Influence of Palatal Fistulae on Speech and Resonance

Henningsson, Gunilla; Isberg, Annika

doi:10.1159/000265858

Cited by 48 publications

(20 citation statements)

References 7 publications

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“…glottal). An uncovered cleft in the hard palate will, however, often negatively affect the velo pharyngeal function [ 12], which may improve if the residual cleft is covered or functionally closed.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Speech after Completed Late Closure of the Hard Palate

Lohmander-Agerskov¹,

Söderpalm²

1993

Folia Phoniatr Logop

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Speech was analyzed about 1 year postoperatively in 30 patients with cleft lip and palate who were the first ones to undergo late closure of the hard palate in Gothenburg, Sweden. Fourteen had bilateral and 16 had unilateral clefts. Soft palate closure had been performed at the mean age of 8 months, and the hard palate was closed at the mean age of 8 years with a range of 7–11 years. Imitated and spontaneous speech was analyzed at an average of 15 months after palatal repair. Six percent had moderate to severe hypernasal speech and 23% had retraction of dental consonants. No glottal articulation was found. Hoarseness and deviant s articulation were frequent. For 6 of the patients the same speech analysis was also made 1–3 months postoperatively. At this time there was no change in the speech of these 6 children compared with preoperative speech. Thus, the closure of the palate did not improve the speech directly. The improvement of the speech seems to be a gradual process.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Speech after Completed Late Closure of the Hard Palate

Lohmander-Agerskov¹,

Söderpalm²

1993

Folia Phoniatr Logop

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“…Lip adhesion, early closure of the cleft in the soft palate (median age 6.0 months, range [3][4][5][6][7][8][9][10][11][12], and nal lip repair had been done according to our regimen (9). In all children, the cleft in the hard palate was left open (residual cleft) to be closed at about 8-9 years of age and done at the same time as the alveolar bone grafting procedure.…”

Section: Subjectsmentioning

confidence: 99%

“…Hypernasality, nasal emission, and weak pressure consonants are variables in speech that are often associated with the presence of an oronasal opening (3,5,6,12,18). The opinions are mainly based on studies of patients with palatal stulas.…”

mentioning

confidence: 99%

Unrepaired Clefts in the Hard Palate: Speech Deficits At the Ages of 5 and 7 Years and Their Relationship to Size of the Cleft

Lohmander

Persson

Owman-Moll

2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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The purpose of the study was to investigate the relationship between the size of oronasal openings in the hard palate and speech deficits. Audiotape recordings and plaster casts were taken according to standard procedures at 5 and 7 years of age from 22 consecutive children born with complete unilateral cleft lip and palate treated at Sahlgrenska University Hospital, Göteborg, Sweden. The soft palate had been repaired before the age of 12 months, whereas the cleft in the hard palate was left unrepaired, to be closed later. Perceptual judgements of nine speech variables at 5 and 7 years of age were correlated with measures of the area of the residual cleft in the hard palate. "Retracted oral articulation" (to velar place) found in nine of the 22 children correlated significantly with the area of the cleft at the age of 5 years but not later. The establishment of this particular speech error seems to be related to the size of an oronasal opening.

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“…At investigation, persisting fistulas were seen in 10 (15%) of the patients in the two groups. The reported incidence of persisting fistulas varies from 10% -40% (1, 6), and a fistula statistically increases the risk of hypernasality (4,6). Including the presence of an oronasal fistula in the logistic regression model did not significantly explain the hypernasality found in this study.…”

Section: Discussionmentioning

confidence: 53%

Von Langenbeck or Wardill Procedures for Primary Palatal Repair in Patients With Isolated Cleft Palate-Speech Results

Becker

Svensson²,

Sarnäs³

et al. 2000

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Sixty-six patients operated on for isolated cleft palate were evaluated as adults, and their speech was assessed clinically. Forty-four had undergone a von Langenbeck repair at the age of 7 months and 22 a Wardill repair at the age of 18 months. Speech was judged subjectively by the patients themselves, and perceptual assessment was made by three speech pathologists. The remaining speech problems, mainly hypernasality, were moderate or severe in 7 (16%) of the patients in the von Langenbeck group, and in 7 (32%) in the Wardill group. On the other hand, the patients in the Wardill group had fewer fistulas closed, and fewer velopharyngoplasties. There were no significant differences between the two methods regarding speech in adulthood. The Wardill method produced significantly more scar tissue clinically, which carries the potential risk of inhibition of facial growth. The present speech results will therefore be weighed against the outcome of maxillofacial growth for these patients.

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Influence of Palatal Fistulae on Speech and Resonance

Cited by 48 publications

References 7 publications

Evaluation of Speech after Completed Late Closure of the Hard Palate

Evaluation of Speech after Completed Late Closure of the Hard Palate

Unrepaired Clefts in the Hard Palate: Speech Deficits At the Ages of 5 and 7 Years and Their Relationship to Size of the Cleft

Von Langenbeck or Wardill Procedures for Primary Palatal Repair in Patients With Isolated Cleft Palate-Speech Results

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