Prathanee Benjamas, Pumnum Tawitree, Seepuaham Cholada, Jaiyong Pechcharat
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
J Craniomaxillofac Surg. 2016 Oct;44(10):1553-1560. doi: 10.1016/j.jcms.2016.08.004. Epub 2016 Aug 9.
To investigate 5-year speech and language outcomes in children with cleft lip/palate (CLP).
Thirty-eight children aged 4-7 years and 8 months were recruited for this study. Speech abilities including articulation, resonance, voice, and intelligibility were assessed based on Thai Universal Parameters of Speech Outcomes. Language ability was assessed by the Language Screening Test.
The findings revealed that children with clefts had speech and language delay, abnormal understandability, resonance abnormality, and voice disturbance; articulation defects that were 8.33 (1.75, 22.47), 50.00 (32.92, 67.08), 36.11 (20.82, 53.78), 30.56 (16.35, 48.11), and 94.44 (81.34, 99.32).
Articulation errors were the most common speech and language defects in children with clefts, followed by abnormal understandability, resonance abnormality, and voice disturbance. These results should be of critical concern. Protocol reviewing and early intervention programs are needed for improved speech outcomes.
研究唇腭裂（CLP）患儿的5年言语和语言发育结果。
本研究招募了38名年龄在4岁至7岁8个月之间的儿童。根据泰国言语结果通用参数评估包括发音、共鸣、嗓音和可懂度在内的言语能力。通过语言筛查测试评估语言能力。
研究结果显示，腭裂患儿存在言语和语言发育迟缓、可懂度异常、共鸣异常和嗓音障碍；发音缺陷分别为8.33（1.75，22.47）、50.00（32.92，67.08）、36.11（20.82，53.78）、30.56（16.35，48.11）和94.44（81.34，99.32）。
发音错误是腭裂患儿最常见的言语和语言缺陷，其次是可懂度异常、共鸣异常和嗓音障碍。这些结果应引起高度关注。需要进行方案审查和早期干预计划以改善言语结果。
