scholarly journals Speech-aid prosthesis in velopharyngeal incompetency patient with cleft palate: can speech aids be applicable for adult patient?

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Dong-Cheol Kang ◽  
Jung-Ho Park ◽  
Hyun Seok ◽  
Jin-A Baek ◽  
Da-Wa Kim ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Combined Therapy ◽  
Speech Disorders ◽  
Adult Patients ◽  
Cleft Palate Speech ◽  
Articulation Disorder ◽  
Velopharyngeal Incompetence ◽  
Short Period ◽  
Reduction Program

Abstract Background Velopharyngeal incompetence (VPI) therapy for cleft palate (speech therapy alone, speech therapy using speech aids, or combined therapy such as speech therapy using a pharyngeal flap), is more effective in younger patients than in adult patients. Speech therapy is known as very difficult for patients who still have VPI as an adult. Because of the possibility of subsequent speech disorders, the timing of surgery for cleft palate is accelerating. Herein, we present a case of an adult with articulation disorder due to VPI who was treated by speech therapy and a speech-aid prosthesis. Case presentation A woman who underwent cleft palate surgery at 8 years of age still had difficulty with articulation due to VPI as a 24-year-old adult because of a lack of continuous speech therapy. We decided to use a speech-aid application using palatal lift, and a reduction program was conducted four times, along with simultaneous speech therapy, over a period of 1 year and 7 months. During the therapy period, she was able to speak normally within a relatively short period of time, and after implementation of the reduction program, the therapy was completed by completely removing the device. Long-term observations have shown normal speech function without recurrence, even after the device was removed. Conclusion As seen in this case, speech therapy using speech aids can show a good result for adult patients with cleft palate who missed the usual timing for the treatment of articulation disorders, depending on the situation. Therefore, it is hereby reported as a therapy option worthy of consideration.

Facilitating Communication among Speech Pathologists Treating Children with Cleft Palate

2005 ◽  
Vol 42 (6) ◽  
pp. 585-588 ◽  
Author(s):  
Michael P. Karnell ◽  
Philip Bailey ◽  
Lynn Johnson ◽  
Ariel Dragan ◽  
John W. Canady
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Speech Disorders ◽  
Craniofacial Anomalies ◽  
Web Based ◽  
Video Clips ◽  
Cleft Palate Speech ◽  
Speech Pathologists ◽  
Web Based System

An interactive web-based system was designed to facilitate communication between nonspecialist speech pathologists who provide therapy for individuals with speech disorders associated with cleft palate or craniofacial anomalies and specialist speech pathologists who provide physiologically based assessments of speech production. The web site includes instructional presentations, streaming video clips of endoscopic examinations, and exchange of information about the nature of therapy as recommended by the specialist and as provided by the nonspecialist. The approach demonstrates use of web-based computer facilities to improve the quality of communication among professionals with the goal of improving the outcomes of speech therapy. Information from the site can also be used in academic training programs as a teaching tool in courses on cleft palate speech.

Augmentation of Oral Tissues in Rabbit Using Autogenous Fat

1995 ◽  
Vol 32 (1) ◽  
pp. 1-6 ◽  
Author(s):  
John W. Canady ◽  
Sue Ann Thompson ◽  
Jerald B. Moon ◽  
Richard L. Glowacki
Keyword(s):  
Oral Cavity ◽  
Speech Therapy ◽  
Donor Site ◽  
Posterior Pharyngeal Wall ◽  
Donor Site Morbidity ◽  
Speech Disorders ◽  
Pharyngeal Wall ◽  
Synthetic Materials ◽  
Velopharyngeal Incompetence ◽  
The Stability

Patients with mild velopharyngeal incompetence (VPI) may have speech disorders, which are not sufficiently severe to warrant extensive surgical intervention, yet may not be amenable to correction by speech therapy alone. Augmentation of the posterior pharyngeal wall to aid in closure of the velopharyngeal sphincter may be beneficial in establishing better speech patterns, especially when combined with speech therapy. A variety of materials and techniques have been used in the past for this purpose. In this setting, autogenous fat may be transplanted without the risks incurred by augmentation with synthetic materials and involves very little donor site morbidity. The literature is somewhat contradictory, however, regarding the stability of the augmentation achieved using autogenous fat and there are no histologic studies describing the fate of fat injected into tissues of the oral cavity. Prior to introduction of this technique into clinical practice, this study was designed to investigate the fate of autogenous fat injected submucosally in the oropharyngeal region. Autogenous fat was injected into the anterior soft palate using the rabbit as a model. Histologic and gross inspections were performed at 2 days, 1, 2, and 4 weeks after injections. At the end of 4 weeks, at least 50% of the injection sites had visible evidence of augmentation, and 90% had histologic evidence of submucosal fat. In some instances most of the fat was resorbed; however, there were no instances of clinical infection or necrosis of the injection site. We conclude that submucosal injection of autogenous fat is a feasible alternative to using synthetic or other biologic materials for augmentation in the oral cavity.

scholarly journals Results of Speech Therapy in 23 Adult Patients with Cleft Palate

1981 ◽  
Vol 74 (4special) ◽  
pp. 593-603
Author(s):  
Michio Kawano ◽  
Nobuhiko Isshiki ◽  
Fujie Hagio
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Adult Patients

scholarly journals Effect of Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) on Compensatory Articulation in Children With Cleft Palate/Lip

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985141 ◽  
Author(s):  
Raúl Herreras Mercado ◽  
Kenneth Simpson ◽  
Kristen H. Bellom-Rohrbacher
Keyword(s):  
Cleft Palate ◽  
Speech Intelligibility ◽  
Cleft Lip ◽  
Sound Production ◽  
Cleft Lip And Palate ◽  
Speech Disorders ◽  
Outpatient Rehabilitation ◽  
Single Subject ◽  
Positive Effects ◽  
Cleft Palate Speech

