Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Speech in 5-year-olds born with unilateral cleft lip and palate : a Prospective Swedish Intercenter Study

Klintö, Kristina LU orcid ; Brunnegård, Karin ; Havstam, Christina ; Appelqvist, Malin ; Hagberg, Emilie ; Taleman, Ann Sofie and Lohmander, Anette (2019) In Journal of Plastic Surgery and Hand Surgery 53(5). p.309-315
Abstract

Studies on the impact of cleft palate surgery on speech with stringent methodology are called for, since we still do not know the best timing or the best method for surgery. The purpose was to report on speech outcome for all Swedish-speaking 5-year-olds born with a non-syndromic unilateral cleft lip and palate (UCLP), in 2008–2010, treated at Sweden’s six cleft palate centres, and to compare speech outcomes between centres. Speech was assessed in 57 children with percent consonants correct adjusted for age (PCC-A), based on phonetic transcriptions from audio recordings by five independent judges. Also, hypernasality and perceived velopharyngeal function were assessed. The median PCC-A for all children was 93.9, and medians in the... (More)

Studies on the impact of cleft palate surgery on speech with stringent methodology are called for, since we still do not know the best timing or the best method for surgery. The purpose was to report on speech outcome for all Swedish-speaking 5-year-olds born with a non-syndromic unilateral cleft lip and palate (UCLP), in 2008–2010, treated at Sweden’s six cleft palate centres, and to compare speech outcomes between centres. Speech was assessed in 57 children with percent consonants correct adjusted for age (PCC-A), based on phonetic transcriptions from audio recordings by five independent judges. Also, hypernasality and perceived velopharyngeal function were assessed. The median PCC-A for all children was 93.9, and medians in the different groups varied from 89.9 to 96.8. In the total group, 9 children (16%) had more than mild hypernasality. Twenty-two children (38.5%) were perceived as having competent/sufficient velopharyngeal function, 25 (44%) as having marginally incompetent/insufficient velopharyngeal function, and 10 children (17.5%) as having incompetent/insufficient velopharyngeal function. Ten children were treated with secondary speech improving surgery and/or fistula surgery. No significant differences among the six groups, with eight to ten children in each group, were found. The results were similar to those in other studies on speech of children with UCLP, but poorer than results in normative data of Swedish-speaking 5-year-olds without UCLP. Indications of differences in frequency of surgical treatment and speech treatment between centres were observed.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cleft lip and palate, palatoplasty
in
Journal of Plastic Surgery and Hand Surgery
volume
53
issue
5
pages
309 - 315
publisher
Taylor & Francis
external identifiers
  • scopus:85066096442
  • pmid:31107134
ISSN
2000-656X
DOI
10.1080/2000656X.2019.1615929
language
English
LU publication?
yes
id
546f8c43-b695-47cf-b457-8022215a1c77
date added to LUP
2019-06-14 13:29:41
date last changed
2024-04-30 12:58:01
@article{546f8c43-b695-47cf-b457-8022215a1c77,
  abstract     = {{<p>Studies on the impact of cleft palate surgery on speech with stringent methodology are called for, since we still do not know the best timing or the best method for surgery. The purpose was to report on speech outcome for all Swedish-speaking 5-year-olds born with a non-syndromic unilateral cleft lip and palate (UCLP), in 2008–2010, treated at Sweden’s six cleft palate centres, and to compare speech outcomes between centres. Speech was assessed in 57 children with percent consonants correct adjusted for age (PCC-A), based on phonetic transcriptions from audio recordings by five independent judges. Also, hypernasality and perceived velopharyngeal function were assessed. The median PCC-A for all children was 93.9, and medians in the different groups varied from 89.9 to 96.8. In the total group, 9 children (16%) had more than mild hypernasality. Twenty-two children (38.5%) were perceived as having competent/sufficient velopharyngeal function, 25 (44%) as having marginally incompetent/insufficient velopharyngeal function, and 10 children (17.5%) as having incompetent/insufficient velopharyngeal function. Ten children were treated with secondary speech improving surgery and/or fistula surgery. No significant differences among the six groups, with eight to ten children in each group, were found. The results were similar to those in other studies on speech of children with UCLP, but poorer than results in normative data of Swedish-speaking 5-year-olds without UCLP. Indications of differences in frequency of surgical treatment and speech treatment between centres were observed.</p>}},
  author       = {{Klintö, Kristina and Brunnegård, Karin and Havstam, Christina and Appelqvist, Malin and Hagberg, Emilie and Taleman, Ann Sofie and Lohmander, Anette}},
  issn         = {{2000-656X}},
  keywords     = {{Cleft lip and palate; palatoplasty}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{5}},
  pages        = {{309--315}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Plastic Surgery and Hand Surgery}},
  title        = {{Speech in 5-year-olds born with unilateral cleft lip and palate : a Prospective Swedish Intercenter Study}},
  url          = {{http://dx.doi.org/10.1080/2000656X.2019.1615929}},
  doi          = {{10.1080/2000656X.2019.1615929}},
  volume       = {{53}},
  year         = {{2019}},
}