Articulation case study:
Sam, now a 6 year old male was recently adopted from Vietnam. Hewas born with a bilateral complete cleft lip and palate. The cleftlip was repaired in Vietnam, but the cleft palate was leftunrepaired. Due to the cleft palate, he has velopharyngealdysfunction i.e. his velum does not retract and meet the posteriorpharyngeal wall to close off the nasal cavity.
1. Which anatomical structures are missing/affected in acomplete bilateral cleft palate?
2. Which anatomical structures are missing/affected in acomplete bilateral cleft lip?
3. How do you think Sam sounds i.e. what is his vocal quality?Why? Hint: Think about how the velopharyngeal insufficiency isaffecting his overall articulation.
4. Despite his velopharyngeal insufficiency, there are certainphonemes of the English language that he can produce effectively.What are those phonemes?
5. What affects might Sam’s cleft palate have on swallowing? (2)Please answer all 5 questions