Objective. This investigation researched the effectiveness of the PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) method to address compensatory articulation errors in children with cleft palate. Design. Single-subject AB multiple baselines across participants and behaviors. Setting. Pediatric outpatient rehabilitation department in a local hospital in a metropolitan city. Participants. The investigation consisted of 3 participants (ages = 4:4 to 12:8) born with bilateral complete cleft lip and palate. All participants underwent several reconstructive surgeries to repair their lips and palates. Interventions. The PROMPT treatment was provided for 45 minutes 3 times a week for 4 weeks (3 weeks for Participant 2). Main Outcome Measure. Therapy sessions addressed anterior lingual speech motor phonemes across 3 tiers (syllables, words, and phrases). Results. Direct visual observation of data obtained throughout this investigation indicate potential positive effects and significant correlation between improvements in sound production at 3 tiers and the implementation of the PROMPT technique. Speech intelligibility was judged by 3 blinded listeners who were unfamiliar with children with speech disorders or with cleft palate speech. All listeners identified and judged improvement in overall speech intelligibility over the course of this investigation. Listeners examined speech samples selected from sessions 3, 6, 9, and 12. Conclusion. The findings in this investigation provide a potential relationship on the effectiveness of the PROMPT method and attainment of accurate speech productions in children with cleft palate producing compensatory articulation errors, resulting in improvement in overall speech intelligibility.

Training counterparts in cleft palate speech therapy in the less developed world: An extended report

1990 ◽  
Vol 25 (3) ◽  
pp. 355-367 ◽  
Author(s):  
Anne Wirt ◽  
Rosemary Wyatt ◽  
Rosemary Wyatt ◽  
Debbie Sell ◽  
Michael Mars ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Cleft Palate Speech ◽  
Developed World

scholarly journals Quality of Speech Following Cleft Palate Surgery in Children

2018 ◽  
Vol 6 (2) ◽  
pp. 14
Author(s):  
Shahin Abdollahi Fakhim ◽  
Nikzad Shahidi ◽  
Gelavizh Karimi Javan
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Cross Sectional Study ◽  
Speech Disorders ◽  
First Year ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
First Year Of Life ◽  
Nasal Emission

Background: Surgical treatment of cleft palate is accompanied with speech problems. Speech therapy in these children after surgery can improve their speech. In this study, we aimed to evaluate the quality of speaking in operated cleft palate patients and speech therapy effects in a small group of these patients. Methods: In this cross-sectional study, speech quality of 55 children with operated cleft palate was assessed regarding resonance, audible nasal emission, consonant production and speech acceptability. Speech outcomes after therapy were evaluated in 19 patients. Results: Cleft palate types were unilateral cleft and lip palate in 18 cases, bilateral cleft and lip palate in 4 cases, secondary cleft palate type in 30 cases and of mere-soft palate in 3 cases. Thirty-five children were operated during the first year of life and 20 were operated after the first year. More than 55% of patients had normal hypernasality with few cases of severe hypernasality and less than 45% had error in consonant production. Patients operated during first year of life had more speech problems. Speech parameters were improved in 19 patients after speech therapy. Conclusion: In conclusion, children with cleft palate have some degrees of speech disorders after repair surgery than could be improved by the speech therapy. Speech therapy should be considered as one of the main treatment protocols along with repair surgery in children with cleft palate.

Training Assistants in Cleft Palate Speech Therapy in the Developing World: A Report

1990 ◽  
Vol 27 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Ann Wirt ◽  
Rosemary Wyatt ◽  
Debbie A. Sell ◽  
Pamela Grunwell ◽  
Michael Mars
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Developing World ◽  
Cleft Palate Speech

“She Sounds Like a Small Child or Perhaps She has Problems”—Peers' Descriptions of Speech in 7-Year-Olds Born With Cleft Palate

2019 ◽  
Vol 57 (6) ◽  
pp. 707-714
Author(s):  
Jill Nyberg ◽  
Emilie Hagberg ◽  
Christina Havstam
Keyword(s):  
Cleft Palate ◽  
Qualitative Content Analysis ◽  
Emotional Reactions ◽  
Focus Group Interviews ◽  
Personal Traits ◽  
Speech Characteristics ◽  
Cleft Palate Speech ◽  
Velopharyngeal Incompetence ◽  
Articulation Disorders ◽  
Group Interviews

Objective: The aim of this study was to explore how 7-year-olds describe speech in children born with cleft palate in their own words and to investigate whether they perceive signs of velopharyngeal incompetence (VPI) and articulation errors, and if so, which terminology they use. Methods/Participants: Twenty 7-year-olds participated in 6 focus group interviews where they listened to 8 speech samples with different types of cleft speech characteristics and described what they heard. The same speech samples had been assessed by speech-language pathologists and comprised normal speech, different degrees of VPI, oral articulation disorders, and glottal articulation. The interviews were analyzed with qualitative content analysis. Results: The analysis resulted in 4 interlinked categories: descriptions of speech, thoughts on personal traits, consequences for communication, and emotional reactions and associations. Each category contains 4 to 5 subcategories with the children’s descriptions and reflections. Glottal articulation and severe signs of VPI caused the most negative emotional reactions and were described as sounding scary and incomprehensible and the children speculated on the risk of social rejection of the speakers. Retracted oral articulation was also noted and described but with a vocabulary similar to the professionals. Minor signs of VPI were not noted. Conclusions: Seven-year-olds are direct and straightforward in their reactions to cleft palate speech characteristics. More pronounced signs of VPI and articulatory difficulties, also minor ones, are noted. Clinically, articulatory impairments may be more important to treat than minor signs of VPI.

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