scholarly journals Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study

OTO Open ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. 2473974X1982694 ◽  
Author(s):  
Srihari Daggumati ◽  
Jason E. Cohn ◽  
Matthew J. Brennan ◽  
Marissa Evarts ◽  
Brian J. McKinnon ◽  
...  
Keyword(s):  
Pilot Study ◽  
Language Impairment ◽  
Treatment Guidelines ◽  
Retrospective Chart Review ◽  
Language Impairments ◽  
Language Outcomes ◽  
Speech And Language ◽  
Chi Square ◽  
Speech And Language Impairment ◽  
Chi Square Analysis

Ankyloglossia is a controversial topic with no standardized treatment guidelines. A retrospective chart review was conducted to identify children who underwent lingual frenulectomy for speech and language impairment. Impairment severity was recorded pre- and postoperatively as mild, mild to moderate, moderate, moderate to severe, or severe. Variables were tested with chi-square analysis for their statistical relationship to improvements in speech and language. Children with preoperative moderate and moderate-to-severe speech and language impairment attained better speech and language outcomes after frenulectomy as compared with children with mild and mild-to-moderate impairment (100% vs 82%, P = .015). Sutured closure after frenulectomy was associated with better speech and language improvements (100% vs 83%, P = .033). One could consider observation of patients with mild and mild-to-moderate speech and language impairments. Sutured closure might result in better improvements in speech and language impairments. This pilot study sheds light on the potential impact of a larger study currently underway.

Evaluation of a New Clinical Test of Fusion Status: A Pilot Study

2019 ◽  
pp. 113-118
Keyword(s):  
Pilot Study ◽  
Ohio State University ◽  
Background Suppression ◽  
Clinical Test ◽  
State University ◽  
Chi Square ◽  
Central Fusion ◽  
Eye Examination ◽  
The Ohio State University ◽  
Chi Square Analysis

Background Suppression is associated with binocular vision conditions such as amblyopia and strabismus. Commercial methods of testing fusion often only measure central fusion or suppression at near. The purpose of this pilot study was to assess a new iPad picture fusion test that assesses foveal and central fusion at near. Methods Participants aged 5 years and older presenting for eye examination at The Ohio State University College of Optometry were enrolled. Results from visual acuity, dry and wet refraction/retinoscopy, stereopsis and cover testing were recorded from the patient chart. The iPad picture fusion test, Worth four-dot, Worth type test with foveal letter targets, and Polarized four-dot were performed by one examiner in a randomized order at 40 cm. Testing was repeated with the anaglyphic filters reversed. Crosstabulation and McNemar chi-square analysis were used to compare the results between fusion testing devices. Results Of the fifty participants (mean age = 17.5), twelve reported suppression and one reported diplopia. Testability was excellent for all tests (98% to 100%). There were no significant differences between tests in reported results (P ≥ 0.22 for all comparisons). No difference in reported fusion or suppression status was observed with change in orientation of the anaglyphic filters. Six participants reported foveal suppression alone at near which was not identified with Worth four-dot at near. Conclusion The iPad picture fusion test provided excellent testability and agreement with commonly used tests of fusion and allowed testing of both central and foveal fusion at near. Nearly half (46%) of participants with suppression reported foveal suppression, supporting the importance of testing for foveal suppression.

Speech and language impairment and oromotor dyspraxia due to deletion of 7q31 that involvesFOXP2

2006 ◽  
Vol 140A (5) ◽  
pp. 509-514 ◽  
Author(s):  
Susan Zeesman ◽  
Małgorzata J.M. Nowaczyk ◽  
Ikuko Teshima ◽  
Wendy Roberts ◽  
Janis Oram Cardy ◽  
...  
Keyword(s):  
Language Impairment ◽  
Speech And Language ◽  
Speech And Language Impairment

