Summary
Samenvatting Craniofaciale afwijkingen
- Course
- Institution
Logopedie 2 - semester 1 - Complexe logopedische stoornissen: Craniofaciale afwijkingen
[Show more]
Seller
Follow
margotvermeersch
Reviews received
Content preview
SAMENVATTING CRANIOFACIALEAFWIJKINGEN
INHOUD
1. Inleiding ........................................................................................................................................................... 5
1. Craniosynostose .............................................................................................................................................. 5
A. Behandeling ............................................................................................................................................... 6
2. Schisis .............................................................................................................................................................. 6
A. Schisis: ontstaanswijze ............................................................................................................................... 7
I. Normale vorming van primaire gehemelte ........................................................................................... 8
II. Normale vorming van secundair gehemelte ......................................................................................... 8
B. Schisis: oorzaken ........................................................................................................................................ 9
C. Schisis: prevalentie..................................................................................................................................... 9
D. Schisis: classificatie .................................................................................................................................... 9
I. Kernahan & Stark ................................................................................................................................... 9
E. Schisis: submuceuze spleet ...................................................................................................................... 12
I. Uvula bifida .......................................................................................................................................... 13
II. Zona pellucida...................................................................................................................................... 13
III. Inkeping in achterste rand van harde verhemelte .............................................................................. 13
IV. Occulte submuceuze spleet ................................................................................................................. 13
F. Ernst v/d schisis........................................................................................................................................ 14
A. Opbouw van velopharyngaal afsluitingsmechanisme .............................................................................. 15
I. Palatum durum .................................................................................................................................... 15
II. Os temporale ....................................................................................................................................... 16
III. Os sphenoidale .................................................................................................................................... 16
B. Spieren en innervatie van VFAM.............................................................................................................. 17
I. Palatale aponeurose ............................................................................................................................ 18
I. M. levator veli palatini ......................................................................................................................... 19
II. M. uvulae ............................................................................................................................................. 19
III. M. tensor veli palatini .......................................................................................................................... 20
IV. M. constrictor pharyngeus superior .................................................................................................... 20
V. M. palatopharyngeus ........................................................................................................................... 21
VI. M. palatoglossus .................................................................................................................................. 21
VII. M. salpinogophangeus .................................................................................................................... 21
1. Afwijkende werking v/h VFAM: velopharyngeale dysfunctie ....................................................................... 22
Margot Vermeersch 1
,2. Normale werking van VFAM ......................................................................................................................... 22
A. 4 patronen bij VFAM ................................................................................................................................ 23
1. chirurgie ........................................................................................................................................................ 24
2. Oor- en gehoorproblemen ............................................................................................................................ 24
3. Tandheelkundige problemen ........................................................................................................................ 24
4. Psychosociale gevolgen ................................................................................................................................. 25
A. Ouders ...................................................................................................................................................... 25
B. Kind .......................................................................................................................................................... 25
5. Hechting en ouder-kind interacties............................................................................................................... 25
A. Tijdens sociale interacties tss moeder + kind met schisis ........................................................................ 25
B. Normaal hechtingsproces + ontwikkeling van spraak-, taal en communicatie ........................................ 26
6. Voeding ......................................................................................................................................................... 26
A. Is borstvoeding mogelijk bij kinderen met schisis? .................................................................................. 26
B. Ontwikkeling i/d perinatale periode – voedingsreflexen ......................................................................... 26
C. Zuigen....................................................................................................................................................... 26
D. Voeding bij schisis .................................................................................................................................... 26
E. Voedingsproblemen bij schisis ................................................................................................................. 26
F. Lepelvoeding/vaste voeding .................................................................................................................... 27
7. Spraak, taal en communicatie ....................................................................................................................... 27
1. Normale spraak- en taalontwikkeling ........................................................................................................... 28
2. Spraak- en taalontwikkeling bij kinderen met schisis ................................................................................... 28
3. Voornaamste moeilijkheden met de spraak ................................................................................................. 29
A. Foutieve resonantie op de klinkers .......................................................................................................... 30
B. Nasale luchtstroom in plaats van orale .................................................................................................... 30
C. Producties van glottale/faryngeale aard .................................................................................................. 31
D. Overige: labiale, alveolaire en palatale afwijkingen ................................................................................ 31
1. Schisisteams .................................................................................................................................................. 32
A. Organisatie van zorg voor patiënten met schisis ..................................................................................... 32
B. Taak v/h schisisteam ................................................................................................................................ 32
C. Functioneren v/h schisisteam .................................................................................................................. 32
D. Doel van het schisisteam ......................................................................................................................... 33
E. Voordelen van teamwerk......................................................................................................................... 33
F. Belangrijke vraag ...................................................................................................................................... 33
