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

Lierde, Kristiane M. Van; Monstrey, Stanislas; Bonte, Katrien; Cauwenberge, Paul Van; Vinck, Bart

doi:10.1016/j.ijporl.2004.01.020

Cited by 59 publications

(81 citation statements)

References 24 publications

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“…Moreover, Doucet et al [28] reported higher rates of nasal emission (75%, 15/20) compared to the current Ugandan CLP group. These differences might be explained by the two-stage soft and hard palatal closure carried out in both studies, given that two-stage procedures have been reported to result in significantly more deviations of resonance compared to one-stage palatoplasty [46]. …”

Section: Discussionmentioning

confidence: 99%

Impact of Early Synchronous Lip and Palatal Repair on Speech

Luyten

Bettens

D’haeseleer

et al. 2013

Folia Phoniatr Logop

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Aims: The purpose of this study was to describe articulation and resonance characteristics of Ugandan English-speaking children with cleft lip and palate (CLP) after synchronous lip and palatal closure (Sommerlad technique) prior to the age of 6 months in comparison with an age- and gender-matched control group. Methods: Eleven Ugandan patients with CLP (mean age 4;9 years), repaired during a synchronous lip and (soft and hard) palatal closure at a mean age of 3.4 months, were included as well as a control group (n = 22) consisting of 2 Ugandan age- and gender-matched noncleft children for each patient (mean age 4;10 years). Objective and perceptual speech assessment techniques were applied. Results: Consonant inventories were significantly smaller in the CLP group. Moreover, phonetic disorders and phonological processes occurred in 91 and 100% of the CLP group, respectively. Perceptual consensus evaluation revealed absence of hyponasality and cul-de-sac resonance in all patients. Hypernasality and nasal emission/turbulence occurred in 18 and 27% of the patients, respectively. No significant group differences were observed regarding the mean nasalance values of oral speech samples. Conclusion: Various deviations from normal speech development seem to occur in patients with CLP following synchronous lip and palatal closure before 6 months of age.

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Section: Discussionmentioning

confidence: 99%

Impact of Early Synchronous Lip and Palatal Repair on Speech

Luyten

Bettens

D’haeseleer

et al. 2013

Folia Phoniatr Logop

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“…A lot of investigations have used the DSI and VRPIc indices [6,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] to measure the effects of a specific therapy approach or to evaluate the effects of different surgical techniques. In resonance however, few studies have successfully demonstrated the use of a multiparameter index that enables the overall quantification of the degree of hypernasality.…”

Section: Discussionmentioning

confidence: 99%

The Nasality Severity Index: An Objective Measure of Hypernasality Based on a Multiparameter Approach

Lierde

Wuyts

Bonte

et al. 2006

Folia Phoniatr Logop

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There is a need for an objective measure that describes normal resonance and resonance disorders. The current standard of practice has not led to mismanagement but a refined objective assessment protocol will benefit a more precise objective assessment of velopharyngeal disorders. The purpose of the present study is to construct a nasality severity index (NSI) that reflects the multidimensional nature of resonance. Objective and subjective assessment techniques were used to determine the nasalance, the nasality and aerodynamic capacities in 21 children with cleft palate and a control group of 25 children without cleft palate. Stepwise logistic regression was used to determine the optimal index. The NSI consists of a linear combination of 4 variables, where each variable has a different weight. The equation is: NSI = –60.69 – (3.24 × percent oral text) – (13.39 × Glätzel value /a/) + [0.244 × maximum duration time (seconds)] – (0.558 × % /a/) + (3.38 × percent oronasal text). NSI sensitivity is 88% and specificity is 95%. Daily clinical use of the NSI has shown it to be an efficient and practical tool to describe the presence of hypernasality. Three distinct follow-up cases are presented to illustrate the impact of a surgical technique, the use of a speech bulb and velopharyngeal biofeedback training on NSI. The implementation of the NSI may help clinicians to quantitatively assess the severity of nasality disorders beside the perceptual judgments.

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“…Van Lierde et al also compared Furlow palatoplasty and the Wardill-Kilner procedure using the nasometry and observed significantly better results in those treated with the Wardill-Kilner procedure [12].…”

Section: Surgical Procedures For Cleft Palate Repairmentioning

confidence: 99%

Surgical Strategy of Cleft Palate Repair and Nasometric Results

Nakamura¹,

Tezuka²

2017

Designing Strategies for Cleft Lip and Palate Care

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The goal of cleft palate (CP) repair is to achieve normal speech. Despite the recent development of surgical repair of cleft palate, there is no standard procedure that ensures patients' speech to the same level as that in noncleft children. In this chapter, we describe our surgical strategy of cleft palate repair that approaches each anatomical and pathological abnormality of cleft palate and the postoperative speech outcomes using the subjective and objective manners. After palate repair based on our surgical strategy, patients' speech was significantly improved, and the nasalance scores were recovered to almost the same levels as those of Japanese children without cleft palate.

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

Cited by 59 publications

References 24 publications

Impact of Early Synchronous Lip and Palatal Repair on Speech

Impact of Early Synchronous Lip and Palatal Repair on Speech

The Nasality Severity Index: An Objective Measure of Hypernasality Based on a Multiparameter Approach

Surgical Strategy of Cleft Palate Repair and Nasometric Results

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