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Speech development in patients with unilateral cleft lip and palate treated with different delays in closure of the hard palate after early velar repair: a longitudinal perspective.

Journal article
Authors Anette Lohmander
Hans Friede
Anna Elander
Christina Persson
Jan Lilja
Published in Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi
Volume 40
Issue 5
Pages 267-74
ISSN 0284-4311
Publication year 2006
Published at Institute of Odontology
Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Institute of Clinical Sciences
Pages 267-74
Language en
Links dx.doi.org/10.1080/0284431060097362...
Keywords Age Factors, Articulation Disorders, physiopathology, Child, Child, Preschool, Cleft Lip, physiopathology, surgery, Cleft Palate, physiopathology, surgery, Humans, Infant, Longitudinal Studies, Palate, surgery, Speech Intelligibility, physiology, Speech Production Measurement, Time Factors
Subject categories Plastic surgery, Orthodontics, Logopedics and phoniatrics

Abstract

We wanted to find out if different timing of delayed repair of the hard palate in a two-stage procedure had an impact on the speech of 26 patients with unilateral cleft lip and palate (UCLP). The soft palate was closed at the age of 7 months and the hard palate between 38 and 89 months of age. Speech audio recordings at the age of 3 years (baseline, before any repair of the hard palate) and at the ages of 5, 7, and 10 years (the latter obtained at least one year after closure) were analysed. We used standardised speech assessments at routine follow-up and assessment by one external listener. The prevalence of speech errors caused by the cleft was similar to those described in previous reports from our centre in which hard palate repair was delayed. Unexpectedly, the results showed no difference in speech production related to timing of hard palate repair, except for nasal air leakage at the age of 7 years.

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