Part I - The Palate and Velopharyngeal Mechanism.- Embryology.- Anatomy and Physiology of the Velopharyngeal Mechanism.- Epidemiology of Cleft Palate.- Genetics of Palatal Clefts and Velopharyngeal Dysfunction.- Part II - Communication Disorders Associated with Cleft Palate and VPD.- Early Speech-Language Profiles in Children with Cleft Palate/VPD.- Resonance and Articulation Disorders Associated with Cleft Palate and VPD.- Non-cleft Velopharyngeal Dysfunction.- Clinical Assessment of Velopharyngeal Function: Perceptual Speech Evaluation.- Clinical Assessment of Velopharyngeal Function: Physical Exam/Medical Considerations.- Acoustic and Aerodynamic Assessment of Speech and VP Function.- Imaging of the Velopharynx: Nasopharyngoscopy.- Multi-View Videofluoroscopic Evaluation of Velopharyngeal Function.- Imaging of the Velopharynx: MRI.- Speech Therapy for Children with Cleft Palate and VPD.- Assessment and Indications for Repair of Submucosal Cleft Palate.- Evaluation of Speech Outcomes.- Part III - Management of Cleft Palate and VPD.- History of Cleft Palate Repair and Velopharyngeal Dysfunction.- Cleft Palate Repair: Surgical Timing and other Pre-Operative Considerations.- Furlow Palatoplasty.- Cleft Palate Repair: Radical Retropositioning Of The Levator.- Surgery for VPD: Timing and other pre-operative considerations.- Surgery for VPD: Furlow Palatoplasty.- Surgery for VPD: Posterior Pharyngeal Flap.- Sphincter Pharyngoplasty.- Surgery for VPD: Palatal Lengthening Using Buccal Flaps.- Pharyngeal Augmentation.- Revision VPD Surgery.- Oronasal Fistula Repair.- Speech and Surgical Considerations in 22q11.2 Deletion Syndrome.- Prosthetic Management of Velopharyngeal Dysfunction.- Part IV -Interdisciplinary Care.- Interdisciplinary Team Care.- Feeding and Swallowing.- The Middle Ear and Hearing.- Cleft Palate and Velopharyngeal Dysfunction.- Dentistry and Orthodontics.- Psychosocial and Quality of Life Issues.- Learning Disorders in Children with Cleft Lip and Palate.- Part 5 - Special Topics.- The 22q11.2 Deletion.- Pierre Robin Sequence.- Measuring and Reporting Outcomes in Cleft Palate Repair.- Measuring and reporting outcomes in VPD surgery.- Managing Cleft Palate and VPD in Countries with Limited Healthcare Infrastructure.- Living with Cleft Palate and VPD: A Patient's Perspective.
Richard E. Kirschner, MD
With over 25 years' experience in caring for children with facial differences.Dr. Kirschner is internationally recognized as a leading authority in cleft lip and palate, velopharyngeal dysfunction, and 22q11.2 deletion syndrome. He serves as the Robert and Edgar T. Wolfe Foundation Endowed Chair in Plastic and Reconstructive Surgery, Chief of the Department of Plastic and Reconstructive Surgery, Director of the Cleft Lip and Palate Center, and Co-Director of the 22q Center at Nationwide Children's Hospital in Columbus, Ohio and as Professor of Pediatrics of Plastic Surgery at The Ohio State University College of Medicine. He has served as President of the American Cleft Palate-Craniofacial Association and is the co-editor of Comprehensive Cleft Care and its family edition. He is the Co-Founder and President of Magical Moments Foundation, a nonprofit wish granting organization that works to renew a sense of hope, joy, wonder, and empowerment in children with facial differences.
Nationwide Children's Hospital
Department of Plastic and Reconstructive Surgery
700 Children's Drive
Columbus, OH 43205
Adriane L. Baylis, PhD
Adriane L. Baylis, PhD, CCC-SLP, has served as a craniofacial speech-language pathologist and clinical researcher for over 20 years. As Director of the Velopharyngeal Dysfunction (VPD) Program and Co-Director of the 22q Center at Nationwide Children's Hospital she leads nationally recognized clinical programs to optimize the speech outcomes of children with cleft palate, VPD, and 22q11.2 deletion syndrome. Dr. Baylis is also Associate Professor of Clinical Plastic Surgery at The Ohio State University College of Medicine and directs the Craniofacial Speech Fellowship Program at Nationwide Children's. She served as 2024 President of the American Cleft Palate Craniofacial Association and has served in leadership roles on multiple NIH funded studies investigating surgical and speech outcomes of children with cleft palate and VPD.
