Speech in 7- and 10-year-olds born with a unilateral cleft lip and palate: a continued prospective Swedish intercentre study.

Autor: Havstam C; Department of Otorhinolaryngology, Speech and Language Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Speech and Language Pathology Unit, Sahlgrenska Academy, University of Gothenburg, Sweden. christina.havstam@vgregion.se., Brunnegård K; Department of Clinical Sciences, Speech and Language Pathology, Umeå University, Sweden., Hagberg E; Medical Unit Speech and Language Pathology and Stockholm Craniofacial Team, Karolinska University Hospital, Stockholm, Sweden; Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden., Nelli C; Speech and Language Pathology Unit, Otorhinolaryngology Clinic, University Hospital Linköping, Sweden., Okhiria Å; Department of Surgical Sciences, Plastic Surgery, Uppsala University, Uppsala, Sweden., Klintö K; Division of Speech Language Pathology, Department of Otorhinolaryngology, Skåne University Hospital, Malmö, Sweden; Division of Speech Language Pathology, Phoniatrics and Audiology, Department of Clinical Sciences in Lund, Lund University, Sweden.
Jazyk: angličtina
Zdroj: Journal of plastic surgery and hand surgery [J Plast Surg Hand Surg] 2023 Dec 18; Vol. 58, pp. 149-154. Date of Electronic Publication: 2023 Dec 18.
DOI: 10.2340/jphs.v58.15766
Abstrakt: The aim of this study was to report longitudinal speech results in consecutively selected children from each of the six cleft centres in Sweden and to compare the results between centres. The children were born with a non-syndromic unilateral cleft lip and palate, and results from the same cohort at 5 years of age have previously been reported. Background data on medical care in terms of surgery, speech therapy, and hearing between 5 and 10 years of age were collected. Speech recordings of 56 children at 7 years and 54 at 10 years of age were blindly and independently assessed by four speech-language pathologists experienced in cleft palate speech. This resulted in measures of percent consonant correct (PCC) and perceived velopharyngeal competence rated on a three-tier scale. No statistically significant differences were found between centres. PCC scores at 7 years of age ranged from 44-100% (median 97.5) and at 10 years of age from 86-100% (median 100). Competent or marginally incompetent velopharyngeal function was found in 95% of the 7-year-olds and 98% of the 10-year-olds. Speech results were slightly better than previous reports of speech in children born with a unilateral cleft lip and palate.
Databáze: MEDLINE
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