Dorf D S, Curtin J W
Plast Reconstr Surg. 1982 Jul;70(1):74-81. doi: 10.1097/00006534-198207000-00015.
Speech production and age at palatal repair were investigated in 80 cleft palate children. Children whose palates were repaired prior to the onset of speech production demonstrated significantly better speech than those whose palates were repaired between 12 and 27 months of age. The supposition that earlier palatal repair results in more normal speech development was, in fact, demonstrated in these cases. Rather than using chronologic age alone as the deciding factor in determining timing of initial palatal repair, the stage of each child's phonemic development should be considered if maximum speech potential is to be achieved and if speech development is to parallel normal noncleft peers. Determining this stage of development through early speech and language evaluations, beginning at 6 months of age, thus becomes an essential component in the habilitation of children with cleft palate. Continued research is needed to ensure against giving the obtainment of early speech normalcy disproportionate emphasis over craniofacial growth considerations. To this end, continued cooperative research between surgeons and speech pathologists is imperative in order to base these important decisions on substantiated findings.
对80名腭裂儿童的语音产生和腭裂修复年龄进行了研究。在语音产生开始之前进行腭裂修复的儿童，其语音明显优于那些在12至27个月大之间进行腭裂修复的儿童。事实上，在这些病例中证实了早期腭裂修复会导致更正常的语音发展这一假设。如果要实现最大的语音潜能，并且语音发展要与正常非腭裂同龄人同步，那么在确定初次腭裂修复的时机时，不应仅以实际年龄作为决定因素，还应考虑每个儿童的音素发展阶段。从6个月大开始通过早期语音和语言评估来确定这个发展阶段，因此成为腭裂儿童 habilitation（复健）的一个重要组成部分。需要持续进行研究，以确保不会过度强调早期语音正常化的获得，而忽视颅面生长方面的考虑。为此，外科医生和言语病理学家之间持续的合作研究至关重要，以便基于确凿的研究结果做出这些重要决策。
