A Profile of the Features and Speech in Patients With Mandibulofacial Dysostosis
| Autor: | Linda D. Vallino-Napoli |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Male
Velopharyngeal Insufficiency Hearing Loss Conductive Audiology Dental Occlusion Tracheostomy 0302 clinical medicine Velopharyngeal insufficiency Hearing Prospective Studies Child 030223 otorhinolaryngology Prospective cohort study Dental occlusion Open Bite Cleft Palate Child Preschool Female Oral Surgery medicine.symptom Articulation (phonetics) Adult medicine.medical_specialty Adolescent Voice Quality Hearing loss Speech Disorders 03 medical and health sciences Phonation medicine Humans Speech Articulation Disorders Hearing Loss Retrospective Studies Voice Disorders business.industry Infant Retrospective cohort study 030206 dentistry medicine.disease Cross-Sectional Studies Otorhinolaryngology Face Voice business Treacher Collins syndrome Malocclusion Mandibulofacial Dysostosis |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 39:623-634 |
| ISSN: | 1545-1569 1055-6656 |
| DOI: | 10.1597/1545-1569(2002)039<0623:apotfa>2.0.co;2 |
| Popis: | Purpose To present a profile of the features and speech in patients with mandibulofacial dysostosis (MFD). Data were collected on occlusion, palatal condition, hearing, resonance, voice, and articulation. Patients Thirty patients with MFD ranging in age from 1.6 to 21.0 years. Study Design Retrospective and prospective cross-sectional designs. Setting Pediatric tertiary care hospital. Results Sixty percent of the patients had an open bite. Isolated cleft palate was found in 37% with other types of cleft conditions occurring less frequently. Twenty-three percent underwent tracheostomy. All patients demonstrated hearing loss, 93% were conductive and 7% were mixed. Resonance, voice, and articulation were also affected. Seventy-seven percent had aberrant resonance including hypernasality, hyponasality, mixed hyper- and hyponasality or muffled resonance, which was found in 40% of the patients. Voice quality was abnormal in 63%. All patients had articulation errors. Although overlap between categories occurred, results showed that 60% had errors related to malocclusion, 30% demonstrated errors usually associated with velopharyngeal inadequacy and 50% had general articulatory or phonological errors that could be attributed to other causes. Conclusions The features and speech of patients with MFD are complex. The speech disorders may have multiple overlapping etiologies that require careful differential diagnosis. This is imperative to establish appropriate treatment regimens and evaluate clinical outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|