Karnell Michael P
Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City 52242-1602, USA.
Semin Speech Lang. 2011 May;32(2):168-78. doi: 10.1055/s-0031-1277719. Epub 2011 Sep 26.
The presence of a palatal cleft at birth should not prevent good speech production in most children provided they have (1) appropriate surgical intervention to close the palate at or around the child's first birthday, (2) careful monitoring of speech development throughout childhood, (3) speech therapy when needed, and (4) secondary surgical or speech-prosthetic intervention when needed. When managed carefully by an experienced, well-prepared multidisciplinary team that applies the criteria listed above, ~70% of children with nonsyndromic palatal clefts will have no significant difficulties with speech intelligibility or speech quality due to velopharyngeal insufficiency by the time they enter elementary school. Speech assessment is the first step toward comprehensive team management of children with cleft palate. The purpose of this chapter is to describe the use of instrumentation in the evaluation of speech of children with palatal clefts, within the context of a multidisciplinary team. The focus of this article is on instruments that are used to supplement the perceptual assessment to document current speech status and plan management strategies.
大多数儿童出生时患有腭裂，但只要满足以下条件，就不应妨碍其正常的言语产生：（1）在孩子一岁左右或更早时进行适当的外科手术来闭合腭裂；（2）在整个儿童期仔细监测言语发育情况；（3）必要时进行言语治疗；（4）必要时进行二次手术或使用言语假体干预。当由经验丰富、准备充分的多学科团队按照上述标准进行精心管理时，约70%的非综合征性腭裂儿童在进入小学时，不会因腭咽闭合不全而在言语清晰度或言语质量方面出现显著困难。言语评估是腭裂儿童综合团队管理的第一步。本章旨在描述在多学科团队的背景下，仪器设备在腭裂儿童言语评估中的应用。本文重点关注用于补充感知评估以记录当前言语状态并制定管理策略的仪器。
