Speech Outcome and Self-Reported Communicative Ability in Young Adults Born With Unilateral Cleft Lip and Palate: Comparing Long-Term Results After 2 Different Surgical Methods for Palatal Repair
| Autor: | Christina Persson, Petra Peterson, Anette Lohmander, Jill Nyberg, Hans Mark |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Palate
Hard Speech production medicine.medical_specialty Velopharyngeal Insufficiency Pharyngeal flap surgery medicine.medical_treatment Cleft Lip Intelligibility (communication) Audiology 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Speech 030223 otorhinolaryngology Nasality Soft palate business.industry 030206 dentistry Cleft Palate medicine.anatomical_structure Palatoplasty Cross-Sectional Studies Treatment Outcome Otorhinolaryngology Hard palate Self Report Oral Surgery business Articulation (phonetics) |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. 59(6) |
| ISSN: | 1545-1569 |
| Popis: | Objective: To compare speech outcome and self-reported speech and communicative ability (SOK) in young adults treated with one-stage (OS) or two-stage (TS) palatal repair. Furthermore, to compare with normative data on individuals without cleft lip and palate and to study the relationship between patients’ and experts’ judgments. Design: A cross-sectional group comparison study with long-term follow-up. Participants: Patients born with unilateral cleft lip and palate treated at 2 cleft centers; 17 with OS at 14 months and 25 with TS, soft palate repair at 7 months and hard palate repair at 6.2 years. Pharyngeal flap surgery was performed in 53% (OS) and 24% (TS) of patients. Main Outcome Measure(s): Speech characteristics were blindly assessed by speech and language pathologist from audio recordings, SOK at 19 years of age. Results: No group differences were found. Although the occurrence of nasality symptoms was low in both groups, only 60% (OS)/65% (TS) were assessed with competent velopharyngeal function (VPC). Articulation proficiency (percentage of consonants correct [PCC]) was 91%/97%, the /s/-sound specifically 87%/91%. Good intelligibility was found in 91%/87%. Patient opinion was in agreement with norms and significantly associated with intelligibility ( rs = 0.436, P < .01), PCC ( rs = −0.534, P < .01), and correct /s/ ( rs = −0.354, P < .05). Conclusions: No differences in speech outcome were related to operation method. The low prevalence of VPC was not clearly reflected in nasality symptoms. Patient opinion was related to articulation and intelligibility. A higher burden of care in terms of pharyngeal flap surgery was seen after the OS technique. |
| Databáze: | OpenAIRE |
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