• Introduction and definition
• Etiological factors
• Incidence of cleft palate and background to the condition
• Development of the child with cleft palate.
• Developmental biology of the face and palate.
• Anatomy of oral cavity and ganto-dental development
• Relationship between mouth, teeth and articulation
• Syndromes – Pierre – Robin’s, Treacher – Collin’s ,Crouzon’s disease.
• Signs & symptoms, assessment and management of other related syndromes
• The velopharyngeal mechanism- muscles and functions.
• Type of cleft lip and cleft palate.
• Classification systems.
• Team management- composition, responsibilities, co-ordinator.
• Speech and language problems of individuals with cleft.
• Associated problems of individuals with cleft – hearing, dental, psychosocial, physical.
• Diagnostic procedures and instruments used in assessment at speech.
• Diagnosis of different types of cleft palate
• Treatment Concepts – Surgical repair of cleft lip, palate and velopharyngeal (Outline)
• Treatment procedures for speech.
• Prosthetic speech appliances for patients with cleft palate
. • Relationship between anatomical, neurological functional deviations
• Clinical evaluation of speech, articulation, resonance, oral facial structure, hearing and Velopharyngeal function
• Different types of nasality
• Compensatory articulation
• Indication for secondary surgical intervention
• Analysis of nasality and articulatory deviations in connection with velopharyngeal dysfunction and cleft palate
• Early contact with child and the family
• Counselling regarding feeding and oral motor exercises
• The cleft palate team, routine and long term treatment programmes
• Speech disorders in cleft palate
• Planning, carrying out management plan of adult and children with nasality disorder and cleft
• Improving velopharyngealvalving
• Correcting dental problems
• Speech and language therapy Knowledge about surgical treatment of cleft palate
• Differentiate between normal craniofacial development and abnormalities.
• Identify syndromic conditions associated with craniofacial abnormalities.
• Make planner and set guideline for craniofacial abnormalities.
• Knowledge and treatment procedures for cleft lip and palate and Velopharyngeal dysfunctions.
