Instructor:  Dr. Nancye Roussel
Office: Burke-Hawthorne Hall, Room 215
Office Phone: 482-6727
E-mail: ncroussel@louisiana.edu
Website:  http://www.ucs.louisiana.edu/~ncr3025/roussel/homepage.htm

Texts:
1.  Kummer, Ann W. (2001). Cleft Palate & Craniofacial Anomalies.  San Diego: Singular Press

Course Description:
A study of the effects of craniofacial anomalies on speech development with particular attention to the effects of clefts of the lip and/or palate.  Focus is on the interdisciplinary team model for both assessment and treatment of speech, resonance and velopharyngeal dysfunction. Management of associated feeding problems in this population is also discussed.

Objectives:  At the end of the learning experience, the student should be able to:

1. Demonstrate a functional knowledge of the embryological development of the craniofacial area.
2. Identify the structures & muscles of the craniofacial area that are directly involved in speech production and swallowing.
3. Identify major causes of craniofacial anomalies including major syndromes, sequences & associations.
4. Identify & discuss specific techniques used in the evaluation & treatment of speech, resonance & velopharyngeal dysfunction associated with craniofacial anomalies.

COURSE REQUIREMENTS:

In order to be successful in this course, students must fulfill the following requirements:

 1. Complete reading assignments from the course textbook and any outside readings or home assignments.

 2. Successfully complete class exams.  There will be  3 exams of approximately 100 pts.  Quizzes covering specified lectures and/or reading assignments may also be given throughout the semester.

 3. Make an oral presentation and complete a short paper on an assigned topic.  Oral presentations will be made during the second week of class and the accompanying  paper will be due July.

Course Grade:   Students will receive numerical grades for exams, quizzes, and for any additional home assignments. Grades will be based on the percentage of the total possible points acquired by the student on exams, quizzes and outside assignments. The grading scale will be as follows:

   91 - 100  = A
   82 - 90   = B
   73 - 81   = C
   68 - 72   = D
   below 68 = F

Course Evaluation:  Students will have the opportunity to evaluate the course by completing the Student Evaluation of Instruction administered  by USL near the end of the semester.

Emergency Evacuation Procedures:  A map of this floor is posted near the elevator marking the evacuation route and the Designated Rescue Area.  This is an area where emergency service personnel will go first to look for individuals who need assistance in exiting the building.  Students who may need assistance should identify themselves to the teaching faculty.

Course Outline with Dates, Topics and Reading Assignments (Subject to change - dates are only approximate)

7/8    Anatomy of Orofacial Structures and the Velopharyngeal Valve

   *  Nose & nasal cavity
   *  Oral cavity
   *  Pharynx
   *  Muscles of the velopharyngeal mechanism
   *  Motor & sensory innervation
Readings:  Chapter 1  pp.4-16 or any anatomy text

   *  velopharyngeal closure
   *  variations in velopharyngeal closure
   *  effects of maturational growth on velopharyngeal closure
Readings:  Chapter 1 pp.19-28

    * DNA & genes
    *  Chromosomes
    * Mendelian & non-Mendeliean Inheritance
  Readings:  Chapter 2
  Quiz on anatomy

7/14 - 7/15   Common Craniofacial Syndromes- student presentations

7/16   Clefts of the lip and palate

    * embryological development of the lip & palate
    * cause of clefts
    * classification of cleft lips and palates
    * effects of clefts on structure & function of orofacial region
   Readings:  Chapter 3

* characteristics of feeding problems due to clefts
*  feeding modifications
* oral-motor facilitative techniques
*  instrumental assessment - modifications for FEES & MBS
Readings:  Chapter 5

* causes of velopharyngeal insufficiency
*  causes of velopharyngeal incompetence
*  behavioral or learned velopharyngeal dysfunction
*  effects of VPD on speech patterns
Readings:  Chapter 7
Turn in study guide for Chapter 6

* analysis of articulation & nasal air emission
* evaluation of resonance
* differential diagnosis
*visual inspection, palatal palpation & fistula detection
* observation guide
Readings:  Chapter 12, 13
Turn in Study Guide for Chapter 8

* nasometry
* videofluoroscopy
* nasopharyngoscopy
* speech aerodynamics
Readings:  Chapters 14, 15, 16, 17

7/28   Exam II (assessment topics)

7/29   Speech Therapy Techniques

* hypernasality
* nasal air emission
*  weak consonants
* compensatory articulation productions
* hyponasality/cul-de-sac resonance
Readings: Chapter 21

7/30  Surgical  Management

7/31  Prosthetic Management

Aug 1  Final Exam (treatment topics)