Assessment of speech nasality in children with Robin Sequence

Autor: Prado-Oliveira, Rosana, Marques, Ilza Lazarini, Souza, Luiz de, Souza-Brosco, Telma Vidoto de, Dutka, Jeniffer de Cássia Rillo
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: CoDAS, Volume: 27, Issue: 1, Pages: 51-57, Published: FEB 2015
Popis: PURPOSE: To report the outcomes of primary palatoplasty in Robin Sequence (RS); to verify the relationship between modalities of assessment of nasality; to compare nasality between techniques at palatoplasty. METHODS: This study involved the identification of hypernasality in four modalities: live assessment with 4-point scale; live assessment with cul-de-sac test; multiple listeners' ratings of recorded phrase; nasometric assessment. Live ratings of speech nasality and nasalance scores were retrieved from charts, while a recorded phrase was rated by listeners for occurrence of hypernasality. Agreement between the modalities was established as well as association between nasality, nasal turbulence and age at surgery and at assessment. Fisher's exact test was used to compare findings between surgical techniques. RESULTS: Agreement between nasalance, live assessment with 4-point scale, live assessment with cul-de-sac, and multiple listeners' ratings of recorded samples ranged between reasonable (0.32) and perfect (1.00). Percentage occurrence of hypernasality varied largely between assessment modalities. Mean occurrence of hypernasality was lower for the group submitted to Furlow technique (26%) than the group that received von Langenbeck technique (53%). Only findings obtained live were statistically significant (scale: p=0.012; cul-de-sac: p
Databáze: OpenAIRE