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Effects of Clefts on Speech, Resonance, and Hearing

presented by Ann W. Kummer, PhD, CCC-SLP, F-ASHA

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Disclosure Statement:

Financial: Ann W. Kummer receives compensation from MedBridge for the production of this course. She also receives royalties from her book Cleft Palate and Craniofacial Conditions: A Comprehensive Guide to Clinical Management (4th edition) and from a clinical device, the Oral & Nasal Listener (ONL). She receives honoraria for seminars on cleft palate, craniofacial anomalies, resonance disorders, and velopharyngeal dysfunction and receives payment for consulting on business practices of speech-language pathology programs.

Nonfinancial: Ann W. Kummer has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 52 Minutes; Learning Assessment Time: 28 Minutes

In this course, the presenter will define obligatory distortions and compensatory productions and what should be recommended for each. The presenter will describe the effects of a short upper lip, stenotic nares, nasal cavity anomalies, and dental or occlusal anomalies on speech and resonance. Finally, the presenter will describe the effects of otologic anomalies on hearing and the effects of VPI on speech and resonance.

Meet Your Instructor

Ann W. Kummer, PhD, CCC-SLP, F-ASHA

Dr. Ann W. Kummer retired as senior director of the Division of Speech-Language Pathology at Cincinnati Children's Hospital in September 2017. Under her direction, the speech-language pathology program at Cincinnati Children's became the largest pediatric program in the nation and one of the most respected. Dr. Kummer remains clinically and academically active as a professor…

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Chapters & Learning Objectives

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1. The Effects of Structural Anomalies on Speech or Resonance

In this chapter, the presenter will describe obligatory distortions and compensatory productions and why they can occur in cases of structural anomalies. The treatment of each will be explained.

2. Primary Palate: Effects of Lip and Nasal Cavity Anomalies on Speech and Resonance

In this chapter, the presenter will describe the effects of a short upper lip, stenosis of the nares, and nasal cavity anomalies on speech and resonance.

3. Primary Palate: Effects of Dental and Occlusal Anomalies on Speech

In this chapter, the presenter will review the dental and occlusal requirements for normal speech production. The presenter will list various dental anomalies and show how these anomalies can affect speech. Finally, the presenter will describe the types of malocclusion that can occur and how each type can affect speech.

4. Secondary Palate: Effects of Otologic Anomalies on Hearing and of VPI on Speech and Resonance

In this chapter, the presenter will discuss the increased risk for middle ear effusion in children with cleft palate and how this affects hearing. There will also be a brief description of the risk for VPI and its effect on speech and resonance.

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