A case series of wind instrument players with cleft lip and/or palate.

Autor: van der Weijden FN; Department of Orthodontics, Academic Centre of Dentistry, Amsterdam, Netherlands. fawnvanderweijden@gmail.com., Hazenberg CJM; Dentist and Professional Trumpet Player, Oss, Netherlands., van der Kaaij NCW; Department of Orthodontics, Academic Centre of Dentistry, Amsterdam, Netherlands., Kuitert RB; Orthodontist, Orthodontic Practice 'Northo', Gare du Nord 1, 1022 LD Amsterdam, Netherlands.
Jazyk: angličtina
Zdroj: British dental journal [Br Dent J] 2023 Feb; Vol. 234 (4), pp. 223-231. Date of Electronic Publication: 2023 Feb 24.
DOI: 10.1038/s41415-023-5510-9
Abstrakt: It might be more difficult for patients with cleft lip and/or palate (CL/P) to generate sufficient muscle tension of the upper lip and intraoral air pressure to play a wind instrument. We aimed to explore and describe the key aspects of wind instrument playing with a repaired cleft. An in-depth interview was conducted among ten patients with CL/P and one with a functionally comparable problem and we found that: individuals with CL/P can achieve a professional level on a wind instrument; the oboe and trumpet may be less suitable for patients with CL/P because of the high lip muscle tension and intraoral air pressure that must be generated; air leakage through a fistula, unrepaired alveolus or velopharyngeal insufficiency can be troublesome; and for people with CL/P, a brass instrument with a large mouthpiece is easier than a small mouthpiece. While dentists, doctors and music teachers should discuss the probability that wind instrument playing might be more difficult for patients with CL/P, they should not discourage it.
(© 2023. The Author(s), under exclusive licence to the British Dental Association.)
Databáze: MEDLINE
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