Study Sessions - Group I
Thursday, March 18th
| Instruction Level | Format | |
| B=Beginner | L=Lecture | |
| I=Intermediate | H=Hands-on | |
| A=Advanced | P=Panel | |
| V=Varied | R=Roundtable |
*Separate registration fee is required.
Schedule
57
2:30pm
A. FEEDING THE CHILD WITH SIMPLE TO COMPLEX CRANIOFACIAL CONDITIONS
This study session will organize the various hazards to successful feeding posed by the structural anomalies in craniofacial conditions from simple to complex. Then audience participation is welcomed by demonstration of tools used to solve feeding problems. The participants will be able to support newborns with craniofacial anomalies and their families using simple, efficient feeding strategies. The participants will be able to recognize when to refer to other specialists to maintain safe nutrition for growth. The participants will be encouraged to share their experiences with successful methods of treating feeding problems in their clinic. (V, L)
Anne Boekelheide, RN, MSN, PNP, Margaret Langham, BSN, MS, PNP
58
2:30pm
B. THE IMPORTANCE OF UNDERSTANDING THE DYNAMICS OF YOUR TEAM “FAMILY”: NEGOTIATING OPPOSITE SIDES OF THE STREET WHEN YOU ARE STANDING IN THE MIDDLE OF THE ROAD
Due to the variety of patient needs found in craniofacial settings families and clients can experience intense medical management. Good patient care is dependent on the communication between team members and families. All types of providers will benefit from the information provided in this session. This will include information to assist all disciplines in better understanding effective and clear communication methods that can be utilized in a team setting. (V, L)
Ashley Sorensen, LICSW, MSW, Cassandra Aspinall, MSW, LICSW
59
2:30pm
C. NON-CLEFT CAUSES OF RESONANCE DISORDERS AND VELOPHARYNGEAL DYSFUNCTION: IMPACT ON TREATMENT
Although cleft palate is the most common cause of velopharyngeal dysfunction (VPD), there are many other causes of abnormal resonance and nasal emission. Differential diagnosis of the cause of the speech characteristics is essential in order to determine appropriate treatment. The presenter will discuss the various causes of abnormal resonance or nasal emission, using video clips to illustrate several disorders. Options for treatment of various causes of non-cleft VPD will be discussed. (I, L)
Ann Kummer, PhD
60
2:30pm
D. DIFFICULT PROBLEMS IN VELOPHARYNGEAL DYSFUNCTION EVALUATION AND MANAGEMENT
This course will focus on the diagnostic and therapeutic procedures used at one facility for evaluation and management of individuals with velopharyngeal dysfunction. The VPD team is comprised of a speech/language pathologist, a pediatric ENT endoscopist, a radiologist and a plastic surgery VP surgeon. The interactive role of each team member will be presented. Emphasis will be placed on difficult VPD problems including: the child <4 years old, the uncooperative older child, the patient with complex speech/language problems including delayed development, the patient with an unstable upper airway, and the patient with failed prior VPD management with respect to speech and/or upper airway. Each clinical case will be presented with audio-video recordings of perceptual and instrumental (nasendoscopy, fluoroscopy) VP evaluations. This course will improve the diagnostic and therapeutic capabilities of healthcare professionals involved in VPD treatment for the benefit of their patients.
(V, L)
Jeffrey Marsh, MD, Renee Linenfelser, MS, CCC-SLP
61
2:30pm
E. ANALYZING AND INCORPORATING NASOALVEOLAR MOLDING TO IMPROVE CLEFT LIP AND NASAL RECONSTRUCTION
The presenters will discuss approaches to neonatal naso-alveolar molding including the use of prefabricated conformers, making this technique more accessible to families and providers in any setting. The surgical techniques include planning skin incisions to reflect individual anatomy and strategies of muscle reconstruction to improve lip function. Video clips will be incorporated as an additional assessment tool. The goal is for participants to become critical observers and acquire practical techniques to achieve a more natural appearance for their patients with clefts. (V, L)
Janet Salomonson, MD, Don LaRossa, MD
62
2:30pm
F. FISH & CHIPS: WHAT'S NEW IN GENETIC DIAGNOSIS?
Cleft lip, cleft palate and most craniofacial disorders often have an underlying genetic etiology or predisposition. In the past being able to make a genetic diagnosis was primarily based on clinical evaluation and chromosome analysis. However, newer technologies, such as fluorescence in situ hybridization (FISH) and microarrays have evolved which have expanded our abilities to diagnose many more disorders, leading to improved treatments and interventions as well as better counseling for families regarding prognosis, recurrence risks, and anticipatory management. Objectives of the presentation are to familiarize participants with the new genetic diagnostic technologies, recognize the indications for when to order these tests in the Craniofacial Clinic, and understand how to interpret test results and counsel families. (V, L)
Howard Saal, MD, Patricia Bender, MSN, BN