017


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Speech and language therapy in open rhinolalia context

Terapia logopedică a rinolaliei deschise

Speech and language therapy in open rhinolalia context

Mirela BUTTA

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

DOI: 10.26744/rrttlc.2016.2.2.07

Published on line: 15/10/2016


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