Oral-Facial Anomalies

SPHS 349, Spring 2005 

 Instructor: David J. Zajac, Ph.D. 

Office and Hours:  419 Brauer Hall, Craniofacial Center, School of Dentistry, 966-1362. E-mail: david_zajac@dentistry.unc.edu. URL:www.unc.edu/~dzajac.Office hours: Thursday, 3:00-5:00 PM and by appointment.  

Required Texts:

 

Peterson-Falzone, S., Hardin-Jones, M., and Karnell, M. Cleft Palate Speech, 3rd Edition. St. Louis: Mosby, 2001.

Golding-Kushner, K. Therapy Techniques for Cleft Palate Speech and Related Disorders. San Diego: Singular, 2001.

Additional readings will be assigned from:

Kummer, A. Cleft Palate & Craniofacial Anomalies:  Effects on Speech and Resonance. San Diego: Singular, 2001.

Moller, KT, and Starr, CD. Cleft Palate: Interdisciplinary Issues and Treatment For Clinicians by Clinicians. Austin: PRO-ED, 1993.

Room Assignment and Meeting Times: All seminars will be in 401 Brauer Hall, 5:00-7:45 PM, Thursday, unless otherwise noted. 

Objectives of the Seminar:

1)      To introduce graduate students to the multidisciplinary aspects of craniofacial speech anomalies relative to diagnosis, treatment, and research. Focus of the seminar will be on individuals with repaired cleft lip and palate.

2)      To introduce graduate students to clinical knowledge needed to provide effective services to individuals with repaired cleft palate and other craniofacial disorders.

3)      To foster critical thinking in graduate students relative to clinical care and research.

 

Course Evaluations:

1)      Mid-term examination (30% of grade).

2)      Final examination (30% of grade). Both exams will consist of completion and short answer items.

3)      Critical reviews of 2 research articles per week (30% of grade). Articles will be selected by the student from references cited in Peterson-Falzone et al. and/or from supplemental readings distributed by the instructor. Each 1-2 page review should succinctly summarize the purpose of the study, procedures, and results/conclusions. In addition, the student should critique a) any aspect of the study that might be suspect (i.e., subject selection, procedures, interpretation of results), and b) the overall significance of the study either to clinical practice and/or future research.

4)      Seminar participation (10% of grade). Students are expected to participate in all seminar discussions. In addition, at times throughout the semester, part of the class will be devoted to student discussion of their research critiques.

 

 

 

 

SEMINAR OUTLINE

Date:              Tentative Activity:                                                         Assignment:

1/13/05

Introduction and Overview of Seminar

Chapter 1

1/20/05

Embryology & Common Syndromes

Chapter 2

1/27/05

Team Approach & Psychosocial Issues

Moller chapter & Chapter 14

2/3/05

Genetics*, Feeding, & VP Anatomy

Chapter 3

2/10/05

Surgical Management*

Chapters 4 & 13

2/17/05

Airway*, Hearing, & Dental Issues

Chapters 5 &6

2/24/05

Speech Issues

Chapter 7

3/3/05

Non Cleft VP Problems

Chapter 8

3/10/05

Midterm Examination

 

3/24/05

Perceptual Assessment of VPI

Chapters 9 &11

3/31/05

Speech Aerodynamics

Zajac chapter

4/7/05

PERCI-SARS (hands-on data collection)

 

4/14/05

Nasoendoscopy* & Video Fluoroscopy

Chapter 10

4/21/05

Nasometry & Treatment of PSNE

 

4/28/05

Treatment Issues

Chapter 12 & Golding-Kushner Chapter 6

5/3/05 (Tues.)

Final Examination:  Berryhill 106, 4-7 PM

 

 

Notes:

All chapters refer to Peterson-Falzone et al. unless otherwise noted.

An asterisk (*) indicates a guest speaker for that topic.

Critical reviews are due each week beginning on Jan. 20, 2005. If two chapters are assigned for a date, you want select articles from either chapter. No reviews are due April 7 or April 21.

 

On April 7, the class will meet in the Pressure-Flow Lab at the Craniofacial Center (room 419-D).

 

Observation of patients in clinic and/or team meetings is encouraged. Clinics are held on Tuesday and Thursday mornings of each week (beginning at 8 AM). Team meetings are held at 12:30 to 2:30 PM each Tuesday. Attendance at clinic or team meeting will count as one review assignment (i.e., both clinic observation in the morning and attendance at team meeting in the afternoon will substitute as the critical reviews for one week).

 

The Golding-Kushner text is brief and the entire book should be read ASAP. It can be read in one evening (or weekend at most). 

 

The Honor Code is, as always, in effect in this course.

 

 

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