The effect of velopharyngeal insufficiency on voice quality in Estonian Children with Cleft Palate
Autor: | Jette Numa, Lagle Lehes, Priit Kasenõmm, Triin Jagomägi, Linda Sõber, Marika Padrik |
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Rok vydání: | 2020 |
Předmět: |
Estonia
Linguistics and Language medicine.medical_specialty Velopharyngeal Insufficiency Voice Quality Cleft Lip GRBAS scale Audiology 050105 experimental psychology Language and Linguistics 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing Velopharyngeal insufficiency Quality of life medicine Humans 0501 psychology and cognitive sciences Articulation Disorders Child 05 social sciences Dysphonia Pediatric voice Cleft Palate medicine.anatomical_structure Vocal folds Assessment methods Quality of Life 0305 other medical science Psychology |
Zdroj: | Clinical linguisticsphonetics. 35(5) |
ISSN: | 1464-5076 |
Popis: | Most children born with cleft palate (CP) or cleft lip and palate (CL/P) have velopharyngeal insufficiency (VPI), some degree of hypernasal resonance, articulation disorders and laryngeal dysphonia. Combination of different CL/P specific problems may mask laryngeal dysphonia and therefore, it may remain undiagnosed and untreated by clinicians. The research aimed to study the effect of VPI on voice quality in Estonian CL/P children. We included 18 CL/P and 79 healthy children. Combination of objective (Multi-Dimensional Voice Program (MDVP)) and subjective (Pediatric Voice Handicap Index (pVHI), GRBAS scale, video-nasoendoscopy (VNE), video-laryngostroboscopy (VLS)) assessment methods were assisted and performed by our multidisciplinary cleft teams. We found that (1) overall quality of life is greatly affected by voice, resonance and articulation disorders in CL/P group, (2) more than half of the CL/P children had morphological changes of the vocal folds, (3) the severity of VPI did not result in worse outcomes of acoustic parameters of voice. |
Databáze: | OpenAIRE |
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