Peterson-Falzone S J
Center for Craniofacial Anomalies, University of California-San Francisco 94143-0442, USA.
Cleft Palate Craniofac J. 1995 Mar;32(2):125-8. doi: 10.1597/1545-1569_1995_032_0125_soiawc_2.3.co_2.
Speech results were surveyed in 110 adolescent patients with clefts: 53 with unilateral cleft lip and palate, 46 with bilateral cleft lip and palate, and 11 with isolated clefts of the secondary palate. Only 12 of the 110 teenagers had received consistent team care from infancy. The early physical management was impossible to reliably determine in the remaining 98. Speech was normal in 22.7%, characterized by a variety of problems in approximately 66%, and a complete habilitative failure in 10.9%. Cleft palate and craniofacial teams who first encounter incompletely managed cases in the teenage years are faced with complex and interrelated challenges of providing appropriate physical management, speech habilitation, and psychosocial support, including determination of that approach which will be most likely to assure future compliance with treatment recommendations to each child and family.
对110例青少年腭裂患者的语音结果进行了调查：53例单侧唇腭裂，46例双侧唇腭裂，11例孤立性继发腭裂。110名青少年中只有12人从婴儿期开始就接受了持续的团队护理。其余98人的早期身体管理情况无法可靠确定。22.7%的患者语音正常，约66%的患者存在各种问题，10.9%的患者完全康复失败。在青少年时期首次遇到管理不充分病例的腭裂和颅面治疗团队，面临着提供适当身体管理、语音康复和心理社会支持的复杂且相互关联的挑战，包括确定最有可能确保每个儿童和家庭未来遵守治疗建议的方法。
