Oh the Nerves!!!

PTLS FACT for Today:
Nerves, Anxiety, Oh My!
Anxiety and nerves can get the best of our children and adults. Once it sets in their mind, it is very difficult for them to stop it. Anxiety can present itself in many ways; crying, increased stimming, and vomiting. Once they vomit, they are able to regain control, release the anxiety and refocus. Observing the cues, and looking for the trigger (which can be seen as something small or insignificant to the parent,family, friends or teacher) can help this situation. Often times, once the trigger is planted in their mind, it is not able to be easily removed or redirected until they can follow through with the needed release, so they can process this in their way, not so much in the way many feel they should. It is the way their beautiful minds work, and all they ask is to be validated, help with calming the situation and respected. What can you do? Watch for the facial cues they will give. Look for the triggers and prepare them to reduce the anxiety, or simply avoid them. Help them learn to avoid their triggers, or learn coping skills to help them through.~Julie Smith-Centeno 2010

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Submucous Cleft and Speech

PTLS Fact:

Some parents have asked what a submucous cleft palate is. and do all the children have this. Let me see if I can help explain. First, no. Not all the children with PTLS have this, however, it has been seen in some of the children. What is it? In the first 8 weeks, when the embryo is developing (1st 8 weeks of pregnancy), the palate (roof of the mouth) develops. Sometimes the left and right sides do not come together, leaving a small gap. The skin closes over the bones, so it is not seen, but it can be felt. One sign that is┬áseen when you look in the back of the throat. There is a bit of tissue that hangs, called the Uvula. The length of it has been linked to PTLS (being too short). However, if it looks like a “W”, called a Bifid Uvula, it is a sign of a Submucous Cleft Palate. This can also cause a larger gap in the back of the nose/mouth area (just above and behind the Uvula), called a Velopharyngeal Insufficiency, so the Adenoids should not be removed or it can cause the gap to be larger. The cleft can be surgically repaired. So, next time your baby is opening their mouth, or crying, take a look in the back of the mouth. If you are concerned, ask your child’s doctor to check. I hope this helps. ~Julie Smith-Centeno