Advanced

Limited Chances of Speech Improvement After Late Cleft Palate Repair.

Schönmeyr, Björn LU ; Wendby, Lisa; Sharma, Mitali; Raud-Westberg, Liisi; Restrepo, Carolina and Campbell, Alex (2015) In Journal of Craniofacial Surgery 26(4). p.1182-1185
Abstract
Late primary palatal repair is a common phenomenon, and many patients across the world will be operated on at a far later age than is suggested for normal speech development. Nevertheless, little is known about the speech outcomes after these procedures and conflicting results exist among the few studies performed. In this study, blinded preoperative and postoperative speech recordings from 31 patients operated on at Guwahati Comprehensive Cleft Care Center in Assam, India, older than 7 years were evaluated. Six non-Indian speech and language pathologists evaluated hypernasal resonance and articulation, and 4 local laymen evaluated the speech intelligibility/acceptability of the samples.In 25 of 31 cases, the evaluators could not detect... (More)
Late primary palatal repair is a common phenomenon, and many patients across the world will be operated on at a far later age than is suggested for normal speech development. Nevertheless, little is known about the speech outcomes after these procedures and conflicting results exist among the few studies performed. In this study, blinded preoperative and postoperative speech recordings from 31 patients operated on at Guwahati Comprehensive Cleft Care Center in Assam, India, older than 7 years were evaluated. Six non-Indian speech and language pathologists evaluated hypernasal resonance and articulation, and 4 local laymen evaluated the speech intelligibility/acceptability of the samples.In 25 of 31 cases, the evaluators could not detect any speech improvement in the postoperative recordings. A clear trend of postoperative improvement was only found in 6 of the 31 patients. Among these 6 patients, lesser clefts were overrepresented. Our findings together with previous studies suggest that late palate repairs have the potential to improve speech, but the probability for improvement and degree of improvement is low, especially in older adolescents and adults with complete clefts. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Craniofacial Surgery
volume
26
issue
4
pages
1182 - 1185
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:26080154
  • wos:000357569600092
  • scopus:84986329598
ISSN
1536-3732
DOI
10.1097/SCS.0000000000001599
language
English
LU publication?
yes
id
6afa529e-4145-4889-bab2-07a81e385b6e (old id 7485566)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26080154?dopt=Abstract
date added to LUP
2015-07-08 18:10:11
date last changed
2017-01-08 03:21:14
@article{6afa529e-4145-4889-bab2-07a81e385b6e,
  abstract     = {Late primary palatal repair is a common phenomenon, and many patients across the world will be operated on at a far later age than is suggested for normal speech development. Nevertheless, little is known about the speech outcomes after these procedures and conflicting results exist among the few studies performed. In this study, blinded preoperative and postoperative speech recordings from 31 patients operated on at Guwahati Comprehensive Cleft Care Center in Assam, India, older than 7 years were evaluated. Six non-Indian speech and language pathologists evaluated hypernasal resonance and articulation, and 4 local laymen evaluated the speech intelligibility/acceptability of the samples.In 25 of 31 cases, the evaluators could not detect any speech improvement in the postoperative recordings. A clear trend of postoperative improvement was only found in 6 of the 31 patients. Among these 6 patients, lesser clefts were overrepresented. Our findings together with previous studies suggest that late palate repairs have the potential to improve speech, but the probability for improvement and degree of improvement is low, especially in older adolescents and adults with complete clefts.},
  author       = {Schönmeyr, Björn and Wendby, Lisa and Sharma, Mitali and Raud-Westberg, Liisi and Restrepo, Carolina and Campbell, Alex},
  issn         = {1536-3732},
  language     = {eng},
  number       = {4},
  pages        = {1182--1185},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Journal of Craniofacial Surgery},
  title        = {Limited Chances of Speech Improvement After Late Cleft Palate Repair.},
  url          = {http://dx.doi.org/10.1097/SCS.0000000000001599},
  volume       = {26},
  year         = {2015},
}