Persson Christina, Lohmander Anette, Elander Anna
Department of Logopedics and Phoniatrics, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
Cleft Palate Craniofac J. 2006 May;43(3):295-309. doi: 10.1597/04-071.1.
To describe articulation and speech symptoms related to velopharyngeal impairment in children born with an isolated cleft palate.
Blind assessment of speech at 3, 5, 7, and 10 years of age was performed. Two subgroups were formed based on the results at age 5 years, the no-VPI group and the VPI group, and they were compared with controls.
A university hospital.
Twenty-six children born with isolated cleft palate. Seventeen children served as controls.
Soft palate closure at 7 months and hard palate closure at a mean age of 3 years and 11 months if the cleft extended into the hard palate.
Perceptual assessments of four variables related to velopharyngeal function and of articulation errors were performed at all ages. Phonetic transcriptions of target speech sounds were obtained at 5, 7, and 10 years and nasalance scores were obtained at age 10 years.
The no-VPI group continued to have no or minor difficulties. The VPI group improved but continued to have moderate velopharyngeal impairment. Both groups differed significantly from the controls at age 10 years. Persistent velopharyngeal impairment, as well as glottal misarticulation, were mostly found in children with the cleft as a part of a syndrome or together with multiple malformations.
Small changes in velopharyngeal impairment were found across ages. Improvement seemed to be related to surgical intervention, and persistent problems seemed to be related to the presence of additional multiple malformations or syndromes.
描述孤立性腭裂患儿与腭咽功能不全相关的发音和言语症状。
对3岁、5岁、7岁和10岁儿童进行言语盲法评估。根据5岁时的评估结果分为两个亚组，即无腭咽功能不全组和腭咽功能不全组，并与对照组进行比较。
一家大学医院。
26例孤立性腭裂患儿。17名儿童作为对照。
7个月时进行软腭闭合，若腭裂延伸至硬腭，则平均在3岁11个月时进行硬腭闭合。
在所有年龄段对与腭咽功能相关的四个变量和发音错误进行感知评估。在5岁、7岁和10岁时获取目标语音的语音转录，在10岁时获取鼻漏气分数。
无腭咽功能不全组继续无或仅有轻微困难。腭咽功能不全组有所改善，但仍有中度腭咽功能不全。两组在10岁时与对照组均有显著差异。持续性腭咽功能不全以及声门发音错误大多见于患有综合征或伴有多种畸形的腭裂患儿。
各年龄段腭咽功能不全的变化较小。改善似乎与手术干预有关，而持续性问题似乎与额外的多种畸形或综合征的存在有关。
