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Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad.
Cleft Palate Craniofac J. 2018 11; 55(10):1399-1408.CP

Abstract

OBJECTIVE

To evaluate speech in 5-year-olds with cleft palate with or without cleft lip (CP±L) treated with primary palatal surgery in 1 stage with muscle reconstruction according to Sommerlad at about 12 months of age.

DESIGN

Retrospective study.

SETTING

Primary care university hospital.

PARTICIPANTS

Eight 5-year-olds with cleft soft palate (SP), 22 with cleft soft/hard palate (SHP), 33 with unilateral cleft lip and palate, and 17 with bilateral CLP (BCLP).

MAIN OUTCOME MEASURES

Percent oral consonants correct (POCC), percent consonants correct adjusted for age (PCC-A), percent oral errors, percent nonoral errors, and variables related to velopharyngeal function were analyzed from assessments of audio recordings by 3 independent speech-language pathologists.

RESULTS

The median POCC was 75.4% (range: 22.7%-98.9%), median PCC-A 96.9% (range: 36.9%-100%), median percent oral errors 3.4% (range: 0%-40.7%), and median percent nonoral errors 0% (range: 0%-20%), with significantly poorer results in children with more extensive clefts. The SP group had significantly less occurrence of audible nasal air leakage than the SHP and the BCLP groups. Before age 5 years, 1.3% of the children underwent fistula surgery and 6.3% secondary speech improving surgery. At age 5 years, 15% of the total group was perceived as having incompetent velopharyngeal function.

CONCLUSIONS

Speech was poorer in many children with more extensive clefts. Children with CP±L had poorer speech compared to normative data of peers without CP±L, but the results indicated relatively good speech compared to speech of children with CP±L in previous studies.

Authors+Show Affiliations

1 Department of Specialized Surgery, Skåne University Hospital, Malmö, Sweden.2 Student Health, Vänersborg, Sweden.3 Student Health, Vetlanda, Sweden.1 Department of Specialized Surgery, Skåne University Hospital, Malmö, Sweden.1 Department of Specialized Surgery, Skåne University Hospital, Malmö, Sweden.

Pub Type(s)

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

Language

eng

PubMed ID

29613839

Citation

Klintö, Kristina, et al. "Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 55, no. 10, 2018, pp. 1399-1408.
Klintö K, Falk E, Wilhelmsson S, et al. Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad. Cleft Palate Craniofac J. 2018;55(10):1399-1408.
Klintö, K., Falk, E., Wilhelmsson, S., Schönmeyr, B., & Becker, M. (2018). Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 55(10), 1399-1408. https://doi.org/10.1177/1055665618768541
Klintö K, et al. Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad. Cleft Palate Craniofac J. 2018;55(10):1399-1408. PubMed PMID: 29613839.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad. AU - Klintö,Kristina, AU - Falk,Evelina, AU - Wilhelmsson,Sara, AU - Schönmeyr,Björn, AU - Becker,Magnus, Y1 - 2018/04/03/ PY - 2018/4/4/pubmed PY - 2019/10/28/medline PY - 2018/4/4/entrez KW - cleft palate KW - primary palatal surgery KW - speech SP - 1399 EP - 1408 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 55 IS - 10 N2 - OBJECTIVE: To evaluate speech in 5-year-olds with cleft palate with or without cleft lip (CP±L) treated with primary palatal surgery in 1 stage with muscle reconstruction according to Sommerlad at about 12 months of age. DESIGN: Retrospective study. SETTING: Primary care university hospital. PARTICIPANTS: Eight 5-year-olds with cleft soft palate (SP), 22 with cleft soft/hard palate (SHP), 33 with unilateral cleft lip and palate, and 17 with bilateral CLP (BCLP). MAIN OUTCOME MEASURES: Percent oral consonants correct (POCC), percent consonants correct adjusted for age (PCC-A), percent oral errors, percent nonoral errors, and variables related to velopharyngeal function were analyzed from assessments of audio recordings by 3 independent speech-language pathologists. RESULTS: The median POCC was 75.4% (range: 22.7%-98.9%), median PCC-A 96.9% (range: 36.9%-100%), median percent oral errors 3.4% (range: 0%-40.7%), and median percent nonoral errors 0% (range: 0%-20%), with significantly poorer results in children with more extensive clefts. The SP group had significantly less occurrence of audible nasal air leakage than the SHP and the BCLP groups. Before age 5 years, 1.3% of the children underwent fistula surgery and 6.3% secondary speech improving surgery. At age 5 years, 15% of the total group was perceived as having incompetent velopharyngeal function. CONCLUSIONS: Speech was poorer in many children with more extensive clefts. Children with CP±L had poorer speech compared to normative data of peers without CP±L, but the results indicated relatively good speech compared to speech of children with CP±L in previous studies. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/29613839/Speech_in_5_Year_Olds_With_Cleft_Palate_With_or_Without_Cleft_Lip_Treated_With_Primary_Palatal_Surgery_With_Muscle_Reconstruction_According_to_Sommerlad_ L2 - https://journals.sagepub.com/doi/10.1177/1055665618768541?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -