Impact of Early Synchronous Lip and Palatal Repair on Speech

被引：11

作者：

Luyten, Anke ^{[1
]}

Bettens, Kim ^{[1
]}

D'haeseleer, Evelien ^{[1
]}

De Ley, Sophia ^{[1
]}

Hodges, Andrew ^{[3
]}

Galiwango, George ^{[3
]}

Vermeersch, Hubert ^{[2
]}

Van Lierde, Kristiane ^{[1
]}

机构：

[1] Univ Ghent, Dept Speech Language & Hearing Sci, BE-9000 Ghent, Belgium

[2] Univ Ghent, Dept Head & Neck Surg, BE-9000 Ghent, Belgium

[3] Comprehens Rehabil Serv, Kisubi, Uganda

来源：

FOLIA PHONIATRICA ET LOGOPAEDICA | 2013年 / 65卷 / 06期

关键词：

Cleft; Speech; Resonance; Articulation; Synchronous lip and palatal closure; Timing of palatoplasty; Sommerlad technique; UNILATERAL CLEFT-LIP; INTRAVELAR VELOPLASTY; MAXILLARY GROWTH; FOLLOW-UP; CHILDREN; CLOSURE; INTERVENTIONS; EXPERIENCE; OUTCOMES; AGE;

D O I：

10.1159/000362501

中图分类号：

R36 [病理学]; R76 [耳鼻咽喉科学];

学科分类号：

100104 ; 100213 ;

摘要：

Aims: The purpose of this study was to describe articulation and resonance characteristics of Ugandan English-speaking children with cleft lip and palate (CLP) after synchronous lip and palatal closure (Sommerlad technique) prior to the age of 6 months in comparison with an age-and gender-matched control group. Methods: Eleven Ugandan patients with CLP (mean age 4; 9 years), repaired during a synchronous lip and (soft and hard) palatal closure at a mean age of 3.4 months, were included as well as a control group (n = 22) consisting of 2 Ugandan age-and gender-matched noncleft children for each patient (mean age 4; 10 years). Objective and perceptual speech assessment techniques were applied. Results: Consonant inventories were significantly smaller in the CLP group. Moreover, phonetic disorders and phonological processes occurred in 91 and 100% of the CLP group, respectively. Perceptual consensus evaluation revealed absence of hyponasality and cul-de-sac resonance in all patients. Hypernasality and nasal emission/turbulence occurred in 18 and 27% of the patients, respectively. No significant group differences were observed regarding the mean nasalance values of oral speech samples. Conclusion: Various deviations from normal speech development seem to occur in patients with CLP following synchronous lip and palatal closure before 6 months of age. (c) 2014 S. Karger AG, Basel

引用

页码：303 / 311

页数：9

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