Lehes Lagle, Numa Jette, Sõber Linda, Padrik Marika, Kasenõmm Priit, Jagomägi Triin
Institute of Dentistry, University of Tartu, Tartu, Estonia.
Departement of Special Education, University of Tartu, Tartu, Estonia.
Clin Linguist Phon. 2021 May 4;35(5):393-404. doi: 10.1080/02699206.2020.1780323. Epub 2020 Oct 26.
Most children born with cleft palate (CP) or cleft lip and palate (CL/P) have velopharyngeal insufficiency (VPI), some degree of hypernasal resonance, articulation disorders and laryngeal dysphonia. Combination of different CL/P specific problems may mask laryngeal dysphonia and therefore, it may remain undiagnosed and untreated by clinicians. The research aimed to study the effect of VPI on voice quality in Estonian CL/P children. We included 18 CL/P and 79 healthy children. Combination of objective (Multi-Dimensional Voice Program (MDVP)) and subjective (Pediatric Voice Handicap Index (pVHI), GRBAS scale, video-nasoendoscopy (VNE), video-laryngostroboscopy (VLS)) assessment methods were assisted and performed by our multidisciplinary cleft teams. We found that (1) overall quality of life is greatly affected by voice, resonance and articulation disorders in CL/P group, (2) more than half of the CL/P children had morphological changes of the vocal folds, (3) the severity of VPI did not result in worse outcomes of acoustic parameters of voice.
大多数患有腭裂（CP）或唇腭裂（CL/P）的儿童存在腭咽功能不全（VPI）、一定程度的鼻音过重、发音障碍和喉发音障碍。不同CL/P特定问题的组合可能掩盖喉发音障碍，因此，临床医生可能仍无法诊断和治疗。该研究旨在探讨爱沙尼亚CL/P儿童中VPI对嗓音质量的影响。我们纳入了18名CL/P儿童和79名健康儿童。客观评估方法（多维度嗓音程序（MDVP））和主观评估方法（儿童嗓音障碍指数（pVHI）、GRBAS量表、视频鼻内镜检查（VNE）、视频喉动态镜检查（VLS））相结合，由我们的多学科腭裂治疗团队协助并实施。我们发现：（1）CL/P组的总体生活质量受到嗓音、共鸣和发音障碍的极大影响；（2）超过一半的CL/P儿童存在声带形态改变；（3）VPI的严重程度并未导致嗓音声学参数更差的结果。
