Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate

Morén, Staffan; Lindestad, Per Åke; Holmström, Mats; Mani, Maria

doi:10.1177/1055665618764521

The Cleft Palate Craniofacial Journal

2018

DOI: 10.1177/1055665618764521

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Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate

Staffan Morén

Per Åke Lindestad

Mats Holmström

et al.

Abstract: The voice characteristics among adults treated for UCLP in childhood are not different from those of individuals without cleft.

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Cited by 4 publications

References 52 publications

(107 reference statements)

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Treatment Outcomes of Interdisciplinary Care on Speech and Health-Related Quality of Life Outcomes in Adults With Cleft Palate

Van der Straeten,

Verbeke,

Alighieri

et al. 2023

Am J Speech Lang Pathol

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Purpose: Individuals born with a cleft palate with or without a cleft lip (CP ± L) often experience functional, aesthetic, and psychosocial consequences well into adulthood. This study aimed to investigate outcomes of speech and health-related quality of life (HRQoL) in adults with a CP ± L who received interdisciplinary cleft care at the Ghent University Hospital using valid, reliable, and condition-specific instruments. Method: Thirteen Belgian Dutch-speaking participants with a CP ± L with a mean age of 25.4 years ( SD = 5.1, range: 20–33 years) and an age- and gender-matched control group of 13 participants without a CP ± L with a mean age of 25.2 years ( SD = 4.8, range: 20–32 years) were included in this study. Speech characteristics were evaluated perceptually and instrumentally. HRQoL was assessed through standardized patient-reported outcome measures. Outcomes were compared with those of the control group and to normative data where available. Results: Participants with a CP ± L in this sample demonstrated significantly lower speech acceptability ( p < .001) and higher rates of hypernasality ( p = .015) and nasal turbulence ( p = .005) than the control group. They showed significantly higher satisfaction with appearance of the cleft scar compared with norms of adults with a CP ± L ( p = .047). No other differences in speech characteristics, sociodemographics, or HRQoL were found between participants with and without a CP ± L. Conclusions: The reduced speech acceptability and the presence of resonance and nasal airflow disorders may indicate the need for standardized long-term outcome measurement and interdisciplinary follow-up for speech characteristics and velopharyngeal insufficiency in young and middle adulthood in future clinical practice. Additional research is necessary to further substantiate these findings and to determine predictors for these continuing complications in adults with a CP ± L. Supplemental Material: https://doi.org/10.23641/asha.24243901

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Treatment Outcomes of Interdisciplinary Care on Speech and Health-Related Quality of Life Outcomes in Adults With Cleft Palate

Van der Straeten,

Verbeke,

Alighieri

et al. 2023

Am J Speech Lang Pathol

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Subjective and Objective Evaluation of Speech in Adult Patients with Unrepaired Cleft Palate

Lou

Wang²,

Jiang³

et al. 2022

Journal of Craniofacial Surgery

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To explore the speech outcomes of adult patients through subjective perception evaluation and objective acoustic analysis, and to compare the differences in pronunciation characteristics between speakers with adult patients with unrepaired cleft palate and their non-cleft peers.Participants and Intervention: Subjective evaluation indicators included speech intelligibility, nasality, and consonant missing rate, whereas objective acoustic parameters included normalized vowel formants, voice onset time, and the analysis of threedimensional spectrogram and spectrum, were carried out on speech samples produced by 2 groups of speakers: (a) speakers with unrepaired cleft palate (n = 65, mean age = 25.1 years) and (b) typical speakers (n = 30, mean age = 23.7 years). Results: Compared with typical speakers, individuals with unrepaired cleft palate exhibited a lower speech intelligibility with higher nasality and consonant missing rate, the missing rate is highest for the 6 consonants syllables The acoustic parameters are mainly manifested as differences in vowel formants and voice onset time. Conclusions: The results revealed important acoustical differences between adult patients with unrepaired cleft palate and typical speakers. The trend of spectral deviation may have contributed to the difficulty in producing pressure vowels and aspirated consonants in individuals with speech disorders related to cleft palate.

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Velopharyngeal Insufficiency After Botox Injection for Persistent Bruxism

Evin,

Sifil,

Aghazada

et al. 2023

Journal of Craniofacial Surgery

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Botulinum toxin type-A (BTX-A) injections have emerged as a promising treatment for bruxism and temporomandibular joint (TMJ) disorders. However, there is a need for further exploration of optimal dosage, injection techniques, and intervals to maximize treatment effectiveness. Complications, such as velopharyngeal insufficiency, can occur after BTX-A injections, emphasizing the importance of precautionary measures. The utilization of ultrasound guidance and electromyography assistance can aid in precise injections and minimize the risk of complications. In addition, patients should receive appropriate medication and adhere to post-treatment instructions to alleviate symptoms. Follow-up procedures are essential to monitor potential complications, and in some cases, professional mental health care may be required. Further research is warranted to establish the safety and efficacy of BTX-A injections for the treatment of bruxism and TMJ disorders. This case study presents the development velopharyngeal insufficiency in a patient with chronic bruxism 3 days after receiving a BTX-A injection.

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Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate

Abstract: The voice characteristics among adults treated for UCLP in childhood are not different from those of individuals without cleft.

Cited by 4 publications

References 52 publications

Treatment Outcomes of Interdisciplinary Care on Speech and Health-Related Quality of Life Outcomes in Adults With Cleft Palate

Treatment Outcomes of Interdisciplinary Care on Speech and Health-Related Quality of Life Outcomes in Adults With Cleft Palate

Subjective and Objective Evaluation of Speech in Adult Patients with Unrepaired Cleft Palate

Velopharyngeal Insufficiency After Botox Injection for Persistent Bruxism

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