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Speech outcome in complete unilateral cleft lip and palate - a comparison of three methods of the hard palate closure.
J Oral Rehabil. 2014 Nov; 41(11):809-15.JO

Abstract

The aim of this study was to compare the speech in subjects with cleft lip and palate, in whom three methods of the hard palate closure were used. One hundred and thirty-seven children (96 boys, 41 girls; mean age = 12 years, SD = 1·2) with complete unilateral cleft lip and palate (CUCLP) operated by a single surgeon with a one-stage method were evaluated. The management of the cleft lip and soft palate was comparable in all subjects; for hard palate repair, three different methods were used: bilateral von Langenbeck closure (b-vL group, n = 39), unilateral von Langenbeck closure (u-vL group, n = 56) and vomerplasty (v-p group, n = 42). Speech was assessed: (i) perceptually for the presence of a) hypernasality, b) compensatory articulations (CAs), c) audible nasal air emissions (ANE) and d) speech intelligibility; (ii) for the presence of compensatory facial grimacing, (iii) with clinical intra-oral evaluation and (iv) with videonasendoscopy. A total rate of hypernasality requiring pharyngoplasty was 5·1%; total incidence post-oral compensatory articulations (CAs) was 2·2%. The overall speech intelligibility was good in 84·7% of cases. Oronasal fistulas (ONFs) occurred in 15·7% b-vL subjects, 7·1% u-vL subjects and 50% v-p subjects (P < 0·001). No statistically significant intergroup differences for hypernasality, CAs and intelligibility were found (P > 0·1). In conclusion, the speech after early one-stage repair of CUCLP was satisfactory. The method of hard palate repair affected the incidence of ONFs, which, however, caused relatively mild and inconsistent speech errors.

Authors+Show Affiliations

Laboratory of Speech Pathology and Upper Airway Endoscopy, Institute of Mother and Child, Warsaw, Poland; Department of Otolaryngology and Maxillofacial Surgery, Universitary Clinical Hospital, Olsztyn, Poland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24954716

Citation

Hortis-Dzierzbicka, M, et al. "Speech Outcome in Complete Unilateral Cleft Lip and Palate - a Comparison of Three Methods of the Hard Palate Closure." Journal of Oral Rehabilitation, vol. 41, no. 11, 2014, pp. 809-15.
Hortis-Dzierzbicka M, Radkowska E, Stecko E, et al. Speech outcome in complete unilateral cleft lip and palate - a comparison of three methods of the hard palate closure. J Oral Rehabil. 2014;41(11):809-15.
Hortis-Dzierzbicka, M., Radkowska, E., Stecko, E., Dudzinski, L., & Fudalej, P. S. (2014). Speech outcome in complete unilateral cleft lip and palate - a comparison of three methods of the hard palate closure. Journal of Oral Rehabilitation, 41(11), 809-15. https://doi.org/10.1111/joor.12204
Hortis-Dzierzbicka M, et al. Speech Outcome in Complete Unilateral Cleft Lip and Palate - a Comparison of Three Methods of the Hard Palate Closure. J Oral Rehabil. 2014;41(11):809-15. PubMed PMID: 24954716.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Speech outcome in complete unilateral cleft lip and palate - a comparison of three methods of the hard palate closure. AU - Hortis-Dzierzbicka,M, AU - Radkowska,E, AU - Stecko,E, AU - Dudzinski,L, AU - Fudalej,P S, Y1 - 2014/06/23/ PY - 2014/05/29/accepted PY - 2014/6/24/entrez PY - 2014/6/24/pubmed PY - 2015/6/16/medline KW - articulation disorder KW - cleft lip KW - cleft palate KW - speech SP - 809 EP - 15 JF - Journal of oral rehabilitation JO - J Oral Rehabil VL - 41 IS - 11 N2 - The aim of this study was to compare the speech in subjects with cleft lip and palate, in whom three methods of the hard palate closure were used. One hundred and thirty-seven children (96 boys, 41 girls; mean age = 12 years, SD = 1·2) with complete unilateral cleft lip and palate (CUCLP) operated by a single surgeon with a one-stage method were evaluated. The management of the cleft lip and soft palate was comparable in all subjects; for hard palate repair, three different methods were used: bilateral von Langenbeck closure (b-vL group, n = 39), unilateral von Langenbeck closure (u-vL group, n = 56) and vomerplasty (v-p group, n = 42). Speech was assessed: (i) perceptually for the presence of a) hypernasality, b) compensatory articulations (CAs), c) audible nasal air emissions (ANE) and d) speech intelligibility; (ii) for the presence of compensatory facial grimacing, (iii) with clinical intra-oral evaluation and (iv) with videonasendoscopy. A total rate of hypernasality requiring pharyngoplasty was 5·1%; total incidence post-oral compensatory articulations (CAs) was 2·2%. The overall speech intelligibility was good in 84·7% of cases. Oronasal fistulas (ONFs) occurred in 15·7% b-vL subjects, 7·1% u-vL subjects and 50% v-p subjects (P < 0·001). No statistically significant intergroup differences for hypernasality, CAs and intelligibility were found (P > 0·1). In conclusion, the speech after early one-stage repair of CUCLP was satisfactory. The method of hard palate repair affected the incidence of ONFs, which, however, caused relatively mild and inconsistent speech errors. SN - 1365-2842 UR - https://www.unboundmedicine.com/medline/citation/24954716/Speech_outcome_in_complete_unilateral_cleft_lip_and_palate___a_comparison_of_three_methods_of_the_hard_palate_closure_ L2 - https://doi.org/10.1111/joor.12204 DB - PRIME DP - Unbound Medicine ER -