SLPnews

A 6 month baby girl brought to your SLP unit with the following portrayed problem.
1. What is the significant health history to be regained in this example?

The history of the presence of any other problems in this present case-3, is the possibility of occurring similar problem with other siblings. Inter- family marriage, spousal relationship, environmental influences, medications taken by the mother during pregnancy period must be retrieved. The health history of the case such as the baby`d growth, development and as well nutritional status, are some other few small examples which should be considered in initial health history, when SLP faces such case in his or her clinic.
Physical exam, in most cases under sedation will be necessary to draw out the depth of problems within the oro-naso-pharyngeal anatomical zones.

2. What do the different rehabilitation specialists involve?.

Speech Surgery Team Specialists, based on evidence based guideline
A. SLP collaborates with Speech Surgeon (pre. /intra. / and post operation)
B. Pediatrics( vaccination, growth and special nutritional monitoring via customized bottle)
C. Clinical family psychologist (supporting the family`s present and the child`s future psychological status)
D. ENT specialist (monitoring otolaryngeal, hearing any possible ear infections)
E. Genetic specialist (assessing present case and future pregnancies)

3. What is your present advice for the time being?.

A. Considering Present Nutritional Status
B. Surgical intervention as the age has been passed for CL repair but not for CP
C. Close collaborations within the team work for an academic and effective rehabilitation

4. What is your future advice for more helpful and permanent rehabilitation?.

“Consolidated team work approach, mostly in post operative periods for a definite SLP therapy and surgical results”
Your kind cooperation and educational endorsing comments are highly appreciated in advance.

References
1. Fetal Porcine Vascular Anatomy: Clinical and Research Implications for Fetal Surgery. Rohrich, Rod J. MD; Robinson, Jack B. Jr PhD; Shemshadi, Hashem MD Annals of Plastic Surgery: October 1995
2. Jump up to: a b c d e f "Facts about Cleft Lip and Cleft Palate". October 20, 2014. Retrieved 8 May 2015
3. Yuzuriha S, Mulliken JB (November 2008). "Minor-form, microform, and mini-microform cleft lip: anatomical features, operative techniques, and revisions". Plast. Reconstr. Surg. 122 (5): 1485–93. doi:10.1097/PRS.0b013e31818820bc. PMID 18971733.
4.Costello BJ, Edwards SP, Clemens M (October 2008). "Fetal diagnosis and treatment of craniomaxillofacial anomalies". J. Oral Maxillofac. Surg. 66 (10): 1985–95. doi:10.1016/j.joms.2008.01.042. PMID 18848093.
5.Hill JS (2001). "Velopharyngeal insufficiency: An update on diagnostic and surgical techniques". Current Opinion in Otolaryngology & Head and Neck Surgery 9 (6): 365–8. doi:10.1097/00020840-200112000-00005.
Friday, October 16, 2015
Dr Hashem Shemshadi
Professor of Speech Reconstructive Surgery