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Influence of timing of delayed hard palate closure on articulation skills in 3-year-old Danish children with unilateral cleft lip and palate.
Int J Lang Commun Disord. 2018 01; 53(1):130-143.IJ

Abstract

BACKGROUND

Differing results regarding articulation skills in young children with cleft palate (CP) have been reported and often interpreted as a consequence of different surgical protocols.

AIMS

To assess the influence of different timing of hard palate closure in a two-stage procedure on articulation skills in 3-year-olds born with unilateral cleft lip and palate (UCLP). Secondary aims were to compare results with peers without CP, and to investigate if there are gender differences in articulation skills. Furthermore, burden of treatment was to be estimated in terms of secondary surgery, hearing and speech therapy.

METHODS & PROCEDURES

A randomized controlled trial (RCT). Early hard palate closure (EHPC) at 12 months versus late hard palate closure (LHPC) at 36 months in a two-stage procedure was tested in a cohort of 126 Danish-speaking children born with non-syndromic UCLP. All participants had the lip and soft palate closed around 4 months of age. Audio and video recordings of a naming test were available from 113 children (32 girls and 81 boys) and were transcribed phonetically. Recordings were obtained prior to hard palate closure in the LHPC group. The main outcome measures were percentage consonants correct adjusted (PCC-A) and consonant errors from blinded assessments. Results from 36 Danish-speaking children without CP obtained previously by Willadsen in 2012 were used for comparison.

OUTCOMES & RESULTS

Children with EHPC produced significantly more target consonants correctly (83%) than children with LHPC (48%; p < .001). In addition, children with LHPC produced significantly more active cleft speech characteristics than children with EHPC (p < .001). Boys achieved significantly lower PCC-A scores than girls (p = .04) and produced significantly more consonant errors than girls (p = .02). No significant differences were found between groups regarding burden of treatment. The control group performed significantly better than the EHPC and LHPC groups on all compared variables.

Authors+Show Affiliations

University of Copenhagen, Department of Nordic Studies and Linguistics, Njalsgade, Denmark.Copenhagen Cleft Palate Centre, University Hospital of Copenhagen, Hellerup, Denmark.Copenhagen Cleft Palate Centre, University Hospital of Copenhagen, Hellerup, Denmark.Cleft Palate Centre, Aarhus, Denmark.Cleft Palate Centre, Aarhus, Denmark.University of Copenhagen, Department of Nordic Studies and Linguistics, Njalsgade, Denmark.University Hospital of Copenhagen, Copenhagen, Denmark.University Hospital of Copenhagen, Copenhagen, Denmark.Copenhagen Cleft Palate Centre, University Hospital of Copenhagen, Hellerup, Denmark.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

28741729

Citation

Willadsen, Elisabeth, et al. "Influence of Timing of Delayed Hard Palate Closure On Articulation Skills in 3-year-old Danish Children With Unilateral Cleft Lip and Palate." International Journal of Language & Communication Disorders, vol. 53, no. 1, 2018, pp. 130-143.
Willadsen E, Boers M, Schöps A, et al. Influence of timing of delayed hard palate closure on articulation skills in 3-year-old Danish children with unilateral cleft lip and palate. Int J Lang Commun Disord. 2018;53(1):130-143.
Willadsen, E., Boers, M., Schöps, A., Kisling-Møller, M., Nielsen, J. B., Jørgensen, L. D., Andersen, M., Bolund, S., & Andersen, H. S. (2018). Influence of timing of delayed hard palate closure on articulation skills in 3-year-old Danish children with unilateral cleft lip and palate. International Journal of Language & Communication Disorders, 53(1), 130-143. https://doi.org/10.1111/1460-6984.12331
Willadsen E, et al. Influence of Timing of Delayed Hard Palate Closure On Articulation Skills in 3-year-old Danish Children With Unilateral Cleft Lip and Palate. Int J Lang Commun Disord. 2018;53(1):130-143. PubMed PMID: 28741729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of timing of delayed hard palate closure on articulation skills in 3-year-old Danish children with unilateral cleft lip and palate. AU - Willadsen,Elisabeth, AU - Boers,Maria, AU - Schöps,Antje, AU - Kisling-Møller,Mia, AU - Nielsen,Joan Bogh, AU - Jørgensen,Line Dahl, AU - Andersen,Mikael, AU - Bolund,Stig, AU - Andersen,Helene Søgaard, Y1 - 2017/07/25/ PY - 2016/09/01/received PY - 2017/05/09/revised PY - 2017/05/14/accepted PY - 2017/7/26/pubmed PY - 2019/1/29/medline PY - 2017/7/26/entrez KW - articulation KW - cleft speech characteristics KW - developmental speech characteristics KW - gender KW - unilateral cleft lip and palate (UCLP) SP - 130 EP - 143 JF - International journal of language & communication disorders JO - Int J Lang Commun Disord VL - 53 IS - 1 N2 - BACKGROUND: Differing results regarding articulation skills in young children with cleft palate (CP) have been reported and often interpreted as a consequence of different surgical protocols. AIMS: To assess the influence of different timing of hard palate closure in a two-stage procedure on articulation skills in 3-year-olds born with unilateral cleft lip and palate (UCLP). Secondary aims were to compare results with peers without CP, and to investigate if there are gender differences in articulation skills. Furthermore, burden of treatment was to be estimated in terms of secondary surgery, hearing and speech therapy. METHODS & PROCEDURES: A randomized controlled trial (RCT). Early hard palate closure (EHPC) at 12 months versus late hard palate closure (LHPC) at 36 months in a two-stage procedure was tested in a cohort of 126 Danish-speaking children born with non-syndromic UCLP. All participants had the lip and soft palate closed around 4 months of age. Audio and video recordings of a naming test were available from 113 children (32 girls and 81 boys) and were transcribed phonetically. Recordings were obtained prior to hard palate closure in the LHPC group. The main outcome measures were percentage consonants correct adjusted (PCC-A) and consonant errors from blinded assessments. Results from 36 Danish-speaking children without CP obtained previously by Willadsen in 2012 were used for comparison. OUTCOMES & RESULTS: Children with EHPC produced significantly more target consonants correctly (83%) than children with LHPC (48%; p < .001). In addition, children with LHPC produced significantly more active cleft speech characteristics than children with EHPC (p < .001). Boys achieved significantly lower PCC-A scores than girls (p = .04) and produced significantly more consonant errors than girls (p = .02). No significant differences were found between groups regarding burden of treatment. The control group performed significantly better than the EHPC and LHPC groups on all compared variables. SN - 1460-6984 UR - https://www.unboundmedicine.com/medline/citation/28741729/Influence_of_timing_of_delayed_hard_palate_closure_on_articulation_skills_in_3_year_old_Danish_children_with_unilateral_cleft_lip_and_palate_ L2 - https://doi.org/10.1111/1460-6984.12331 DB - PRIME DP - Unbound Medicine ER -