Noordhoff M S, Kuo J, Wang F, Huang H, Witzel M A
Department of Plastic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Plast Reconstr Surg. 1987 Oct;80(4):518-24. doi: 10.1097/00006534-198710000-00007.
The development of articulation before surgical closure of the hard palate was compared in 75 preschool children with cleft lip and palate and 40 preschool children born without clefts. The children were aged 2 years to 5 years 11 months. The patients had significantly poorer articulation skills than the controls at each age level. Substitutions were the most frequent error, and they did not decrease with age in the patients. Fistula size and a history of speech therapy were significant factors in the articulation error scores only in 5-year-olds. No advantage in articulation proficiency was found for those who had worn a prosthesis to occlude the hard-palate defect.
对75名患有唇腭裂的学龄前儿童和40名出生时无腭裂的学龄前儿童在硬腭手术闭合前的发音发展情况进行了比较。这些儿童年龄在2岁至5岁11个月之间。在每个年龄水平上，患者的发音技能明显比对照组差。替代是最常见的错误，并且在患者中不会随着年龄增长而减少。仅在5岁儿童中，瘘管大小和言语治疗史是发音错误评分的重要因素。对于那些佩戴假体来封闭硬腭缺损的患者，未发现发音熟练度有优势。
