壹、課程基本資料：

中文：唇腭裂與相關障礙學
課程名稱
英文：Communicative Disorders in Craniofacial Deficits: Cleft Lip and/or Palate
課程性質 選修 學分數 2 學分
開課教師 李琇菁 職 稱 語言治療師
開課系級 語言治療與聽力學系三年級
上課時間 每週三 7、8 節
上課地點
先修課程 構音與音韻障礙、聽語科學導論、溝通障礙導論

貳、課程介紹（含教授履歷及授課各章內容之介紹）
李琇菁 (Hsiu-Ching Lee MA, CCC-SLP)
hc_iris@yahoo.com.tw (04) 24267755 ext 201 or 101

現職：
財團法人瑪利亞社會福利基金會 主任/語言治療督導
中山醫學大學兼任講師
台灣輔助溝通系統發展學會 理事長
台中市語言治療師公會 常務理事

學歷暨專業經歷：
美國臨床語言治療師執照 CCC-SLP
美國華盛頓州立大學語言與聽力科學碩士
中山醫學大學復健系聽力與語言治療組
美國華盛頓州 Spokane School Dist. 81 學校系統語言治療師
前長庚紀念醫院顱顏中心語言治療師

本課程將介紹唇腭裂與其它顏面畸型造成之溝通障礙及語言治療師在顱顏團隊中扮演的角
色。藉由了解正常顱顏生理解剖及腭咽瓣的生理機轉，進而認識造成唇腭裂與其它顏面畸型
造成之溝通障礙的原因。另外，也將介紹與顱顏相關之症候群。認識因為唇腭裂與其它顏面
畸型造成的障礙，主要針對餵食、齒顎、語言、構音、共鳴、音聲、聽力、與心理社會適應
等問題，藉此了解此類個案的評估重點與方向。強調專業團隊合作的評估與治療，對此類各
案的必要性，並了解此類個案治療內容，包括相關手術、齒顎矯正、語言治療、進食與聲音
訓練、腭咽功能訓練等。
This course will introduce the communication barriers caused by cleft lip, palate and other facial

deformities and the role of speech and language pathologists in the craniofacial team. By

understanding the normal craniofacial anatomy and the physiological mechanism of the

velopharyngeal valve, students can further understand the causes of communication barriers caused

by cleft lip and palate and other facial deformities. In addition, craniofacial syndromes will also be

introduced. Understand the obstacles caused by cleft lip and palate and other facial deformities,

mainly focusing on issues such as feeding, teeth and jaws, language, articulation, resonance, voice,

hearing, and psychosocial adaptation, so as to understand the focus and procedure of evaluation of

such cases. Emphasis on the evaluation and treatment of professional teamwork, the necessity of

such cases, and understanding of the treatment content of such cases, including related surgeries,

tooth and jaw correction, speech therapy, eating and voice training, velopharyngeal function

training, etc.

參、授課方式
本課程授課方式將採多媒體講義、指定教科書、期刊報告、個案說話樣本收集與分析的個案
報告方式進行。

This course will be taught in the form of multimedia lecture notes, designated textbooks, journal

reports, and case reports that collect and analyze case speech samples.

肆、授課目的與學習目標
本課程授課目的：1）教授唇腭裂與其它顏面畸型的生理與解剖發展及相關遺傳性疾病與症
候群；2）認識相關的醫療團隊服務與介入；3）認識相關的手術、齒顎矯正、心理與社會適
應等問題及處理方法；4）如何評量與處置唇腭裂與其它顏面畸型造成的溝通障礙；5) 唇腭
裂與其他相關問題造成的言語障礙之訓練方法。

The purpose of this course: 1) To teach the physiological and anatomical development of cleft lip

and palate and other facial deformities, as well as related genetic diseases and syndromes; 2) To

understand the relevant medical team services and interventions; 3) To understand the related
surgeries, dental and jaw correction, and psychology and social adaptation and other issues and

their treatment methods; 4) How to evaluate and deal with communication barriers caused by cleft

lip and palate and other facial deformities; 5) Treatment methods for speech disorders caused by

cleft lip and palate and other related problems.

