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Sensorineural Hearing Loss
Artic, Hyponasal, hoarse
LD or ID
Choanal Stenosis/atresia, upper airway obstruction
Limited or Nonverbal
Severe Intellecual Disability
Seizures, Ataxia, feeding and swallowing difficulties.
Possible Conductive HL
Occasional cleft palate
Possible artic, hypernasality
Malformed ears, heart malformations
Occasional Cleft palate
hypernasality due to cleft,
artic due to paresis, hoarse
Unilateral facial paresis, feeding disorders.
- Genital abnormalities
- Ear abnormalities
Conductive or Sensorineural HL
Delayed or Nonverbal, hypernasal, low pitch, hoarse, neurological artic disorders
Seizured, hypertonia, lack of facial expression, cardiac malformations.
Cornelia de Lange
Conductive HL- 2 degree to Chronic Otitis media
Occasional cleft palate
Absent development; if present, severly delayed; high pitch cry and voice; hypernasal if cleft
Ear Tags, failure to thrive with feeding difficulty
Cleft Lip/Palate uncommon
Hyponasal; possible artic impair
Possible Class III Maloclusion and midface defiency.
High Frequency SN HL
Possible Delay, occasional artic, abnormal resonance, hoarse
Occasional cognitive impairment
Headaches, seizures, occasional hemiplegia
Otitis Media SN and Conductive HL
Cleft Palate a/o lip, VPI
Artic Impairment, dyspraxia, hypernasal due to cleft palate, VPI
LOW Birthweight, microcephaly, poor Motor Skills CAPD
Dysfluency with classic Stuttering, Cluttering, nonsensical Short Bursts of perseverative or absent speech,
X-Linked mental retardation
Expressive language may be absent
Girls usually Milder
Occasional diabetes, ataxia w/ onset at approx 10 years of age.
May appear to have HL, but likely inattentive to auditory stimulus.
Normal speech development until 3-7 years then significant and rapid language loss; monotone; increased nasal resonance, final consonant deletions, and metathesis.
Seizures, unexplained loss of language after 3-7.
- Landau Kleffner
- aka Acquired Epileptic Aphasia
Normal to Type 1 HL
HL in Type 2
Occasional Mild dysarthria or dyspraxia; hypernasal, hoarse
Occasional facial asymmetry, skeletal anomalies
Type 1 is 10 x more likely than Type 2
- Type 1= Von Recklinghaus
- Type 2= Bilateral Acousic NF
Occasional SN and/or Conductive HL
Occasional cleft palate (often Submucous cleft)
Artic due to malocclusion, hypernasality due to cleft, occasional hoarseness
Vertical Maxillary Excess, Webbed Neck, Vertebral Anomalies
Distortion due to dental spacing; delayed onset due to hypotonia nd dev. delay, low pitch for age.
Large Size at Birth, Hypotonia, tall Adult Height, Behavioral Disturbances.
Occasional High Freq SN HL
Conductive due to clefting
Artic distortion, compensatory artic, hypernasal due to cleft and VPI, hyponasal due to small nasal capsule and nasopharynx
Maxillary deficiency, Myopia, VPI, Small Nasal Capsule, and Nasopharynx
- Dont stick things up small nose.
Artic due to malocclusion; delayed onset
Seizures, malocclusion, hemangioma
Verbal Tics including barking, profanity, echolalia, palilalia
ADHD/ ADD/ OCD/ Motor Tics
Conductive or varying Degree
Malar clefts/ cleft palate; cleft lip uncommon
Artic; sever tongue backing; hyponasal; mixed resonance with VPI combined w/ nasal obstruction
Micrognathia, malocclusion, ossicular malformation, airway obstruction
SNHL of varying degree
Occasional cleft lip/palate
Compensatory artic with cleft; may be afected by HL; hypernasal with cleft
Chromia Iridium- Different colored eyes
Echolalia, overtalkativeness, possible hoarseness
Hypertension, elfin facial features, heart anomalies, large mouth, thick lips, language structure is sophisticated but not normal- Friendly "cocktail party" manner of conversation.