You examine a child who has a history of unilateral complete cleft lip and palate. He has a fistula just behind the alveolar ridge in the area of the incisive foramen. It appears to be about 7 mm in diameter, but you are not sure if it goes all the way through. You evaluate the child’s speech. Answer the following three questions related to this case:
-If the child demonstrates nasal emission on s/z only, what is the probable cause?
A)VPI only
B)A fistula only
C)VPI and the fistula
D)Misarticulation causing nasal emission

Question

Quizplus · Accepted Answer

If the child demonstrates nasal emission on s/z only, it is likely that misarticulation is causing nasal emission. This can occur when the child produces the "s" or "z" sound in a way that allows air to escape through the nose. VPI and fistula would likely cause nasal emission on a range of sounds, not just s/z.

You Examine a Child Who Has a History of Unilateral