Thursday, 05 January 2012
I need help with a repaired cleft lip/palate patient who is still drooling. I've been working with him for several months - lip strengthening, resting tongue posture, and more. I feel like I'm spinning my wheels trying to get him to habituate lips together. He can do this without much tension...his lower lip, to me is very "droopy" and weak. What can I do?
Thursday, 01 December 2011
Surgeons tend to look at the anatomy and then predict what problems are the result of what they see, rather than actually measuring airflow, as is done in most cleft palate clinics. The anatomy is not a good guide to predict the physiology involved...