Team Care, Surgical Repair, and feeding Flashcards Preview

ECU Craniofacial Anomalies + Laryngeal Rehab > Team Care, Surgical Repair, and feeding > Flashcards

Flashcards in Team Care, Surgical Repair, and feeding Deck (23)

Who is typically on a team?


Pediatric dentist




Oral surgeon


Otolaryngologist (ENT)


Plastic/Craniofacial surgeon



Social worker


Team coordinator


What is the minimum members for a cleft palate team?




At least one additional specialist


What are the advantages of Team Care? (4)

1. Multiple disciplines treating patient

2. Centralized services with centralized coordination/scheduling of appointment

3. Long-term treatment planning from birth to adulthood (same people)

4. Maximize communication between specialists


When does lip tapping usually happen?

birth, in hospital typically


When does lip repair usually happen?

3 mos, rule of 10's


When does a palate repair usually happen?

12 mos.


When does a speech follow-up usually happen?

every 6-12 months or sooner


When does lip revision usually happen?

after age 5-6, ideally early teenage years (9-12yrs); avoid midface growth deficiencies


When does maxillary expansion occur?

6-9 years


When does bone grafting happen?



What is the general timeline for surgical, speech and dental intervention for CLP?

1. Lip taping = birth, in hospital
2. Nasal-Alveolar molding
3. Lip repair = 3 mos., rule of 10's
4. Initial S&L Eval
5. Palate repair = 12 mos
6. Post-op speech eval
7. Speech follow-up every 6-12 months or sooner
8. Lip revision = after age 5-6, ideally early teenage years (9-12yrs); avoid midface growth deficiencies
9. Secondary surgical revision to palate if needed
10. Maxiallary expansion, 6-9 years
11. Bone grafting, 9-12 years
12. Orthodontics


What is the job of the nurse? (3)

1. Assesses overall physical development, growth, nutrition

2. Often assists family in feeding techniques, w/ help and direction of the SLP

3. Counsels family re: surgeries, and answers specific questions


What is the job of the Geneticist/Dysmorphologist?

1. genetic evaluation
2. identify a known syndrome, if it exists
3. Long term follow-up
4. Genetic Counseling


What do Geneticist/Dysmorphologist do in genetic counseling?

1. Diagnosis
2. Recurrent risk for additional offspring
3. Prognosis
4. Identify services that may be needed later


What is the job of the Neurosurgeon?

1. Evaluation and treatment of patients with craniofacial syndromes
2. Monitors intracranial pressure and brain anomalies
3. Surgery, when necessary
4. Often works w/plastic surgeon


What is the job of the Ophthalmologist?

1. Evaluates congenital eye anomalies and other ophthalmologic conditions
2. Evaluates and treats vision
3. Monitors effects of increased intracranial pressure on vision
4. Surgery, when needed


What is the job of the Otolaryngologist?

1. Monitors ME function and hearing
2. Treats ME disease
3. Assesses structural aspects of oral cavity, oropharynx, nasal cavity, upper airway.


What is the job of the Pediatrician?

1. Assesses overall medical health, growth, and development
2. Determines if other aspects of medical care should be done prior to surgeries
3. Often gets initial contact or referral


What is the job of the Social Worker?

1. Assists families w/ problems
2. Coordinates appointments
3. Assists in dealing with other agencies (e.g., insurance companies)
4. May help family manage stress and emotional reactions (e.g., psychiatric social worker)


What is the job of the Team Coordinator?

1. Team representative to parents, professionals, and community
2. Plans meetings, schedules patients, coordinates appts
3. Complies recommendations, prepares team report
4. Ensures follow-up on recommendations


What is the job of the Speech-Language Pathologist?

1. Counsels parents re: comm. skills & how to stimulate normal S/L dev. @ home
2. Evaluates feeding & swallowing
3. Feeding tx and/or parent training
4. Assesses and treats speech and language problems when appropriate
5. Community outreach to treating SLP with CFT SLP


What is the SLP's ongoing role?

1. Provide input to CF team
2. Provide ongoing support and direction to family/patient
3. Re-evaluates yearly to monitor progress
4. Assists in developing and implementing plan for service provision
5. Initiating referrals for further assessment with ENT, CF team, Dental, Genetics, Developmental Pediatrics
6. Resource to community


What is the role of SLP: Craniofacial Team Meetings?

1. Determine present level of performance related to speech/resonance
2. Prognosis for improvements w/ or w/o therapy
3. Potential influencing factors on progress
4. Assesses ability to tolerate further testing (i.e., Fluoroscopy, endoscopy, post surgical recovery etc.)