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Phonology in Swedish-speaking 3-year-olds born with unilateral cleft lip and palate treated with palatal closure in one or two stages.
J Plast Surg Hand Surg. 2017 Apr; 51(2):112-117.JP

Abstract

BACKGROUND

Phonological disorders are common in 3-year-olds born with cleft palate compared to non-cleft peers. However, published results have been based on small samples. The purpose was to expand the knowledge on phonology of Swedish-speaking 3-year-olds with unilateral cleft lip and palate (UCLP), treated with primary palatal closure in one or two stages.

METHODS

The phonology of 26 children with UCLP was assessed with percentage consonants correct adjusted for age (PCC-A) and number of consistent phonological simplification processes (NCP) at age 3. Fifteen of the children were treated with minimal incision technique in one stage (OS) at 13 months and 11 with a two-stage closure (TS) with soft palate repair at 4 months and hard palate repair at 12 months. Their results were compared and then merged with previously obtained data from 10 children treated with OS and nine children treated with TS. Finally, the merged results were compared with those of 20 peers without UCLP.

RESULTS

No significant differences between the first two groups were found. In the merged results, NCP in the OS group was significantly lower than in the TS group. The UCLP group displayed significantly poorer results on PCC-A and NCP than peers without UCLP.

CONCLUSION

Surgical procedure did not have a clear impact on phonology at age 3 years. Since children with UCLP are at risk of having impaired phonology at age 3, the results confirm the necessity of having both a phonological and articulatory approach when assessing and treating children born with cleft palate.

Authors+Show Affiliations

a Department of Otorhinolaryngology , Skåne University Hospital , Malmö , Sweden.b Division of Speech and Language Pathology, Department of Clinical Intervention and Technology , Karolinska Institutet , Stockholm , Sweden.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

27309960

Citation

Klintö, Kristina, and Anette Lohmander. "Phonology in Swedish-speaking 3-year-olds Born With Unilateral Cleft Lip and Palate Treated With Palatal Closure in One or Two Stages." Journal of Plastic Surgery and Hand Surgery, vol. 51, no. 2, 2017, pp. 112-117.
Klintö K, Lohmander A. Phonology in Swedish-speaking 3-year-olds born with unilateral cleft lip and palate treated with palatal closure in one or two stages. J Plast Surg Hand Surg. 2017;51(2):112-117.
Klintö, K., & Lohmander, A. (2017). Phonology in Swedish-speaking 3-year-olds born with unilateral cleft lip and palate treated with palatal closure in one or two stages. Journal of Plastic Surgery and Hand Surgery, 51(2), 112-117. https://doi.org/10.1080/2000656X.2016.1194280
Klintö K, Lohmander A. Phonology in Swedish-speaking 3-year-olds Born With Unilateral Cleft Lip and Palate Treated With Palatal Closure in One or Two Stages. J Plast Surg Hand Surg. 2017;51(2):112-117. PubMed PMID: 27309960.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Phonology in Swedish-speaking 3-year-olds born with unilateral cleft lip and palate treated with palatal closure in one or two stages. AU - Klintö,Kristina, AU - Lohmander,Anette, Y1 - 2016/06/16/ PY - 2016/6/17/pubmed PY - 2017/12/29/medline PY - 2016/6/17/entrez KW - Articulation KW - phonology KW - primary palatal surgery KW - unilateral cleft lip and palate SP - 112 EP - 117 JF - Journal of plastic surgery and hand surgery JO - J Plast Surg Hand Surg VL - 51 IS - 2 N2 - BACKGROUND: Phonological disorders are common in 3-year-olds born with cleft palate compared to non-cleft peers. However, published results have been based on small samples. The purpose was to expand the knowledge on phonology of Swedish-speaking 3-year-olds with unilateral cleft lip and palate (UCLP), treated with primary palatal closure in one or two stages. METHODS: The phonology of 26 children with UCLP was assessed with percentage consonants correct adjusted for age (PCC-A) and number of consistent phonological simplification processes (NCP) at age 3. Fifteen of the children were treated with minimal incision technique in one stage (OS) at 13 months and 11 with a two-stage closure (TS) with soft palate repair at 4 months and hard palate repair at 12 months. Their results were compared and then merged with previously obtained data from 10 children treated with OS and nine children treated with TS. Finally, the merged results were compared with those of 20 peers without UCLP. RESULTS: No significant differences between the first two groups were found. In the merged results, NCP in the OS group was significantly lower than in the TS group. The UCLP group displayed significantly poorer results on PCC-A and NCP than peers without UCLP. CONCLUSION: Surgical procedure did not have a clear impact on phonology at age 3 years. Since children with UCLP are at risk of having impaired phonology at age 3, the results confirm the necessity of having both a phonological and articulatory approach when assessing and treating children born with cleft palate. SN - 2000-6764 UR - https://www.unboundmedicine.com/medline/citation/27309960/Phonology_in_Swedish_speaking_3_year_olds_born_with_unilateral_cleft_lip_and_palate_treated_with_palatal_closure_in_one_or_two_stages_ L2 - https://www.tandfonline.com/doi/full/10.1080/2000656X.2016.1194280 DB - PRIME DP - Unbound Medicine ER -