Advanced

Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad

Klintö, Kristina LU ; Falk, Evelina; Wilhelmsson, Sara; Schönmeyr, Björn LU and Becker, Magnus LU (2018) In The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association 55(10). p.1399-1408
Abstract

OBJECTIVE: To evaluate speech in 5-year-olds with cleft palate with or without cleft lip (CP±L) treated with primary palatal surgery in 1 stage with muscle reconstruction according to Sommerlad at about 12 months of age.

DESIGN: Retrospective study.

SETTING: Primary care university hospital.

PARTICIPANTS: Eight 5-year-olds with cleft soft palate (SP), 22 with cleft soft/hard palate (SHP), 33 with unilateral cleft lip and palate, and 17 with bilateral CLP (BCLP).

MAIN OUTCOME MEASURES: Percent oral consonants correct (POCC), percent consonants correct adjusted for age (PCC-A), percent oral errors, percent nonoral errors, and variables related to velopharyngeal function were analyzed from assessments of audio... (More)

OBJECTIVE: To evaluate speech in 5-year-olds with cleft palate with or without cleft lip (CP±L) treated with primary palatal surgery in 1 stage with muscle reconstruction according to Sommerlad at about 12 months of age.

DESIGN: Retrospective study.

SETTING: Primary care university hospital.

PARTICIPANTS: Eight 5-year-olds with cleft soft palate (SP), 22 with cleft soft/hard palate (SHP), 33 with unilateral cleft lip and palate, and 17 with bilateral CLP (BCLP).

MAIN OUTCOME MEASURES: Percent oral consonants correct (POCC), percent consonants correct adjusted for age (PCC-A), percent oral errors, percent nonoral errors, and variables related to velopharyngeal function were analyzed from assessments of audio recordings by 3 independent speech-language pathologists.

RESULTS: The median POCC was 75.4% (range: 22.7%-98.9%), median PCC-A 96.9% (range: 36.9%-100%), median percent oral errors 3.4% (range: 0%-40.7%), and median percent nonoral errors 0% (range: 0%-20%), with significantly poorer results in children with more extensive clefts. The SP group had significantly less occurrence of audible nasal air leakage than the SHP and the BCLP groups. Before age 5 years, 1.3% of the children underwent fistula surgery and 6.3% secondary speech improving surgery. At age 5 years, 15% of the total group was perceived as having incompetent velopharyngeal function.

CONCLUSIONS: Speech was poorer in many children with more extensive clefts. Children with CP±L had poorer speech compared to normative data of peers without CP±L, but the results indicated relatively good speech compared to speech of children with CP±L in previous studies.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cleft palate, primary palatal surgery, speech
in
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
volume
55
issue
10
pages
10 pages
publisher
Allen Press
external identifiers
  • scopus:85054772423
ISSN
1545-1569
DOI
10.1177/1055665618768541
language
English
LU publication?
no
id
b0d24dee-2244-42db-8156-f70e9cabb505
date added to LUP
2018-10-30 10:13:50
date last changed
2019-01-06 14:12:39
@article{b0d24dee-2244-42db-8156-f70e9cabb505,
  abstract     = {<p>OBJECTIVE: To evaluate speech in 5-year-olds with cleft palate with or without cleft lip (CP±L) treated with primary palatal surgery in 1 stage with muscle reconstruction according to Sommerlad at about 12 months of age.</p><p>DESIGN: Retrospective study.</p><p>SETTING: Primary care university hospital.</p><p>PARTICIPANTS: Eight 5-year-olds with cleft soft palate (SP), 22 with cleft soft/hard palate (SHP), 33 with unilateral cleft lip and palate, and 17 with bilateral CLP (BCLP).</p><p>MAIN OUTCOME MEASURES: Percent oral consonants correct (POCC), percent consonants correct adjusted for age (PCC-A), percent oral errors, percent nonoral errors, and variables related to velopharyngeal function were analyzed from assessments of audio recordings by 3 independent speech-language pathologists.</p><p>RESULTS: The median POCC was 75.4% (range: 22.7%-98.9%), median PCC-A 96.9% (range: 36.9%-100%), median percent oral errors 3.4% (range: 0%-40.7%), and median percent nonoral errors 0% (range: 0%-20%), with significantly poorer results in children with more extensive clefts. The SP group had significantly less occurrence of audible nasal air leakage than the SHP and the BCLP groups. Before age 5 years, 1.3% of the children underwent fistula surgery and 6.3% secondary speech improving surgery. At age 5 years, 15% of the total group was perceived as having incompetent velopharyngeal function.</p><p>CONCLUSIONS: Speech was poorer in many children with more extensive clefts. Children with CP±L had poorer speech compared to normative data of peers without CP±L, but the results indicated relatively good speech compared to speech of children with CP±L in previous studies.</p>},
  author       = {Klintö, Kristina and Falk, Evelina and Wilhelmsson, Sara and Schönmeyr, Björn and Becker, Magnus},
  issn         = {1545-1569},
  keyword      = {cleft palate,primary palatal surgery,speech},
  language     = {eng},
  number       = {10},
  pages        = {1399--1408},
  publisher    = {Allen Press},
  series       = {The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association},
  title        = {Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad},
  url          = {http://dx.doi.org/10.1177/1055665618768541},
  volume       = {55},
  year         = {2018},
}