本課程希望同學能學習下述目標：1）學習唇腭裂與其它顏面畸型的生理與解剖發展及相關
遺傳性疾病與症候群；2）哪些相關的醫療團隊服務與介入；3）學習相關的手術、齒顎矯正、
心理與社會適應等問題及處理方法；4）學習唇腭裂與其它顏面畸型造成的溝通障礙與評量、
處置方法；5）相關言語障礙包含代償性構音之訓練方法。

This course hopes that students can learn the following goals: 1) Learn the physiological and

anatomical development of cleft lip and palate and other facial deformities and related genetic

diseases and syndromes; 2) What are the relevant medical team services and interventions; 3)

Learn related surgeries, Problems and treatment methods such as dental and jaw correction,

psychological and social adaptation; 4) Learning about communication barriers caused by cleft lip

and palate and other facial deformities and their evaluation and treatment methods; 5) Training

methods for related speech disorders including compensatory articulation.

伍、考試方式及配分方式
計分項目 評分次數 配分比％ 計分項目 評分次數 配分比％
隨堂作業
小考
In class 20％
practice
課堂參與

class 20% 期中考

participation
口頭報告
Oral 1次 15％ 期末考 1次 30%
presentation
書面報告
1次 15％ 總計 100%
Written report
隨堂作業及課堂參與
包括出席與上課參、回答問題與討論。

This includes attending and participating in classes, answering questions and discussions.

口頭報告
四到五位同學為一組，分組報告

Group four to five students and report in groups

書面報告
鼻咽內視鏡見習研究報告(3 位同學一組)，心得報告

Research report on nasopharyngeal endoscopy internship (a group of 3 students), experience report

期末考
考試時間為一個小時，內容包括簡答、申論題與 Case study 等。共 100 分。

陸、參考書目（請列出主要教科書及參考用書，註明出版書局、作者與年份）
指定教科書：
Kummer, A.(2014). Cleft Palate & Craniofacial Anomalies: effects on speech and resonance, 3rd.
San Diego: Singular
Linda A. Vallino, Dennis M. Ruscello, David J. Zajac.(2019)Cleft Palate Speech and
Resonance: An Audio and Video Resource. Plural Publishing, Inc.
參考教科書：
1. Shprintzen, R. & Bardach, J. (1995). Cleft Plalte Speech Management: A Multidisciplinary
Approach. St. Louis: Mosby.
2. Peterson-Falzone, S., Trost-Cardamone, J., Karnell, M. & Hardin-Jones, M. (2016). The
Clinician’s Guide to Treating Cleft Palate Speech, 2e. Louis: Mosby.
3. Shprintzen, RJ. (2000). Syndrome Identification for Speech-Language Pathologist: An
Illustrated Pocketguide. San Diego, CA: Singular.

柒、授課進度表
Date Topics Assignment
1 2024/02/21 Introduction: What is a cleft lip & palate?
2 2024/02/28
3 2024/03/06 Anatomy: Oral pharyngeal structure and velopharyngeal
muscle
Cleft lip and palate
 anatomy and physiology
4 2024/03/13 Velopharyngeal Mechanism
5 2024/03/20 NPS clinic observation I
6 2024/03/27 NPS clinic observation I Common
Craniofacial
syndromes
7 2024/04/03 Speech Effect of Velopharyngeal Inadequacy Evaluation
8 2024/04/10 Instrumental Assessment of Velopharyngeal Valving procedures
Evaluation procedures with children with a cleft lip& Evaluation
palate-Perceptual assessment& orofacial examination procedures
9 2024/04/17 Feeding problems
10 2024/04/24 Early phonological development
11 2024/05/01 Genetic evaluation and common Craniofacial syndromes
Hemifacial microsomia
12 2024/05/08 Speech assessment
13 2024/05/15 Articulation treatment principles Treatment
14 2024/05/22 techniques and
Treatment procedures for speech, resonance, and VPI
skills
15 2024/06/05 Special considerations of treatment
16 2024/06/12 Review
17 2024/06/19 Final Exam
18 個別約定 NPS clinic