唇腭裂患儿的五年言语和语言发育结果

Five-year speech and language outcomes in children with cleft lip-palate.

作者信息

Prathanee Benjamas, Pumnum Tawitree, Seepuaham Cholada, Jaiyong Pechcharat

机构信息

Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.

出版信息

J Craniomaxillofac Surg. 2016 Oct;44(10):1553-1560. doi: 10.1016/j.jcms.2016.08.004. Epub 2016 Aug 9.

DOI:10.1016/j.jcms.2016.08.004

PMID:27614545

Abstract

OBJECTIVE

To investigate 5-year speech and language outcomes in children with cleft lip/palate (CLP).

MATERIALS AND METHODS

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.

RESULTS

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).

CONCLUSIONS

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.

摘要