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Speech in a consecutive series of children born with cleft lip and palate with and without syndromes and/or additional malformations

Klintö, Kristina LU orcid ; Sporre, Maria and Becker, Magnus LU orcid (2021) In BMC Pediatrics 21.
Abstract
BACKGROUND: When evaluating speech in children with cleft palate with or without cleft lip (CP/L), children with known syndromes and/or additional malformations (CP/L+) are usually excluded. The aim of this study was to present speech outcome of a consecutive series of 5-year-olds born with CP/L, and to compare speech results of children with CP/L + and children with CP/L without known syndromes and/or additional malformations (CP/L-). METHODS: One hundred 5-year-olds (20 with CP/L+; 80 with CP/L-) participated. All children were treated with primary palatal surgery in one stage with the same procedure for muscle reconstruction. Three independent judges performed phonetic transcriptions and rated perceived velopharyngeal competence from... (More)
BACKGROUND: When evaluating speech in children with cleft palate with or without cleft lip (CP/L), children with known syndromes and/or additional malformations (CP/L+) are usually excluded. The aim of this study was to present speech outcome of a consecutive series of 5-year-olds born with CP/L, and to compare speech results of children with CP/L + and children with CP/L without known syndromes and/or additional malformations (CP/L-). METHODS: One hundred 5-year-olds (20 with CP/L+; 80 with CP/L-) participated. All children were treated with primary palatal surgery in one stage with the same procedure for muscle reconstruction. Three independent judges performed phonetic transcriptions and rated perceived velopharyngeal competence from audio recordings. Based on phonetic transcriptions, percent consonants correct (PCC) and percent non-oral errors were investigated. Group comparisons were performed. RESULTS: In the total group, mean PCC was 88.2 and mean percent non-oral errors 1.5. The group with bilateral cleft lip and palate (BCLP) had poorer results on both measures compared to groups with other cleft types. The average results of PCC and percent non-oral errors in the CP/L + group indicated somewhat poorer speech, but no significant differences were observed. In the CP/L + group, 25 % were judged as having incompetent velopharyngeal competence, compared to 15 % in the CP/L- group. CONCLUSIONS: The results indicated relatively good speech compared to speech of children with CP/L in previous studies. Speech was poorer in many children with more extensive clefts. No significant differences in speech outcomes were observed between CP/L + and CP/L- groups. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
*Additional malformations, *Cleft lip and palate, *Speech, *Syndromes, Child, Child, Preschool, *Cleft Lip/complications/surgery, *Cleft Palate/complications/surgery, Humans, Speech, Syndrome
in
BMC Pediatrics
volume
21
article number
309
publisher
BioMed Central (BMC)
external identifiers
  • pmid:34243736
  • scopus:85109738377
ISSN
1471-2431
DOI
10.1186/s12887-021-02783-0
language
English
LU publication?
yes
id
5bab1fb2-f17b-4c9e-9480-ee68470a19ea
date added to LUP
2021-11-24 11:40:32
date last changed
2023-12-07 22:25:41
@article{5bab1fb2-f17b-4c9e-9480-ee68470a19ea,
  abstract     = {{BACKGROUND: When evaluating speech in children with cleft palate with or without cleft lip (CP/L), children with known syndromes and/or additional malformations (CP/L+) are usually excluded. The aim of this study was to present speech outcome of a consecutive series of 5-year-olds born with CP/L, and to compare speech results of children with CP/L + and children with CP/L without known syndromes and/or additional malformations (CP/L-). METHODS: One hundred 5-year-olds (20 with CP/L+; 80 with CP/L-) participated. All children were treated with primary palatal surgery in one stage with the same procedure for muscle reconstruction. Three independent judges performed phonetic transcriptions and rated perceived velopharyngeal competence from audio recordings. Based on phonetic transcriptions, percent consonants correct (PCC) and percent non-oral errors were investigated. Group comparisons were performed. RESULTS: In the total group, mean PCC was 88.2 and mean percent non-oral errors 1.5. The group with bilateral cleft lip and palate (BCLP) had poorer results on both measures compared to groups with other cleft types. The average results of PCC and percent non-oral errors in the CP/L + group indicated somewhat poorer speech, but no significant differences were observed. In the CP/L + group, 25 % were judged as having incompetent velopharyngeal competence, compared to 15 % in the CP/L- group. CONCLUSIONS: The results indicated relatively good speech compared to speech of children with CP/L in previous studies. Speech was poorer in many children with more extensive clefts. No significant differences in speech outcomes were observed between CP/L + and CP/L- groups.}},
  author       = {{Klintö, Kristina and Sporre, Maria and Becker, Magnus}},
  issn         = {{1471-2431}},
  keywords     = {{*Additional malformations; *Cleft lip and palate; *Speech; *Syndromes; Child; Child, Preschool; *Cleft Lip/complications/surgery; *Cleft Palate/complications/surgery; Humans; Speech; Syndrome}},
  language     = {{eng}},
  month        = {{07}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Pediatrics}},
  title        = {{Speech in a consecutive series of children born with cleft lip and palate with and without syndromes and/or additional malformations}},
  url          = {{http://dx.doi.org/10.1186/s12887-021-02783-0}},
  doi          = {{10.1186/s12887-021-02783-0}},
  volume       = {{21}},
  year         = {{2021}},
}