Prevalence and types of articulation errors in Saudi Arabic-speaking children with repaired cleft lip and palate

Albustanji, Yusuf; Albustanji, Mahmoud M.; Hegazi, Mohamed M.; Amayreh, Mousa M.

doi:10.1016/j.ijporl.2014.07.025

Cited by 20 publications

(18 citation statements)

References 32 publications

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“…A comparable (or lower) percentage of children with non-oral CMAs have been reported in other countries/languages as well in recent years (Ainoda et al, 1985; Park et al, 2000; Persson et al, 2006; Albustanji et al, 2014: Baillie & Sell, 2020; Hortis-Dzierzbicka et al, 2014; Klinto et al, 2014; Sell et al, 2015; Willadsen et al, 2017; Nyberg et al, 2018). Sell and colleagues (2015) reported speech outcomes for 248 five-year-old children in the Cleft Care UK study and noted that only 10% produced non-oral CMAs.…”

Section: How Many Children Produce Them?supporting

confidence: 78%

Non-Oral Compensatory Misarticulations Revisited

Hardin-Jones

Chapman

2021

The Cleft Palate Craniofacial Journal

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Non-oral compensatory misarticulation patterns are often associated with the speech of children with cleft palate. Despite their saliency, the etiology, frequency, and treatment of these misarticulations have not been studied extensively. The purpose of this commentary is to review what we know about these atypical patterns of articulation and address clinical assumptions regarding their etiology and treatment.

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Section: How Many Children Produce Them?supporting

confidence: 78%

Non-Oral Compensatory Misarticulations Revisited

Hardin-Jones

Chapman

2021

The Cleft Palate Craniofacial Journal

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“…At the same institution, Ferlin (2018) observed symptoms in 18% to 40% of patients depending on the cleft type. Albustanji et al (2014) also observed a lower rate of 25% in the analysis of 80 children after primary palatoplasty. The findings of Menegueti et al (2017) were similar to those of the present study.…”

Section: Discussionmentioning

confidence: 79%

Treatment of Cleft Lip and Palate in the Amazon Region in Brazil: Speech Results and Sociodemographic Aspects

Araújo

Alonso

Fukushiro

2021

The Cleft Palate Craniofacial Journal

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Objective: To investigate the speech outcomes in individuals with cleft lip and palate (CLP) from the Amazon region and determine their correlation with sociodemographic factors. Design: Cross-sectional, prospective, single-blind study. Setting: Tertiary care institute in Manaus, Amazonas, Brazil. Patients: Four hundred twenty individuals with CLP, aged 4 to 57 years. Main Outcome Measures: The samples were judged by 3 speech pathologists experienced in the speech assessment of individuals with CLP. Hypernasality was scored using a 4-point scale, being 1 = absent, 2 = mild, 3 = moderate, and 4 = severe, and the active speech symptoms were classified as absent or present. The final score for each speech symptom was reached by consensus among the 3 examiners Descriptive analysis of sociodemographic data included origin, socioeconomic status, type of cleft, surgical technique employed, the age they underwent primary and secondary palatoplasty, and palatal fistula. Results: Absence of hypernasality was observed in 41% of the individuals, 18% had mild, 28% moderate, and 13% severe hypernasality. Active speech symptoms were observed in 57% of the individuals. Significant correlations were found between speech outcomes and the variables such as origin, socioeconomic status, age at primary and secondary palatoplasty, and presence of fistula. Conclusions: Most individuals with repaired CLP from the Amazon region presented speech disorders, characterized by hypernasality and active errors. Patients living outside the state capital, of low socioeconomic level, underwent palatoplasty late and with presence of palatal fistula tended to have the worst speech outcomes.

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“…18 Another study in Saudi Arabic-speaking children aged between 6-15 years old by Albustanji et al found speech abnormalities, including articulation, hypernasality, and resonance, in 74% of patients after CP repair. 19 A study from Korea reported that 20% of patients had postoperative VPI and 50% demonstrated articulation deficits. 20 Recently, a study of Arabic-speaking Egyptian children between 3-9 years old demonstrated that articulation disorders, especially substitution, were the most common errors in CP patients with VPI.…”

Section: Discussionmentioning

confidence: 99%

Speech Outcome Analysis after Primary Cleft Palate Repair: Interim Siriraj Hospital Audit

et al. 2021

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Objective: To evaluate the speech outcomes after primary cleft palate repair in a single tertiary medical institution of Thailand.Materials and Methods: A prospective cohort study was performed. Patients who had cleft palate with/without cleft lip and underwent primary cleft palate repair were included. Speech assessment was performed using the Pittsburgh weighted speech score (PWSS) by a speech-language pathologist.Results: Forty patients (21 males and 19 females) who underwent primary cleft palate repair at Siriraj Hospital were included. The median age at the time of speech evaluation was 7 years. The median age at primary cleft palate surgery was 12 months. The predominant cleft palate type was Veau 3 (47.5%). Oronasal fistula occurred 40%. Two-flap palatoplasty and intravelar veloplasty were the most common procedures. Median PWSS was 7, in which the competence velopharyngeal mechanism was found 5%, borderline competence 10%, borderline incompetence 32.5%, and incompetence velopharyngeal mechanism 52.5%. Among the velopharyngeal incompetence group, articulation disorder was the most common disorder with median score of 3. Besides, the median scores for hypo/hyper-nasality, nasal emission, phonation, and facial grimace disorder were 1, 2, 0 and 0, respectively. There was no statistically significant association between velopharyngeal incompetence and cleft types, age at primary surgery, type of operation, the width of cleft palate and prevalence of postoperative oronasal fistula or otitis media effusion.Conclusion: Velopharyngeal incompetence has been commonly identified after cleft palate repair in our institute. The articulation disorder is the most common characteristic.

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Prevalence and types of articulation errors in Saudi Arabic-speaking children with repaired cleft lip and palate

Cited by 20 publications

References 32 publications

Non-Oral Compensatory Misarticulations Revisited

Non-Oral Compensatory Misarticulations Revisited

Treatment of Cleft Lip and Palate in the Amazon Region in Brazil: Speech Results and Sociodemographic Aspects

Speech Outcome Analysis after Primary Cleft Palate Repair: Interim Siriraj Hospital Audit

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