Evaluation of Speech after Completed Late Closure of the Hard Palate

Lohmander-Agerskov, Anette; Söderpalm, Ewa

doi:10.1159/000266206

Cited by 27 publications

(8 citation statements)

References 5 publications

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“…This prevalence was higher than those found in previous studies [8,27,37,38], where the prevalence of resonance disorders or VPI ranged from 20% to 30%. Voice disorders were found in 8 of 42 children (19%) and this was in range of prevalence of 0 to 47% found previously [4,39,40].…”

Section: Discussioncontrasting

confidence: 72%

“…Late palatoplasty is considered to produce a better result for speech outcomes [2][3][4] and less maxillary growth restriction [5][6][7]. The incidence of compensatory articulation disorders (CAD), hypernasality (moderate to severe), and voice disorders (because of hyperfunctional compensation) were 23%, 6%, and 43%, respectively in children with a cleft palate who received late palatoplasty (veloplasty at 8 months and closure of hard palate at 8 years) [8]. Children with delayed closed clefts had significantly more nasal escape and a higher prevalence of compensatory retracted articulation than children with functionally closed clefts [9].…”

Section: Doi: 105372/1905-74150806347mentioning

confidence: 99%

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Original article. Articulation disorders and patterns in children with a cleft

2014

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Background: Compensatory articulation disorders (CAD) are the most common speech defects in patients with a cleft. Early prevention programs are needed to avoid CAD. Objectives: To examine articulation disorders, patterns, and related speech outcomes in children with a cleft palate with or without lip defects. Methods: Articulation test record forms and clinical records of 42 children were accessed retrospectively to provide the data of speech outcomes related to cleft palate. Double data entries and incorrect completion type errors were corrected. Results: Prevalence of articulatory defects was 88% (functional articulation disorders, 12%; compensatory articulation disorders, 10%; functional articulation disorders and CAD, 67%), resonance disorder was 50%, and voice abnormalities was 19%. Abnormal backing of oral consonants, particularly glottal substitution was the most common pattern of CAD (40%), follow by velar substitution (36%), and nasal consonant for oral pressure consonant (21%). There was high incidence of functional articulation disorder in patients with a cleft (76%). Younger children (≤7 years old) had more articulation defects than older children (>7 years old) (mean difference = 3.308, P = 0.002, 95% confident interval 1.683−6.971). Levene's test for equal variance found that resonance disorder seems unaffected by the number of articulation errors (mean difference = 0.253, P = 0.897, 95% confident interval -3.736−4.241). Conclusion: CAD, particularly abnormal backing of oral consonants and hypernasality were the most common speech defects in children with cleft. Refinement and revision of timing for referring for early speech intervention should be reconsidered.

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Section: Discussioncontrasting

confidence: 72%

Section: Doi: 105372/1905-74150806347mentioning

confidence: 99%

Original article. Articulation disorders and patterns in children with a cleft

2014

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“…The phonetic analysis of consonant production revealed three types of articulation errors in both the Furlow and WardillKilner group: incorrect production of the trill sound /r/ and the fricative /s/, and devoicing of /z/, /v/, /g/, and /d/. S-like deviations were also mentioned in the study by Lohmander-Agerskov and Söderpalm [26]. Also Grunwell et al [27] reported in their cross-linguistic investigation, distortions of the /s/ sound.…”

Section: Discussionmentioning

confidence: 65%

The long-term speech outcome in Flemish young adults after two different types of palatoplasty

Lierde

Monstrey

Bonte

et al. 2004

International Journal of Pediatric Otorhinolaryngology

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“…The phonetic analysis of consonant production revealed three types of articulation errors: incorrect production of the trill sound /r/ and the fricative /s/, and devoicing of /z/, /v/ and /d/. S-like deviations were also mentioned in the studies by Lohmander-Agerskov and Söderpalm [3] and Grunwell et al [6]. No other study reported misarticulations of /r/ and the presence of devoicing.…”

Section: Discussionmentioning

confidence: 89%

“…Statistically significant nasality differences regarding the Bzoch test and the Glatzel test were found between the non-cleft normative data [27] and the group of cleft palate subjects. Also in the studies by Lohmander-Agerskov and Sö-derpalm [3], Riski [5] and Grunwell et al [6] the presence of hypernasality was suggested. In contrast with the above-mentioned investigations no other types of nasality disorders were observed during spontaneous speech.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Treatment regarding Articulation, Resonance and Voice in Flemish Adults with Unilateral and Bilateral Cleft Palate

Lierde

Bodt

Baetens

et al. 2003

Folia Phoniatr Logop

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The purpose of this study was to evaluate the outcome regarding speech intelligibility, articulation, nasalance, nasality and voice in adult cleft palate patients. An additional objective of this study was to delineate the impact of a unilateral versus bilateral cleft lip and palate on speech outcome and to compare the nasalance and nasality patterns of cleft palate adults with data from non-cleft subjects. Objective (nasalance values obtained by the Nasometer, mirror-fogging test according to Glatzel and the determination of the dysphonia severity index, DSI) and subjective assessment techniques (perceptual evaluation of speech, nasality and voice, the Bzoch tests and the Gutzmann test) were used. All 14 subjects with a complete unilateral or bilateral cleft lip and palate consulted the same craniofacial team, followed an identical surgical protocol, completed the surgical cleft palate treatments and followed speech therapy. Most of the patients had a fairly satisfactory outcome with normal speech intelligibility, but three types of articulation errors seemed to predominate. More than one half of the subjects demonstrated hypernasality. In comparison with the non-cleft normative data, statistically higher nasalance values were obtained in the cleft group. The subjects had a DSI score that corresponds with a normal or slightly impaired voice quality. No significant differences regarding speech outcome were found between subjects with a unilateral or bilateral cleft lip and palate. The results provide important information for speech-language pathologists to evaluate and improve speech outcome in cleft palate patients.

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Evaluation of Speech after Completed Late Closure of the Hard Palate

Cited by 27 publications

References 5 publications

Original article. Articulation disorders and patterns in children with a cleft

Original article. Articulation disorders and patterns in children with a cleft

The long-term speech outcome in Flemish young adults after two different types of palatoplasty

Outcome of Treatment regarding Articulation, Resonance and Voice in Flemish Adults with Unilateral and Bilateral Cleft Palate

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