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A longitudinal study of speech production in Swedish children with unilateral cleft lip and palate and two-stage palatal repair.
Cleft Palate Craniofac J. 2008 Jan; 45(1):32-41.CP

Abstract

OBJECTIVE

To describe speech production longitudinally in a group of children with unilateral cleft lip and palate (UCLP).

PARTICIPANTS

Twenty consecutive children with UCLP and nine age-matched children without clefts in a comparison group.

INTERVENTION

A two-stage palatal repair procedure with soft palate closure at 6 months and hard palate repair at 3 to 4 years.

MAIN OUTCOME MEASURES

Percent correct consonants (PCC), percent correct places (PCP), and percent correct manners (PCM) at 3, 5, and 7 years of age. Cleft speech errors at the same ages. Previously collected data on number of consonant tokens, consonant types, frequency of occurrence of places and manners of articulation at 18 months.

RESULTS

PCC and PCP were significantly lower in the UCLP group than in the comparison group at all ages. Number of consonant types and frequency of occurrence of dental plosives at 18 months correlated significantly with PCC at age 3. A high frequency of velar plosives at 18 months correlated significantly with a high prevalence of retracted oral articulation (dental/alveolar to palatal or velar) at both 3 and 5 years of age.

CONCLUSIONS

The UCLP group performed worse than the comparison group at all ages. A high occurrence of dental plosives as well as a high number of consonant types in babbling and first words seem to be good indicators for better consonant production in later speech. The same prevalence of retracted oral articulation as in previous studies is attributed to the surgical technique.

Authors+Show Affiliations

Speech and Language Pathology Unit, Institute of Neuroscience and Physiology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden. anette.lohmander@neuro.gu.seNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18215097

Citation

Lohmander, Anette, and Christina Persson. "A Longitudinal Study of Speech Production in Swedish Children With Unilateral Cleft Lip and Palate and Two-stage Palatal Repair." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 45, no. 1, 2008, pp. 32-41.
Lohmander A, Persson C. A longitudinal study of speech production in Swedish children with unilateral cleft lip and palate and two-stage palatal repair. Cleft Palate Craniofac J. 2008;45(1):32-41.
Lohmander, A., & Persson, C. (2008). A longitudinal study of speech production in Swedish children with unilateral cleft lip and palate and two-stage palatal repair. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 45(1), 32-41. https://doi.org/10.1597/06-123.1
Lohmander A, Persson C. A Longitudinal Study of Speech Production in Swedish Children With Unilateral Cleft Lip and Palate and Two-stage Palatal Repair. Cleft Palate Craniofac J. 2008;45(1):32-41. PubMed PMID: 18215097.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A longitudinal study of speech production in Swedish children with unilateral cleft lip and palate and two-stage palatal repair. AU - Lohmander,Anette, AU - Persson,Christina, PY - 2008/1/25/pubmed PY - 2008/3/26/medline PY - 2008/1/25/entrez SP - 32 EP - 41 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 45 IS - 1 N2 - OBJECTIVE: To describe speech production longitudinally in a group of children with unilateral cleft lip and palate (UCLP). PARTICIPANTS: Twenty consecutive children with UCLP and nine age-matched children without clefts in a comparison group. INTERVENTION: A two-stage palatal repair procedure with soft palate closure at 6 months and hard palate repair at 3 to 4 years. MAIN OUTCOME MEASURES: Percent correct consonants (PCC), percent correct places (PCP), and percent correct manners (PCM) at 3, 5, and 7 years of age. Cleft speech errors at the same ages. Previously collected data on number of consonant tokens, consonant types, frequency of occurrence of places and manners of articulation at 18 months. RESULTS: PCC and PCP were significantly lower in the UCLP group than in the comparison group at all ages. Number of consonant types and frequency of occurrence of dental plosives at 18 months correlated significantly with PCC at age 3. A high frequency of velar plosives at 18 months correlated significantly with a high prevalence of retracted oral articulation (dental/alveolar to palatal or velar) at both 3 and 5 years of age. CONCLUSIONS: The UCLP group performed worse than the comparison group at all ages. A high occurrence of dental plosives as well as a high number of consonant types in babbling and first words seem to be good indicators for better consonant production in later speech. The same prevalence of retracted oral articulation as in previous studies is attributed to the surgical technique. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/18215097/A_longitudinal_study_of_speech_production_in_Swedish_children_with_unilateral_cleft_lip_and_palate_and_two_stage_palatal_repair_ L2 - https://journals.sagepub.com/doi/10.1597/06-123.1?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -