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KMID : 1036820140190030391
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Communication Sciences & Disorders
2014 Volume.19 No. 3 p.391 ~ p.401
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Speech Outcomes of Children with Cleft Palate Following Primary Palatal Surgery: A Retrospective Study
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Ha Seung-Hee
jung Seung-Eun
Moon Hee-Won
Koh Kyung-Suk
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Abstract
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Objectives: This study aimed to investigate speech outcomes in a group of Korean children with cleft lip and/or palate following primary palatal surgery and to explore the relationship between cleft type and speech outcomes.
Methods: The participants included 302 children with cleft palate who underwent primary palatal surgery between 2007 and 2012 and were seen for routine follow-up speech screening tests until 36 months of age. Retrospective analysis was performed using clinical records from the 36-month evaluation. General demographic information and data on cleft type, age of surgery, and other concomitant difficulties were obtained. Also, the following data were investigated: percent of children requiring secondary palatal surgery, percent who were enrolled in speech therapy, percent demonstrating significant hypernasality, percent indicating significant articulatory deficit, and percent demonstrating compensatory misarticulations.
Results: Approximately 17% of the children had received secondary palatal surgery for velopharyngeal insufficiency and 48% of the children were enrolled in speech therapy. Chi-square analyses showed significant relationships between cleft type and variables on speech outcomes. Children with cleft lip and palate tended to show more significant hypernasality and articulatory deficits than children with cleft palate only.
Conclusion: This study suggested that the majority of children with cleft palate demonstrated speech problems that require direct speech therapy. This study highlighted the importance of follow-up speech tests and speech intervention programs for children with cleft palate.
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KEYWORD
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Cleft palate, Speech outcomes, Cleft type, Primary palatal surgery
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