Hardin M A
Department of Communication Sciences, Case Western Reserve University, Cleveland, OH 44106.
Clin Commun Disord. 1991 Fall;1(3):12-8.
Results of recent investigations (O'Gara and Logemann, 1990; Estrem and Broen, 1989) indicate that the presence of an unrepaired cleft will influence a toddler's early phonologic development and lexical selectivity. Although additional information is needed to characterize the early vocalizations of children with cleft palate, the available findings underscore the need for early, aggressive speech-language intervention. The education and assistance in language stimulation provided to parents during a child's first year of life can minimize the deleterious effects of an unrepaired palate. Treatment for older children and adults with borderline VPI continues to pose management problems for the SLP. Although new palatal training strategies and tools have been developed and employed with some success, efficacy studies are needed to identify those patients who are likely to benefit from behavioral intervention and those who ultimately will require surgical management.
近期调查结果（奥加拉和洛根曼，1990年；埃斯特姆和布伦，1989年）表明，未修复的腭裂会影响幼儿的早期语音发展和词汇选择性。尽管需要更多信息来描述腭裂儿童的早期发声情况，但现有研究结果强调了早期积极进行言语语言干预的必要性。在孩子一岁时为家长提供语言刺激方面的教育和帮助，可以将未修复腭裂的有害影响降至最低。对于边缘性腭咽闭合不全的大龄儿童和成人，治疗仍然给言语语言病理学家带来管理难题。尽管已经开发并采用了一些新的腭部训练策略和工具并取得了一定成功，但仍需要进行疗效研究，以确定哪些患者可能从行为干预中获益，哪些患者最终需要手术治疗。