G. Specifieke doelstellingen qua behandeling .............................................................................................. 33
H. Samenstelling v/e team voor schisis + craniofaciale afwijkingen ............................................................ 33
I. Rol van de chirurgen ............................................................................................................................ 34
II. Rol orthodontist................................................................................................................................... 34
Margot Vermeersch 2
, III. Rol pediater ......................................................................................................................................... 34
IV. rol NKO-arts ......................................................................................................................................... 34
V. Rol audioloog ....................................................................................................................................... 35
VI. Rol geneticus ....................................................................................................................................... 35
VII. Rol maatschappelijk/sociaal werker ................................................................................................ 35
VIII. Rol psycholoog ................................................................................................................................ 35
IX. Rol logopedist ...................................................................................................................................... 35
1. Instrumenteel/objectief onderzoek .............................................................................................................. 36
A. Onderzoek nasaliteit ................................................................................................................................ 36
I. Spiegelproef (Glätzel) .......................................................................................................................... 36
II. Objectieve beoordeling via nasometrie............................................................................................... 36
III. Nasometrie .......................................................................................................................................... 36
2. Perceptueel/subjectief onderzoek ................................................................................................................ 37
A. Logopedisch onderzoek bij kinderen vanaf +/- 4 jaar .............................................................................. 37
I. AA-IE proof (Gutzmann) ...................................................................................................................... 37
II. Bzoch test: nazeggen van woorden ..................................................................................................... 37
III. Stembeoordeling (G, R, B, A, S, I)......................................................................................................... 38
B. Oro-nasale-faryngale inspectie ................................................................................................................ 38
I. Flexibiliteit week gehemelte bij productie van /aa/ ............................................................................ 38
C. Mondmotorische vaardigheden .............................................................................................................. 38
I. Bewust oraal sturen v/d lucht ............................................................................................................. 38
D. Perceptuele beoordeling van spraak ....................................................................................................... 39
3. Onderzoek naar taalontwikkeling bij jonge kinderen ................................................................................... 39
1. Mogelijke problemen .................................................................................................................................... 41
2. Opstart voeding na de geboorte ................................................................................................................... 41
A. Ontwikkeling in perinatale periode – voedingsreflexen .......................................................................... 41
B. Borstvoeding bij schisis ............................................................................................................................ 41
C. Flesvoeding bij kinderen met schisis ........................................................................................................ 42
D. Lepelvoeding bij kinderen met schisis ..................................................................................................... 43
E. Voeding na chirurgie ................................................................................................................................ 43
1. Belang van preventie, vroegtijdige detectie en begeleiding ......................................................................... 44
2. Diagnostiek: een permanent dynamisch diagnostisch proces ...................................................................... 44
A. Wat? ......................................................................................................................................................... 45
B. Voordelen ................................................................................................................................................ 45
C. Concrete toepassing in de praktijk........................................................................................................... 45
3. Spraak- en taalontwikkeling (herhaling) ....................................................................................................... 45
4. Theoretische kaders ...................................................................................................................................... 45
Margot Vermeersch 3
, A. Metamorfoseconcept van Xavier Tan ...................................................................................................... 45
5. Parent Focused approach (Mie Cocquyt) ...................................................................................................... 46
A. Stap 1: ouder-kind relatie ........................................................................................................................ 49
B. Stap 2: bouwen aan interacties ............................................................................................................... 49
C. Stap 3: correcte spraak- en taalpatronen ................................................................................................ 50
I. Versterkte stimulatie: concreet ........................................................................................................... 50
II. Incidental teaching: concreet .............................................................................................................. 50
1. Van indirecte therapie naar directe behandeling ......................................................................................... 53
2. Algemene behandelprincipes vanaf 3-4 jaar................................................................................................. 53
A. 4 foutencategorieën ................................................................................................................................ 53
3. Welke klank eerst? ........................................................................................................................................ 53
4. Behandelvolgorde ......................................................................................................................................... 54
A. Oefening: klanken uitlokken .................................................................................................................... 55
5. Voorbeelden .................................................................................................................................................. 55
A. Actief nasale fricatief i.p.v. /s/ ................................................................................................................. 55
B. Glottisslag i.p.v. /p/ .................................................................................................................................. 56
6. Strategieën om klanken uit te lokken ........................................................................................................... 56
7. Gebruik van lax vox ....................................................................................................................................... 57
8. Therapievormen voor fonologsiche problemen ........................................................................................... 57
A. Hodson & Paden ...................................................................................................................................... 57
C. Behandeling van hypernasaliteit (niet VPI) ................................................................................................... 57
D. Behandeling – casus ...................................................................................................................................... 58
Examen ......................................................................................................................................................... 58
Margot Vermeersch 4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller margotvermeersch. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.40. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
50064 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now