This study compared the early cognitive and linguistic development of young children with cleft palate (N = 28) to that of noncleft children (N = 29). Measures included the Mental scale of the Bayley Scales of Infant Development, the Minnesota Child Development Inventory, Mean Length of Utterance, and words acquired by 24 months. Children with cleft palate, although well within the normal range, performed significantly below the children in the control group on the Mental Scale of the Bayley Scales of Infant Development, some subscales of the Minnesota Child Development Inventory, and words acquired by 24 months. Differences observed in the cognitive development of children with and without cleft palate were verbal as opposed to nonverbal (i.e., linguistic in nature) and were related to hearing status at 12 months and velopharyngeal adequacy.

Word-initial target phonemes and the production of those phonemes were examined in normal children and children with cleft palate during the period when the children were acquiring their first 50 words. As a group, the children with cleft palate tended to target more words with word-initial nasals, approximants, and vowels ([+sonorant] phonemes) and fewer words with word-initial stops, fricatives, and affricates ([-sonorant] phonemes). Normal children tended to target more words with initial consonants articulated in the center of the oral tract ([+coronal]) and the children with cleft palate targeted more words with initial phonemes articulated at the periphery of the oral tract ([-coronal]). The same patterns also were observed in production, but individual children with cleft palate did not always follow this pattern. Although the accuracy of the productions of individual children appeared to be related to word choice, factors such as hearing sensitivity, structural adequacy, and the timing of surgical repair also might have affected speech production accuracy.

The present investigation is a follow-up to a longitudinal speech and academic study involving approximately 400 normally developing children begun in 1960 by Mildred Templin. From this large data base, the present project invited the participation of two groups of subjects (now aged 32 to 34): (a) 24 adults with a documented history of moderately severe phonological disorder that persisted at least through the end of first grade (probands) and (b) 28 adults from the same birth cohort and schools who were known to have had at least average articulation skills over the same period (controls). Results of follow-up testing revealed that the proband adults performed significantly more poorly than the control adults on all of the administered measures of articulation, expressive language, and receptive language. Results obtained from a screening of nonverbal reasoning ability were equivocal. On a questionnaire measure of personality, both groups scored well within the normal range for the dimensions of extroversion and neuroticism when compared to the test’s normative sample. These results have been interpreted as suggesting that although many adults with a childhood history of delayed phonological development will continue to experience linguistic outcomes that are less favorable than those of controls, their performance in selected nonlanguage domains (e.g., nonverbal reasoning, personality) will be far more typical of the general population.

The present investigation is a follow-up to a longitudinal study involving approximately 400 normally developing children begun in 1960. From this large database, two groups of subjects (now aged 32–34) were asked to participate in the present project: (a) a group of 24 adults with a documented history of a moderate phonological/language disorder that persisted through at least the end of first grade (probands), and (b) a group of 28 adults from the same birth cohort and schools who were known to have had at least average articulation skills over the same period (controls). As part of a larger project, these adults were interviewed about their educational and occupational accomplishments and those of their siblings. Results revealed that, in comparison to control subjects, the proband adults reported that they had received lower grades in high school, required more remedial academic services throughout their school careers, and completed fewer years of formal education. Occupationally, although the groups did not differ in employment status, the proband subjects tended to occupy jobs considered semiskilled or unskilled with a much greater frequency than both the control subjects and their gender-matched siblings. When asked to indicate general satisfaction with educational and occupational outcomes, however, subjects in both groups tended to rate themselves as either “very” or “fairly” satisfied.

Aggressive otologic management has been recommended for children with cleft palate because of the almost universal occurrence of otitis media with effusion (OME) in these children and the association of OME with hearing loss and possible language, cognitive, and academic delays. In this study, 28 children with cleft palate and 29 noncleft children were seen at 3-month intervals from 9 to 30 months to compare otologic treatment and management. Hearing and middle ear function were tested at each session; information on ventilation tube placement was obtained from medical records. Ventilation tubes were placed earlier and more often in children with cleft palate, but children with cleft palates failed the hearing screening more often. The correlation between age at first tube placement and frequency of hearing screening failures was significant for the children with cleft palate, indicating that the later tubes were first placed, the poorer the child's hearing.