Evaluation and Management of Cleft Lip and Palate

David J. Zajac, PhD, CCC-SLP, FASHA is Professor in the Department of Dental Ecology, School of Dentistry, and Adjunct Associate Professor in the Division of Speech and Hearing Sciences, Department of Allied Health Sciences, School of Medicine at the University of North Carolina at Chapel Hill. He also serves as director of speech-language pathology in the Craniofacial Center. Dr. Zajac completed his master's degree and PhD in communicative disorders at the University of Pittsburgh. He has over 25 years of experience in the assessment and treatment of children and adults with craniofacial disorders. His research interests include the acoustics and aerodynamics of speech production by normal individuals and those with cleft palate. His research has been funded by the National Institutes of Health for over 20 years. He has presented numerous research papers, written six book chapters, and authored or co-authored over 40 research articles. Dr. Zajac is a Fellow of the American Speech Language Hearing Association and past associate editor for the Journal of Speech, Language, and Hearing Research. Linda D. Vallino-Napoli, PhD, CCC-SLP/A, FASHA is head of the Craniofacial Outcomes Research Laboratory in the Center for Pediatrics Auditory and Speech Sciences and Senior Research Scientist at Nemours/Alfred I. DuPont Hospital for Children in Wilmington, Delaware where she also serves on the Cleft Palate-Craniofacial Team. She is Clinical Professor of Pediatrics at Sidney Kimmel Medical College-Jefferson Medical University and Adjunct Associate Professor in the Department of Linguistics and Cognitive Sciences at the University of Delaware. Dr. Vallino completed her doctoral degree at the University of Pittsburgh and received a master’s degree in Clinical Evaluative Sciences from Dartmouth College. As a clinician and clinical speech scientist, Dr. Vallino has 30 years of experience specializing in children and young adults with cleft palate-craniofacial anomalies. She has published papers, written book chapters, made presentations at scientific meetings in the area of cleft and craniofacial anomalies. Her research interests include speech sound disorders and automated speech recognition technology to assess speech intelligibility in children with cleft palate, and transition of care in young adults with cleft and craniofacial anomalies palate. Dr. Vallino holds the Certificate of Clinical Competence in both Speech-Language Pathology and Audiology and is an ASHA Fellow.

Preface
Acknowledgements
Contributors


Part I. Fundamentals

Chapter 1. Orofacial and Velopharyngeal Structure and Function
Jamie Perry and David J. Zajac
Chapter 2. Clefts of the Lip and Palate
Chapter 3. Genetics and Craniofacial Anomalies

Part II. Birth to Age Three

Chapter 4. Feeding the Newborn
Chapter 5. Presurgical and Surgical Management
Chapter 6. Otologic and Audiologic Considerations
Chapter 7. Early Linguistic Development and intervention
Nancy J. Scherer and Natalie R. Wombacher

Part III. Early to Middle School Age

Chapter 8. Speech and Resonance Characteristics
Chapter 9. Assessment of Speech and Velopharyngeal Function
Chapter 10. School-Based Intervention: Roles and Responsibilities of the Speech-Language Pathologist
Dennis M. Ruscello
Chapter 11. Secondary Management of Velopharyngeal Inadequacy
David J. Zajac and Joseph A. Napoli
Chapter 12. Alveolar Cleft Repair
Joseph A. Napoli

Part IV. Adolescents and Adults

Chapter 13. Maxillary Advancement
Joseph A. Napoli and Linda D. Vallino-Napoli
Chapter 14. The Adult
Linda D. Vallino-Napoli and Brenda Louw


Glossary
Index