Quality of Speech Following Cleft Palate Surgery in Children

Shahin Abdollahi Fakhim, Nikzad Shahidi, Gelavizh Karimi Javan

Abstract


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.

Keywords


Cleft Palate, Children, Speech Outcome, Speech Therapy

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References


Sharp HM, Dailey S, Moon JB. Speech and language development disorders in infants and children with cleft lip and palate. Pediatr Ann. 2003;32(7):476-80. PubMed PMID: 12891765.

Brunnegard k, Lohmander A. A cross-sectional study of speech in 10-year-old children with cleft palate: results and issues of rater reliability. Cleft Palate Craniofac J. 2007;44(1):33-44. PubMed PMID: 17214536.

Hardin-Jones MA, Chapman KL, Wright J, Halter KA, Schulte J, Dean JA, et al. The impact of early palatal obturation on consonant development in babies with unrepaired cleft palate. Cleft Palate Craniofac J. 2002;39(2):157-63. PubMed PMID: 11879071.

Chapman KL. Is presurgery and early postsurgery performance related to speech and language outcomes at 3 years of age for children with cleft palate? Clin Linguist Phon. 2004;18(4-5):235-57. PubMed PMID: 15259571.

Hardin-Jones MA, Jones DL. Speech production of preschoolers with cleft palate. Cleft Palate Craniofac J. 2005;42(1):7-13. PubMed PMID: 15643919.

Paliobei V, Psifidis A, Anagnostopoulos D. Hearing and speech assessment of cleft palate patients after palatal closure: Long-term results. Int J Pediatr Otorhinolaryngol. 2005;69(10):1373-81. PubMed PMID: 15955575.

Kaplan I, Dresner J, Gorodischer C, Radin L. The simultaneous repair of cleft lip and palate in early infancy. Br J Plast Surg. 1974;27(2):134–8. PubMed PMID: 4834029.

Kirscher RE, Randall P, Wang P, Jawad AF, Duran M, Huang K, et al. Cleft palate repair at 3 to 7 months of age. Plast Reconstr Surg. 2000;105:2127–32. PubMed PMID: 10839414.

Rohrich RJ, Love EJ, Byrd HS, Johns DF. Optimal timing of cleft palate closure. Plast Reconstr Surg. 2000;106(2):413–21. PubMed PMID: 10946942.

Denk MJ, Magee WP Jr. Cleft palate closure in the neonate: Preliminary report. Cleft Palate Craniofac J. 1996;33(1):57–61. PubMed PMID: 8849860.

Dorf DS, Curtin JW. Early cleft palate repair and speech outcome. Plast Reconstr Surg. 1982;70(1):74–81. PubMed PMID: 7089110.

Too-Chang MA. The assessment of middle ear function hearing by tympanometry in children before and after early cleft palate repair. Br J Plast Surg. 1983;36(3):295–9. PubMed PMID: 6860854.

Becker DB, Grames LM, Pilgram T, Kane AA, Marsh JL. The effect of timing of surgery for velopharyngeal dysfunction on speech. J Craniofac Surg. 2004;15(5):804–809. PubMed PMID: 15346022.

Bicknell S, McFadden LR, Curran JB. Frequency of pharyngoplasty after primary repair of cleft palate. J Can Dent Assoc. 2002;68(11):688–692. PubMed PMID: 12513937.

Deren O, Ayhan M, Tuncel A, Görgü M, Altuntaş A, Kutlay R, et al. The correction of velopharyngeal insufficiency by Furlow palatoplasty in patients older than 3 years undergoing Veau-Wardill-Kilner palatoplasty: a prospective clinical study. Plast Reconstr Surg. 2005;116(1):85–93. PubMed PMID: 15988251.

Inman DS, Thomas P, Hodgkinson PD, Reid CA. Oro-nasal fistula development and velopharyngeal insufficiency following primary cleft palate surgery: an audit of 148 children born between 1985 and 1997. Br J Plast Surg. 2005;58(8):1051–1054. PubMed PMID: 16084930.

Timmons MJ, Wyatt RA, Murphy T. Speech after repair of isolated cleft palate and cleft lip and palate. Br J Plast Surg. 2001;54(5):377–384. PubMed PMID: 11428766.

Grant HR, Quiney RE, Mercer DM, Lodge S. Cleft palate and glue ear. Arch Dis Child. 1988;63(2):176-179. PubMed PMID: 3348665.

Patil SB, Kale SM, Khare N, Math M, Jaiswal S, Jain A. Changing patterns in demography of cleft lip-cleft palate deformities in a developing country: the Smile Train effect--what lies ahead? Plast Reconstr Surg. 2011;127(1): 327–332. doi: 10.1097/PRS.0b013e3181f95b9c. PubMed PMID: 21200226.

Hunt O, Burden D, Hepper P, Johnston C. The psychosocial effects of cleft lip and palate: a systematic review. Eur J Orthod. 2005;27(3):274–85. PubMed PMID: 15947228.

Pope AW, Snyder TH. Psychosocial adjustment in children and adolescents with a craniofacial anomaly: age and sex patterns. Cleft Palate Craniofac J. 2005;42(4):349-354. PubMed PMID: 16001914.

Pope AW, Tillman K, Snyder HT. Parenting stress in infancy and psychosocial adjustment in toddlerhood: a longitudinal study of children with craniofacial anomalies. Cleft Palate Craniofac J. 2005;42(5):556-9. PubMed PMID: 16149839.

Dalston RM, Marsh JL, Vig KW, Witzel MA, Bnmsted RM. Minimal standards for reporting the results of surgery on patients with cleft lip, cleft palate, or both: a proposal. Cleft Palate J. 1988;25(1):3-7. PubMed PMID: 3422597.

Morris HL, Bardach J, Ardinger H, Jones D, Kelly KM, Olin WH, et al. Multidisciplinary treatment results for patients with isolated cleft palate. Plast Reconstr Surg. 1993;92(5):842-51. PubMed PMID: 8415965.

Phua YS, de Chalain T. Incidence of oronasal fistulae and velopharyngeal insufficiency after cleft palate repair: an audit of 211 children born between 1990 and 2004. Cleft Palate Craniofac J. 2008;45(2):172-8. doi: 10.1597/06-205.1. PubMed PMID: 18333650.




DOI: https://doi.org/10.7575/aiac.abcmed.v.6n.2p.14

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