Orofacial Function, Articulation Proficiency, and Intelligibility in 5-Year-Old Children Born With Cleft Lip and Palate

2018 ◽  
Vol 56 (3) ◽  
pp. 321-330 ◽  
Author(s):  
Ann Malmenholt ◽  
Anita McAllister ◽  
Anette Lohmander
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Adopted Children ◽  
Parent Ratings ◽  
Phonetic Transcription ◽  
Orofacial Dysfunction ◽  
Internationally Adopted Children ◽  
Age Appropriate ◽  
Speech And Language Pathologists ◽  
Orofacial Function

Objective: To explore and describe orofacial function in 5-year-old children born with clefts affecting the palate and to investigate potential relationship with articulation proficiency and intelligibility. Design: A prospective cohort study of 88 consecutive patients born with cleft lip and palate (CLP) between July 2009 and June 2011. Participants: Excluding internationally adopted children and children with no speech production resulted in 52 children with different cleft types and additional malformations, examined at age 5. Data on orofacial function were available for 43 children. Outcome Measures: Screening of orofacial function resulted in a profile and a total score, narrow phonetic transcription of test consonants produced a percentage of consonants correct (PCC) score, and ratings of intelligibility by speech and language pathologists (SLPs) and by parents gave 2 estimates. Inter- and intra-transcriber agreement was calculated. Results: Orofacial dysfunction was found in 37% of children, with results not significantly different between cleft types but significantly more frequent than in children born without CLP. Age-appropriate articulation proficiency was found in 39%, 49% presented below −2 standard deviations. Just above 50% had good intelligibility and were always understood by different communication partners according to both SLP and parent ratings. No significant correlation was found between orofacial dysfunction and PCC or intelligibility. Conclusions: Orofacial dysfunction was not found to be an explanatory factor for speech outcome in children born with CLP.

scholarly journals Surgical, speech, and hearing outcomes at five years of age in internationally adopted children and Swedish-born children with cleft lip and/or palate

2019 ◽  
Vol 54 (1) ◽  
pp. 6-13
Author(s):  
Johnna Sahlsten Schölin ◽  
Åsa Jonasson ◽  
Jessica Axelsson ◽  
Christina Havstam ◽  
Christina Persson ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Adopted Children ◽  
Internationally Adopted Children ◽  
Hearing Outcomes ◽  
Internationally Adopted

Internationally Adopted Children With Unilateral Cleft Lip and Palate—Consonant Proficiency and Perceived Velopharyngeal Competence at the Age of 5

2020 ◽  
Vol 57 (7) ◽  
pp. 849-859 ◽  
Author(s):  
AnnaKarin Larsson ◽  
Carmela Miniscalco ◽  
Hans Mark ◽  
Johnna Sahlsten Schölin ◽  
Radi Jönsson ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Tertiary Hospital ◽  
Speech Disorders ◽  
Adopted Children ◽  
Daily Lives ◽  
Speech Characteristics ◽  
The Impact ◽  
Percentage Correct ◽  
Internationally Adopted

Objective: To compare consonant proficiency, consonant errors, and the perceived velopharyngeal (VP) competence in internationally adopted (IA) children with unilateral cleft lip and palate (UCLP) and nonadopted (NA) children with the same cleft–palate type at age 5. Design: Case–control study based on phonetic transcriptions of standardized speech recordings of 5-year-olds at a tertiary hospital. Participants: Twenty-five IA children were compared to 20 NA children. All consecutive patients at a cleft lip and palate center participated. Main Outcome Measure(s): Consonant proficiency was measured using percentage consonants correct, percentage consonants correct–adjusted for age, percentage correct place, percentage correct manner, and consonant inventory. Cleft speech characteristics (CSCs), developmental speech characteristics (DSCs), and the perceived VP competence were also measured. Results: The IA children had significantly lower values for all consonant proficiency variables ( p < .05) and a smaller consonant inventory ( p = .001) compared to the NA children. The IA children had a higher frequency of CSCs (IA = 84%, NA = 50%, p < .05) and DSCs (IA = 92%, NA = 65%, p = .057), and twice as many IA children as NA children had perceived VP incompetence (IA = 52%, NA = 25%, p = .17). Conclusions: Severe speech disorder was more common in IA children than in NA children at age 5. Most importantly, the speech disorders seem to be not only cleft-related. More detailed speech assessments with a broader focus are needed for IA children with UCLP. Longitudinal studies are recommended to further investigate the impact of speech difficulties in IA children’s daily lives.

Outcomes of Cleft Lip Repair for Internationally Adopted Children

2015 ◽  
Vol 135 (5) ◽  
pp. 1439-1447 ◽  
Author(s):  
John B. Mulliken ◽  
Deanna R. Zhu ◽  
Stephen R. Sullivan
Keyword(s):  
Cleft Lip ◽  
Adopted Children ◽  
Internationally Adopted Children ◽  
Cleft Lip Repair ◽  
Internationally Adopted

scholarly journals The Impact of Real-Time Articulatory Information on Phonetic Transcription: Ultrasound-Aided Transcription in Cleft Lip and Palate Speech

2019 ◽  
Vol 72 (Suppl. 2) ◽  
pp. 120-130 ◽  
Author(s):  
Joanne Cleland ◽  
Susan Lloyd ◽  
Linsay Campbell ◽  
Lisa Crampin ◽  
Juha-Pertti Palo ◽  
...  
Keyword(s):  
Real Time ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Phonetic Transcription ◽  
The Impact

Optimizing Surgical Treatment of Internationally Adopted Children with Cleft Lip and/or Palate: Understanding the Family Experience

2016 ◽  
Vol 53 (4) ◽  
pp. 444-452 ◽  
Author(s):  
Maren E. Shipe ◽  
Todd C. Edwards ◽  
Kelly N. Evans ◽  
Carolyn C. Schook ◽  
Dawn Leavitt ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cleft Lip ◽  
Adopted Children ◽  
Family Experience ◽  
The Family ◽  
Internationally Adopted Children ◽  
Internationally Adopted

Psychological Interventions for the Adolescent with Cleft Lip and Palate

1995 ◽  
Vol 32 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Kathleen A. Kapp-Simon
Keyword(s):  
Personal Identity ◽  
Peer Relationships ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Treatment Strategies ◽  
Multidisciplinary Teams ◽  
Psychological Interventions ◽  
Developmental Tasks ◽  
Family Development ◽  
Age Appropriate

The normal developmental tasks of adolescence include individuation from family, development of sense of personal identity, and establishment of satisfactory peer relationships. Accomplishment of each of these tasks is potentially more difficult for the adolescent who is also coping with the ongoing treatment demands of cleft lip and palate or other craniofacial disorders (CFA). This article presents treatment strategies that can be used by multidisciplinary teams to assist the adolescent with CFA in mastering age appropriate developmental tasks.

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