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Speech outcome in young children born with unilateral cleft lip and palate treated with one- or two-stage palatal repair and the impact of early intervention.
Logoped Phoniatr Vocol. 2019 Jul; 44(2):58-66.LP

Abstract

OBJECTIVES

The aim of this study was to describe speech at 1, 1;6 and 3 years of age in children born with unilateral cleft lip and palate (UCLP) and relate the findings to operation method and amount of early intervention received.

METHODS

A prospective trial of children born with UCLP operated with a one-stage (OS) palatal repair at 12 months or a two-stage repair (TS) with soft palate closure at 3-4 months and hard palate closure at 12 months was undertaken (Scandcleft). At 1 and 1;6 years the place and manner of articulation and number of different consonants produced in babbling were reported in 33 children. At three years of age percentage consonants correct adjusted for age (PCC-A) and cleft speech errors were assessed in 26 of the 33 children. Early intervention was not provided as part of the trial but according to the clinical routine and was extracted from patient records.

RESULTS

At age 3, the mean PCC-A was 68% and 46% of the children produced articulation errors with no significant difference between the two groups. At one year there was a significantly higher occurrence of oral stops and anterior place consonants in the TS group. There were significant correlations between the consonant production between one and three years of age, but not with amount of early intervention received.

CONCLUSIONS

The TS method was beneficial for consonant production at age 1, but not shown at 1;6 or 3 years. Behaviourally based early intervention still needs to be evaluated.

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Authors+Show Affiliations

Raud Westberg L
a Functional Area Speech and Language Pathology , Karolinska University Hospital , Stockholm , Sweden. b Department of Reconstructive, Plastic Surgery, Stockholm Craniofacial Team , Karolinska University Hospital , Stockholm , Sweden.
Höglund Santamarta L
c Division of Speech and Language Pathology, Department of Clinical Science , Intervention and Technology, Karolinska Institutet , Stockholm , Sweden. d Speech and Language Pathology Unit , Stockholm Health Care Services, Stockholm County Council , Stockholm , Sweden.
Karlsson J
c Division of Speech and Language Pathology, Department of Clinical Science , Intervention and Technology, Karolinska Institutet , Stockholm , Sweden. d Speech and Language Pathology Unit , Stockholm Health Care Services, Stockholm County Council , Stockholm , Sweden.
Nyberg J
a Functional Area Speech and Language Pathology , Karolinska University Hospital , Stockholm , Sweden. b Department of Reconstructive, Plastic Surgery, Stockholm Craniofacial Team , Karolinska University Hospital , Stockholm , Sweden. c Division of Speech and Language Pathology, Department of Clinical Science , Intervention and Technology, Karolinska Institutet , Stockholm , Sweden.
Neovius E
b Department of Reconstructive, Plastic Surgery, Stockholm Craniofacial Team , Karolinska University Hospital , Stockholm , Sweden. e Department of Molecular Medicine and Surgery , Karolinska Institutet , Stockholm , Sweden.
Lohmander A
a Functional Area Speech and Language Pathology , Karolinska University Hospital , Stockholm , Sweden. b Department of Reconstructive, Plastic Surgery, Stockholm Craniofacial Team , Karolinska University Hospital , Stockholm , Sweden. c Division of Speech and Language Pathology, Department of Clinical Science , Intervention and Technology, Karolinska Institutet , Stockholm , Sweden.

MeSH

Age FactorsArticulation DisordersChild LanguageChild, PreschoolCleft LipCleft PalateEarly Medical InterventionHumansInfantRandomized Controlled Trials as TopicRecovery of FunctionSpeech AcousticsSpeech Production MeasurementTime FactorsTreatment OutcomeVoice Quality

Pub Type(s)

Comparative Study
Journal Article
Observational Study

Language

eng

PubMed ID

29068267

Citation

Raud Westberg, Liisi, et al. "Speech Outcome in Young Children Born With Unilateral Cleft Lip and Palate Treated With One- or Two-stage Palatal Repair and the Impact of Early Intervention." Logopedics, Phoniatrics, Vocology, vol. 44, no. 2, 2019, pp. 58-66.
Raud Westberg L, Höglund Santamarta L, Karlsson J, et al. Speech outcome in young children born with unilateral cleft lip and palate treated with one- or two-stage palatal repair and the impact of early intervention. Logoped Phoniatr Vocol. 2019;44(2):58-66.
Raud Westberg, L., Höglund Santamarta, L., Karlsson, J., Nyberg, J., Neovius, E., & Lohmander, A. (2019). Speech outcome in young children born with unilateral cleft lip and palate treated with one- or two-stage palatal repair and the impact of early intervention. Logopedics, Phoniatrics, Vocology, 44(2), 58-66. https://doi.org/10.1080/14015439.2017.1390606
Raud Westberg L, et al. Speech Outcome in Young Children Born With Unilateral Cleft Lip and Palate Treated With One- or Two-stage Palatal Repair and the Impact of Early Intervention. Logoped Phoniatr Vocol. 2019;44(2):58-66. PubMed PMID: 29068267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Speech outcome in young children born with unilateral cleft lip and palate treated with one- or two-stage palatal repair and the impact of early intervention. AU - Raud Westberg,Liisi, AU - Höglund Santamarta,Lena, AU - Karlsson,Jenny, AU - Nyberg,Jill, AU - Neovius,Erik, AU - Lohmander,Anette, Y1 - 2017/10/25/ PY - 2017/10/27/pubmed PY - 2019/12/18/medline PY - 2017/10/26/entrez KW - Cleft palate KW - early speech KW - intervention KW - longitudinal KW - operation method SP - 58 EP - 66 JF - Logopedics, phoniatrics, vocology JO - Logoped Phoniatr Vocol VL - 44 IS - 2 N2 - OBJECTIVES: The aim of this study was to describe speech at 1, 1;6 and 3 years of age in children born with unilateral cleft lip and palate (UCLP) and relate the findings to operation method and amount of early intervention received. METHODS: A prospective trial of children born with UCLP operated with a one-stage (OS) palatal repair at 12 months or a two-stage repair (TS) with soft palate closure at 3-4 months and hard palate closure at 12 months was undertaken (Scandcleft). At 1 and 1;6 years the place and manner of articulation and number of different consonants produced in babbling were reported in 33 children. At three years of age percentage consonants correct adjusted for age (PCC-A) and cleft speech errors were assessed in 26 of the 33 children. Early intervention was not provided as part of the trial but according to the clinical routine and was extracted from patient records. RESULTS: At age 3, the mean PCC-A was 68% and 46% of the children produced articulation errors with no significant difference between the two groups. At one year there was a significantly higher occurrence of oral stops and anterior place consonants in the TS group. There were significant correlations between the consonant production between one and three years of age, but not with amount of early intervention received. CONCLUSIONS: The TS method was beneficial for consonant production at age 1, but not shown at 1;6 or 3 years. Behaviourally based early intervention still needs to be evaluated. SN - 1651-2022 UR - https://www.unboundmedicine.com/medline/citation/29068267/Speech_outcome_in_young_children_born_with_unilateral_cleft_lip_and_palate_treated_with_one__or_two_stage_palatal_repair_and_the_impact_of_early_intervention_ L2 - https://www.tandfonline.com/doi/full/10.1080/14015439.2017.1390606 DB - PRIME DP - Unbound Medicine ER -