Speech Results with Delayed Hard-Palate Closure In Children with Cleft Lip and Palate.

• Imai Satoko

  Department of Speech-Language Pathology and Audiology, International University of Health and Welfare

• Yamashita Yukari

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

• Suzuki Noriko

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

• Michi Ken-ichi

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

Bibliographic Information

Other Title

• 二段階口蓋形成術における言語成績　　一段階口蓋形成術との比較
• ―一段階口蓋形成術との比較―

Abstract

The purpose of this study was to compare speech results in 18 patients who had undergone delayed hard-palate closure (two-stage operation, TSO) with those in 22 patients who had undergone early complete closure (one-stage operation, OSO) . The average age of the TSO was 1 year 8 months at closure of the soft palate and 5 years 8 months at closure of the hard palate. The TSO patients had worn a palatal plate between the first and second operation to cover the hard palate openings as well as to improve their speech.<BR>At 4 years old, before hardpalate closure, slight nasal escape was observed in many patients. However, at 7 years old, after hardpalate closure, all patients except one exhibited good velopharyngeal function. This finding suggests the nasal escape may be due to leakage of air through clefts in spite of wearing a palatal appliance.<BR>The incidence of articulation disorders in patients undergoing the TSO was 88.9%, whereas that of those undergoing the OSO was 59.1%. Eleven patients of the TSO group had glottal stops, 7 had Japanese lateral misarticulation, 4 had Japanese palatalized misarticulation, and 2 had pharyngeal fricatives. Glottal stops were found to disappear gradually without any speech therapy in tandem with improvement in velopharyngeal function. Eleven patients of the TSO group (61.1%) received speech therapy for articulation disorders.<BR>Good velopharyngeal function was ultimately achieved after hard-palate closure, although the incidence of articulation disorders was high. Thus, the TSO method was seemed to yield the satisfactory speech results.

Journal

• The Japan Journal of Logopedics and Phoniatrics

  The Japan Journal of Logopedics and Phoniatrics 42 (2), 145-155, 2001

  The Japan Society of Logopedics and Phoniatrics

Keywords

• cleft lip and palate
• delayed hard-palate closure (two-stage operation)
• velopharyngeal function
• speech results
• speech management

Details

• CRID: 1390001204899660544
• NII Article ID: 10008579096
• NII Book ID: AN00034826
• DOI: 10.5112/jjlp.42.145
• ISSN: 18843646
• ISSN: 00302813
• Web Site: https://search.jamas.or.jp/link/ui/2001244080
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed