Meet the Team
Julia Swayne, AuD
Audiologists evaluate your child’s hearing. Children with cleft lip and palate are at an increased risk for developing middle ear infections and conductive hearing loss. These problems can result from the weak function of some of the palatal muscles. These muscles are used to open the small tubes connecting the throat to the middle ear. When the tubes do not open, air cannot enter the ear, causing fluid to form. For that reason, it is important to test your child’s hearing on a routine basis. During the exam, the audiologist tests your child’s behavioral responses to specific sounds and speech, evaluates middle ear function, and makes treatment recommendations.
Tien Do, PA-C
Otolaryngologists are concerned with feeding, breathing, and hearing issues, and have special expertise in dealing with these difficulties. The otolaryngologist, with the assistance of the audiologist, evaluates ear infections, persistent fluid in the ears, and hearing. Usually, ventilation tubes are recommended in the eardrum to reduce infections, clear middle ear fluid, and improve hearing. The otolaryngologist is also trained in the medical and surgical treatments for sinus infections, nasal airway obstruction, obstructive sleep apnea, and speech and resonance abnormalities.
Jeff Symonds, DDS
Orthodontists assess your child’s facial growth, particularly the growth of the jaw. Later, as teeth begin to erupt, an orthodontist will make plans for your child’s dental needs. If your child’s upper and lower teeth do not fit together properly, the orthodontist may suggest an early period of treatment to correct the relationship of the upper jaw to the lower jaw. The orthodontist is involved with expanding the palate prior to the bone graft, which is done by the oral surgeon. Once the permanent teeth erupt, the final phase of orthodontics completes the alignment of the teeth.
Sarah Satow, DMD
Oral surgeons perform the bone graft for your child between the ages of 7-9. Working with the orthodontist, the surgeon evaluates the timing for palatal expansion, and the surgery to have bone placed in the cleft. The oral surgeon is also involved later, following orthodontics, if a maxillary advancement is needed, which is when the upper jaw is moved forward to make the teeth work together. This surgery is done in the teenage years.
Kevin Woody, DMD
Pediatric dentists have special training to care for the dental needs of all children. Pediatric dentists understand that children with clefts may have dental problems not seen in children without clefts. These problems may include incorrectly shaped, incorrectly positioned, or missing/extra teeth, as well as unique challenges regarding tooth decay and gum disease. Children may need fillings, teeth cleaning, space maintenance, removal of extra teeth, and a plan for prevention of tooth decay.
Charlene DiFilippo, RD
Nutritionists interview customers and their families about their eating habits and nutritional status. Nutritionists determine if there are any feeding difficulties or obstacles and provide suggestions to families on ways to improve eating habits and overall diet.
Samantha Maloney, RD
Nutritionists interview customers and their families about their eating habits and nutritional status. Nutritionists determine if there are any feeding difficulties or obstacles and provide suggestions to families on ways to improve eating habits and overall diet.
Daniel Suver, MD, FACS
Plastic surgeons have special expertise in the surgical repair of the cleft lip and palate. This surgeon is trained in all phases of the surgical treatment for the child from the initial lip and palate repair to scar revision for the lip and nose, and surgical treatment of speech and resonance problems. Daniel acts as a team leader for the collaborating cleft lip and palate providers.
Kerry Latham, MD, MHPE, FACS
Plastic surgeons have special expertise in the surgical repair of the cleft lip and palate. This surgeon is trained in all phases of the surgical treatment for the child from the initial lip and palate repair to scar revision for the lip and nose, and surgical treatment of speech and resonance problems.
Samantha Matteucci, SLP
Speech-language pathologists work with children born with cleft lip and palate with feeding and in developing speech and language skills. The SLP evaluates your child’s ability to understand and use language and his/her speech resonance (oral and nasal tone quality). Many children with a cleft lip and/or palate are slower in developing consonant sounds and in learning how to talk. The speech-language pathologist will provide information about ways to encourage speech and language development and recommend speech therapy when needed. The cleft lip and palate team works closely with the speech-language pathologist to decide when surgery or dental appliances may be necessary to improve speech and encourage typical resonance.
Rebecca Cleveland, SLP
Speech-language pathologists work with children born with cleft lip and palate with feeding and in developing speech and language skills. The SLP evaluates your child’s ability to understand and use language and his/her speech resonance (oral and nasal tone quality). Many children with a cleft lip and/or palate are slower in developing consonant sounds and in learning how to talk. The speech-language pathologist will provide information about ways to encourage speech and language development and recommend speech therapy when needed. The cleft lip and palate team works closely with the speech-language pathologist to decide when surgery or dental appliances may be necessary to improve speech and encourage typical resonance.
Glenda Grawe, MD
Pediatricians evaluate children with clefts who may have medical complications that are unfamiliar to their primary care provider. Your primary care provider will be in contact with members of the cleft lip and palate team to help coordinate special testing or interventions that may be recommended.
Monique Singleton
Behavioral health consultants help address emotional and behavioral concerns that you and your child (infant to adolescent) may experience while coping with cleft lip and palate. If desired, they will help develop a behavioral health plan for your child that will cover emotional and social stressors commonly associated with their condition.
Tracey Morgan
Parent navigators are available to explain all the support options available to you and your child. They can provide access to special supplies like nipples or bottles for your baby. Later, a parent navigator will help with supplies needed for surgeries, coordinating travel, and assisting with insurance options and coverage.
Allison Gallen, MSN, RN, CMGT-BC
Registered nurse case managers perform assessments and create plans based on the needs of the child and family, as well as act as a team coordinator. The RN case manager works in collaboration with the interdisciplinary team to promote high-quality, timely care. They provide clinical information, as needed, to assist in obtaining authorization for services; ensure admission, surgery, and designated level of care orders reflect medical necessity documentation. When appropriate, the RN case manager may also provide community outreach and make referrals to community resources.
Laramee Hartman
Clinic coordinators work closely with the RN case manager to ensure high quality and well-coordinated customer care. The clinic coordinator ensures that supplies, documentation, follow-up activities related to customer care, and support staffing are optimized for efficient, high-quality customer care.