Pitch and Timing Abilities in Inherited Speech and Language Impairment

2000 ◽  
Vol 75 (1) ◽  
pp. 34-46 ◽  
Author(s):  
Katherine J. Alcock ◽  
Richard E. Passingham ◽  
Kate Watkins ◽  
Faraneh Vargha-Khadem
Keyword(s):  
Language Impairment ◽  
Speech And Language ◽  
Speech And Language Impairment

scholarly journals Population-Based Screening of Children for Specific Speech and Language Impairment in Germany: A Systematic Review

2011 ◽  
Vol 63 (5) ◽  
pp. 247-263 ◽  
Author(s):  
Jürgen Kasper ◽  
Julia Kreis ◽  
Fülöp Scheibler ◽  
Delia Möller ◽  
Guido Skipka ◽  
...  
Keyword(s):  
Systematic Review ◽  
Language Impairment ◽  
Population Based ◽  
Speech And Language ◽  
Speech And Language Impairment

scholarly journals Metabolic and Structural Signatures of Speech and Language Impairment in Corticobasal Syndrome: A Multimodal PET/MRI Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Jacy Bezerra Parmera ◽  
Isabel Junqueira de Almeida ◽  
Marcos Castello Barbosa de Oliveira ◽  
Marcela Lima Silagi ◽  
Camila de Godoi Carneiro ◽  
...  
Keyword(s):  
Language Impairment ◽  
Fdg Pet ◽  
Verbal Fluency ◽  
Inferior Frontal Gyrus ◽  
Premotor Cortex ◽  
Corticobasal Syndrome ◽  
Speech And Language ◽  
Positive Correlation ◽  
Major Cluster ◽  
Speech And Language Impairment

Introduction: Corticobasal syndrome (CBS) is a progressive neurological disorder related to multiple underlying pathologies, including four-repeat tauopathies, such as corticobasal degeneration and progressive supranuclear palsy, and Alzheimer's disease (AD). Speech and language are commonly impaired, encompassing a broad spectrum of deficits. We aimed to investigate CBS speech and language impairment patterns in light of a multimodal imaging approach.Materials and Methods: Thirty-one patients with probable CBS were prospectively evaluated concerning their speech–language, cognitive, and motor profiles. They underwent positron emission tomography with [18F]fluorodeoxyglucose (FDG-PET) and [11C]Pittsburgh Compound-B (PIB-PET) on a hybrid PET-MRI machine to assess their amyloid status. PIB-PET images were classified based on visual and semi-quantitative analyses. Quantitative group analyses were performed on FDG-PET data, and atrophy patterns on MRI were investigated using voxel-based morphometry (VBM). Thirty healthy participants were recruited as imaging controls.Results: Aphasia was the second most prominent cognitive impairment, presented in 67.7% of the cases, following apraxia (96.8%). We identified a wide linguistic profile, ranging from nonfluent variant-primary progressive aphasia to lexical–semantic deficits, mostly with impaired verbal fluency. PIB-PET was classified as negative (CBS-A– group) in 18/31 (58%) and positive (CBS-A+ group) in 13/31 (42%) patients. The frequency of dysarthria was significantly higher in the CBS-A– group than in the CBS-A+ group (55.6 vs. 7.7%, p = 0.008). CBS patients with dysarthria had a left-sided hypometabolism at frontal regions, with a major cluster at the left inferior frontal gyrus and premotor cortex. They showed brain atrophy mainly at the opercular frontal gyrus and putamen. There was a positive correlation between [18F]FDG uptake and semantic verbal fluency at the left inferior (p = 0.006, R2 = 0.2326), middle (0.0054, R2 = 0.2376), and superior temporal gyri (p = 0.0066, R2 = 0.2276). Relative to the phonemic verbal fluency, we found a positive correlation at the left frontal opercular gyrus (p = 0.0003, R2 = 0.3685), the inferior (p = 0.0004, R2 = 0.3537), and the middle temporal gyri (p = 0.0001, R2 = 0.3993).Discussion: In the spectrum of language impairment profile, dysarthria might be helpful to distinguish CBS patients not related to AD. Metabolic and structural signatures depicted from this feature provide further insights into the motor speech production network and are also helpful to differentiate CBS variants.

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