A retrospective analysis of factors affecting speech production in school-aged children with cleft palate (+- cleft lip).

Autor: Hashemi Hosseinabad H; Department of Audiology and Speech-Language Pathology, College of Health and Public Service, University of North Texas, Denton, TX, USA. Electronic address: Hedieh.hashemihosseinabad@unt.edu., Xing Y; Department of Advanced Data Analytics, Toulouse Graduate School, University of North Texas, Denton, TX, USA., Kemp M; Speech Language Pathologist, International Craniofacial Institute, Sage Plastic Surgery, Dallas, TX, USA.
Jazyk: angličtina
Zdroj: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2024 Jul; Vol. 182, pp. 112029. Date of Electronic Publication: 2024 Jul 04.
DOI: 10.1016/j.ijporl.2024.112029
Abstrakt: Objective: The present investigation examined how factors such as cleft type, age of primary palatal surgery, diagnosed syndromes, hearing problems, and malocclusions could predict persistent speech difficulties and the need for speech services in school-aged children with cleft palate.
Methods: Participants included 100 school-aged children with cleft palate. Americleft speech protocol was used to assess the perceptual aspects of speech production. The logistic regression was performed to evaluate the impact of independent variables (IV) on the dependent variables (DV): intelligibility, posterior oral CSCs, audible nasal emission, hypernasality, anterior oral CSCs, and speech therapy required.
Results: Sixty-five percent of the children were enrolled in (or had received) speech therapy. The logistic regression model shows a good fit to the data for the need for speech therapy (Hosmer and Lemeshow's χ 2 (8)=9.647,p=.291). No IVs were found to have a significant impact on the need for speech therapy. A diagnosed syndrome was associated with poorer intelligibility (Pulkstenis-Robinson's χ 2 (11)=7.120,p=.789). Children with diagnosed syndromes have about six times the odds of a higher hypernasality rating (Odds Ratio = 5.703) than others. The cleft type was significantly associated with audible nasal emission (Fisher'sexactp=.006). At the same time, malocclusion had a significant association with anterior oral CSCs (Fisher'sexactp=.005).
Conclusions: According to the latest data in the Cleft Registry and Audit Network Annual Report for the UK, the majority of children with cleft palate attain typical speech by age five. However, it is crucial to delve into the factors that may influence the continuation of speech disorders beyond this age. This understanding is vital for formulating intervention strategies aimed at mitigating the long-term effects of speech disorders as individuals grow older.
Competing Interests: Declaration of competing interest There's no financial/personal interest or belief that could affect the objectivity of this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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