Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 5. Speech outcomes in 5-year-olds - consonant proficiency and errors

Autor:	Gunvor Semb, Berit Emborg, Christina Havstam, Nina Helen Pedersen, Christina Persson, Jill Nyberg, Suvi Alaluusua, Maria Lundberg, Therese Rasmussen, Gunilla Henningsson, Sigvor Reisæter, Anette Lohmander, Inger Lundeborg, Melanie Bowden, Julie Davies, Elina Hölttä, Inger Beate Tørdal, Eilish McAleer, Marjukka Paaso, Lillian Kjøll, Antje Schöps, Elisabeth Willadsen, Maria Boers, Ragnhild Aukner, Mia Kisling-Møller, Anders Holmefjord, Anja Bau, Helene Søgaard Andersen, Christine Hayden
Rok vydání:	2017
Předmět:	Male Consonant medicine.medical_specialty Internationality Time Factors Cleft Lip Speech Therapy 030230 surgery Burden of care Speech Disorders Statistics Nonparametric 03 medical and health sciences 0302 clinical medicine Speech Production Measurement medicine Humans Articulation Disorders Randomized Controlled Trials as Topic business.industry Outcome measures Infant Recovery of Function 030206 dentistry Plastic Surgery Procedures Surgery Cleft Palate Clinical trial Treatment Outcome medicine.anatomical_structure Child Preschool Cohort Female Hard palate Articulation (phonetics) business Follow-Up Studies
Zdroj:	Journal of Plastic Surgery and Hand Surgery. 51:38-51
ISSN:	2000-6764 2000-656X
DOI:	10.1080/2000656x.2016.1254647
Popis:	Normal articulation before school start is a main objective in cleft palate treatment. The aim was to investigate if differences exist in consonant proficiency at age 5 years between children with unilateral cleft lip and palate (UCLP) randomised to different surgical protocols for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy.Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Norway, Sweden, and the UK.Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with non-syndromic UCLP. Speech audio- and video-recordings of 391 children (136 girls and 255 boys) were available and transcribed phonetically. The main outcome measure was Percent Consonants Correct (PCC) from blinded assessments.In Trial 1, arm A showed statistically significant higher PCC scores (82%) than arm B (78%) (p = .045). No significant differences were found between prevalences in Trial 2, A: 79%, C: 82%; or Trial 3, A: 80%, D: 85%. Across all trials, girls achieved better PCC scores, excluding s-errors, than boys (91.0% and 87.5%, respectively) (p = .01).PCC scores were higher in arm A than B in Trial 1, whereas no differences were found between arms in Trials 2 or 3. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.ISRCTN29932826.
Databáze:	OpenAIRE
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