CURRENT CONCEPTS IN THE DIAGNOSIS AND MANAGEMENT OF

  • Slides: 20
Download presentation
CURRENT CONCEPTS IN THE DIAGNOSIS AND MANAGEMENT OF VELOPHARYNGEAL DYSFUNCTION IN CHILDREN AND ADULTS

CURRENT CONCEPTS IN THE DIAGNOSIS AND MANAGEMENT OF VELOPHARYNGEAL DYSFUNCTION IN CHILDREN AND ADULTS MSHA 2013 PABLO ANTONIO YSUNZA antonio. ysunza@beaumont. edu

TERMINOLOGY • MALFORMATION: A LOCALIZED ERROR IN MORPHOGENESIS (CLEFT PALATE)

TERMINOLOGY • MALFORMATION: A LOCALIZED ERROR IN MORPHOGENESIS (CLEFT PALATE)

TERMINOLOGY • SEQUENCE: A MALFORMATION CAUSING ANOTHER MALFORMATION (S) • PIERRE-ROBIN SEQUENCE: MICROGNATHIA— GLOSSOPTOSIS—SUB-TOTAL

TERMINOLOGY • SEQUENCE: A MALFORMATION CAUSING ANOTHER MALFORMATION (S) • PIERRE-ROBIN SEQUENCE: MICROGNATHIA— GLOSSOPTOSIS—SUB-TOTAL PALATAL CLEFT) • Di. GEORGE SEQUENCE: NEURAL CREST DEFECT —THYMUS ABSENCE, HYPOCALCEMIA, IMMUNE DEFICIENCY

TERMINOLOGY • SYNDROME: GROUP OF MALFORMATIONS WITH COMMON ETIOLOGY (VELOCARDIOFACIAL SYNDROME-22 Q 11. 1

TERMINOLOGY • SYNDROME: GROUP OF MALFORMATIONS WITH COMMON ETIOLOGY (VELOCARDIOFACIAL SYNDROME-22 Q 11. 1 DELETION)

CLEFT PALATE • PRIMARY PALATE • SECONDARY PALATE

CLEFT PALATE • PRIMARY PALATE • SECONDARY PALATE

CLEFT PALATE

CLEFT PALATE

CLEFT PALATE

CLEFT PALATE

SUBMUCOUS CLEFT PALATE

SUBMUCOUS CLEFT PALATE

SUBMUCOUS CLEFT PALATE

SUBMUCOUS CLEFT PALATE

VPI • W / COMPENSATORY ARTICULATION ERRORS (HYPERNASALITY AND ABERRANT PLACEMENT AND MANNER) •

VPI • W / COMPENSATORY ARTICULATION ERRORS (HYPERNASALITY AND ABERRANT PLACEMENT AND MANNER) • WO / COMPENSATORY ARTICULATION ERRORS (HYPERNASALITY WITH APPROPRIATE PLACEMENT AND MANNER)

V P I + COMPENSATORY ERRORS • PROBLEM BEYOND V P S, INVOLVES ENTIRE

V P I + COMPENSATORY ERRORS • PROBLEM BEYOND V P S, INVOLVES ENTIRE VOCAL TRACT AND HIGHER LEVELS OF SPEECH PRODUCTION • SPEECH THERAPY IS INDICATED • 1/3 OF RESIDUAL V P I SHOW COMPENSATORY ERRORS • SURGERY DO NOT MODIFY COMPENSATORY ERRORS

VELOPHARYNGEAL SPHINCTER • ANTERIOR: VELUM (LEVATOR VELI PALATINI AND MUSCULUS UVULAE) • LATERAL: LATERAL

VELOPHARYNGEAL SPHINCTER • ANTERIOR: VELUM (LEVATOR VELI PALATINI AND MUSCULUS UVULAE) • LATERAL: LATERAL PHARYNGEAL WALLS (SUPERIOR PHARYNGEAL CONSTRICTOR) • POSTERIOR: POSTERIOR PHARYNGEAL WALL (SUPERIOR PHARYNGEAL CONSTRICTOR)

VIDEOFLUOROSCOPY • X-RAYS • DYNAMIC ASSESSMENT (VIDEO) • ANALYSIS ON VIDEO (DECREASE TOTAL RADIATION

VIDEOFLUOROSCOPY • X-RAYS • DYNAMIC ASSESSMENT (VIDEO) • ANALYSIS ON VIDEO (DECREASE TOTAL RADIATION TIME) • FRONTAL OR CORONAL, LATERAL OR SAGGITAL, BASE OR AXIAL

RESIDUAL V P I • SYNDROMIC • NON SYNDROMIC

RESIDUAL V P I • SYNDROMIC • NON SYNDROMIC

NON-SYNDROMIC V P I • INTRAVELAR VELOPLASTY (L V P SURGICAL REPAIR) • FURLOW

NON-SYNDROMIC V P I • INTRAVELAR VELOPLASTY (L V P SURGICAL REPAIR) • FURLOW Z PLASTY • PHARYNGEAL FLAP • SPHINCTER PHARYNGOPLASTY

Module 4 Screening and Diagnosis Diagnosis Definitive diagnosisModule 4 Screening and Diagnosis Diagnosis Definitive diagnosis
DIAGNOSIS EPIDEMIOLOGI Pengertian diagnosis epidemiologi adalah diagnosis yangDIAGNOSIS EPIDEMIOLOGI Pengertian diagnosis epidemiologi adalah diagnosis yang
Fault Diagnosis SATBased Diagnosis The Diagnosis Problem GeneralFault Diagnosis SATBased Diagnosis The Diagnosis Problem General
DIAGNOSIS DIAGNOSIS CLINICAL LAB LAB DIAGNOSIS 1 PULDIAGNOSIS DIAGNOSIS CLINICAL LAB LAB DIAGNOSIS 1 PUL
TYPES OF DIAGNOSIS TYPES OF DIAGNOSIS Clinical diagnosisTYPES OF DIAGNOSIS TYPES OF DIAGNOSIS Clinical diagnosis
Current ratio 1 Current ratio Current assets CurrentCurrent ratio 1 Current ratio Current assets Current
Orthodontics Current Concepts in Diagnosis and Treatment PlanningOrthodontics Current Concepts in Diagnosis and Treatment Planning
RHEUMATIC FEVER CURRENT CONCEPTS Guidelines Diagnosis Therapy DrRHEUMATIC FEVER CURRENT CONCEPTS Guidelines Diagnosis Therapy Dr
VTE diagnosis and management current challenges and issuesVTE diagnosis and management current challenges and issues
Diagnosis and Interpretation We concentrate on diagnosis andDiagnosis and Interpretation We concentrate on diagnosis and
Diagnosis and Interpretation We concentrate on diagnosis andDiagnosis and Interpretation We concentrate on diagnosis and
Chapter 7 Diagnosis and Classification Issues Diagnosis andChapter 7 Diagnosis and Classification Issues Diagnosis and
Diagnosis and Interpretation We concentrate on diagnosis andDiagnosis and Interpretation We concentrate on diagnosis and
Current issues in the Diagnosis and Management ofCurrent issues in the Diagnosis and Management of
Current issues in the Diagnosis and Management ofCurrent issues in the Diagnosis and Management of
Current Approaches to the Diagnosis and Management ofCurrent Approaches to the Diagnosis and Management of
Current Guidelines for diagnosis and Management of GastroesophagealCurrent Guidelines for diagnosis and Management of Gastroesophageal
Electric Current and Direct Current Circuits Electric CurrentElectric Current and Direct Current Circuits Electric Current
Current and Resistance Electric Current Electric current ICurrent and Resistance Electric Current Electric current I