Abordarea interdisciplinară a despicăturilor facio-labio-palatine

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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http://www.dentalconceptstudio.ro/ro/Informa%C8%9Bii-pentru-pacien%C8%9Bi/Chirurgie-ortognat%C4%83_Chirurgie-ortognat%C4%83-272

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Deglutition disorders-atypical deglutition. Miofunctional therapy for rehabilitation

Perturbări de deglutiție – deglutiția atipică. Terapia miofuncțională de recuperare

Deglutition disorders-atypical deglutition. Miofunctional therapy for rehabilitation

Elena L. BUZZO
Abstract

Deglutition is a neuromuscular mechanism which passes through a physiological maturation when passing from childhood to adulthood. A deficient deglutition can be met when childish swallowing is still present even in adult stage. During an atypical deglutition the tongue makes a pressure on the palate and on the teeth or can slip through the teeth’s arcades. Miofunctional speech and language therapy is the best way to address the atypical deglutition process. This is a reeducation process, a process of reestablishing of the oral function through a series of progressive exercises which focuses on the correction of the tongue`s position and the automatization of the swallowing process. Applying in a consistent manner the miofunctional therapy, both in the speech therapy office and during daily life activities, using the necessary orthodontic devices specific in each situation, the results are positive, atypical deglutition being turned in a mature swallowing process.

Keywords: deglutition, miofunctional therapy, swallowing disorder, orthodontic devices, speech therapy

pdf

DOI:10.26744/rrttlc.2017.3.1.03

Published on line: 15/03/2017

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