scholarly journals Phonological Development of Toddlers With Unilateral Cleft Lip and Palate Who Were Treated With and Without Infant Orthopedics: A Randomized Clinical Trial

2003 ◽  
Vol 40 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Emmy M. Konst ◽  
Toni Rietveld ◽  
Herman F. M. Peters ◽  
Birte Prahl-Andersen
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Phonological Development ◽  
Infant Orthopedics

scholarly journals Phonological Development of Toddlers with Unilateral Cleft Lip and Palate who were treated with and without Infant Orthopedics: A Randomized Clinical Trial

2003 ◽  
Vol 40 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Emmy M. Konst ◽  
Toni Rietveld ◽  
Herman F.M. Peters ◽  
Birte Prahl-Andersen
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Soft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
First Year ◽  
Phonological Development ◽  
Phonological Processes ◽  
First Year Of Life ◽  
Infant Orthopedics

Objective To investigate the phonological development of toddlers from 2 to 3 years of age with complete unilateral cleft lip and palate (UCLP) treated during the first year of life with and without infant orthopedics (IO). Design In a randomized clinical trial (Dutchcleft), two groups of children were followed up: one treated with IO (IO group) and another that did not receive IO (non-IO group). Phonological skills were analyzed at 2, 2.5, and 3 years of age using a system for assessing phonological development of Dutch children (Fonologische Analyse van het Nederlands: FAN). The analysis included number of acquired consonants, order of phonological development, use of phonological processes, and occurrence of nasal escape. Patients Criteria for inclusion were complete UCLP, no soft tissue bands, no other malformations, parents fluent in Dutch, birth weight of a minimum of 2500 g, and gestation time of a minimum of 38 weeks. Interventions IO treatment based on a modified Zurich approach was started within 2 weeks after birth and used until soft palate closure at 12 months of age. Children in the non-IO group visited the clinic for an extra check-up at 6 weeks as well as before and after lip repair and soft palate closure. All other interventions were the same across groups. Results Phonological development of most 2.5-year-old IO children was normal or delayed. Most children in the non-IO group followed an abnormal developmental pattern. At age 3, the children in the IO group had acquired more initial consonants. There were no group differences in the use of phonological processes or the occurrence of nasal escape. Conclusions Children treated with IO during their first year of life followed a more normal path of phonological development between 2 and 3 years of age.

Analysis of the dentoalveolar effects of slow and rapid maxillary expansion in complete bilateral cleft lip and palate patients: a randomized clinical trial

2015 ◽  
Vol 20 (7) ◽  
pp. 1837-1847 ◽  
Author(s):  
Arthur César de Medeiros Alves ◽  
Daniela Gamba Garib ◽  
Guilherme Janson ◽  
Araci Malagodi de Almeida ◽  
Louise Resti Calil
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Bilateral Cleft Lip

scholarly journals Language Skills of Young Children with Unilateral Cleft Lip and Palate following Infant Orthopedics: A Randomized Clinical Trial

2003 ◽  
Vol 40 (4) ◽  
pp. 356-362 ◽  
Author(s):  
Emmy M. Konst ◽  
Toni Rietveld ◽  
Herman F. M. Peters ◽  
Anne Marie Kuijpers-Jagtman
Keyword(s):  
Clinical Trial ◽  
Language Development ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Language Skills ◽  
Expressive Language ◽  
Receptive Language ◽  
First Year ◽  
First Year Of Life ◽  
Infant Orthopedics

Objective To investigate the effects of infant orthopedics (IO) on the language skills of children with complete unilateral cleft lip and palate (UCLP). Design In a prospective randomized clinical trial (Dutchcleft), two groups of children with complete UCLP were followed up longitudinally: one group was treated with IO based on a modified Zurich approach in the first year of life (IO group); the other group did not receive this treatment (non-IO group). At the ages of 2, 2½, 3, and 6 years, language development was evaluated in 12 children (six IO and six non-IO). Receptive language skills were assessed using the Reynell test. Expressive language skills of the toddlers were evaluated by calculating mean length of utterance (MLU) and mean length of longest utterances (MLLU); in the 6-year-olds, the expressive language skills were measured using standardized Dutch language tests. Patients The participants had complete UCLP without soft tissue bands or other malformations. Results IO did not affect the receptive language skills. However, the expressive language measures MLU and MLLU were influenced by IO. At age 2½ and 3 years, the IO group produced longer utterances than the non-IO group. In the follow-up, the difference in expressive language between the two groups was no longer significant. Conclusions Children treated with IO during their first year of life produced longer sentences than non-IO children at the ages of 2½ and 3 years. At 6 years of age, both groups presented similar expressive language skills. Hence, IO treatment did not have long-lasting effects on language development.

Slow versus rapid maxillary expansion in bilateral cleft lip and palate: a CBCT randomized clinical trial

2016 ◽  
Vol 21 (5) ◽  
pp. 1789-1799 ◽  
Author(s):  
Araci Malagodi de Almeida ◽  
Terumi Okada Ozawa ◽  
Arthur César de Medeiros Alves ◽  
Guilherme Janson ◽  
José Roberto Pereira Lauris ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Bilateral Cleft Lip
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