Karling J, Larson O, Leanderson R, Henningsson G
Department of Logopedics and Phoniatrics, Karolinska Hospital, Stockholm, Sweden.
Cleft Palate Craniofac J. 1993 Jan;30(1):73-7. doi: 10.1597/1545-1569_1993_030_0073_siuabc_2.3.co_2.
The speech of 84 patients with complete unilateral cleft lip and palate and 19 patients with complete bilateral cleft lip and palate was judged by professional listeners and compared with a control group of 40 noncleft subjects. The unilateral cleft group consisted of two subgroups: one group of 45 patients, who were treated with presurgical orthopedics before primary surgery, and one group of 39 patients, who were not. The speech of the patients and the noncleft subjects was tape recorded and randomly mixed prior to listener judgments. No significant differences in articulation or resonance were found between the subgroups of unilateral cleft patients. The results also indicated that the bilateral cleft patients had poorer speech and needed more speech therapy than the unilateral cleft patients. All cleft patients were found to have poorer speech than the noncleft subjects in spite of considerable speech therapy and complementary surgical treatment. This has resulted in a change in the Stockholm approach toward earlier palatal surgery, tailor-made pharyngeal flap operations, and earlier parental information and treatment of articulatory deviations.
84名单侧完全性唇腭裂患者和19名双侧完全性唇腭裂患者的语音由专业听众进行评估，并与40名非腭裂对照受试者组成的对照组进行比较。单侧腭裂组分为两个亚组：一组45名患者，在初次手术前接受了术前正畸治疗；另一组39名患者未接受术前正畸治疗。在听众评估之前，将患者和非腭裂受试者的语音进行录音并随机混合。单侧腭裂患者的亚组之间在发音或共鸣方面未发现显著差异。结果还表明，双侧腭裂患者的语音比单侧腭裂患者差，需要更多的言语治疗。尽管接受了大量的言语治疗和辅助手术治疗，但所有腭裂患者的语音仍比非腭裂受试者差。这导致了斯德哥尔摩治疗方法的改变，包括更早进行腭裂手术、量身定制的咽瓣手术，以及更早向家长提供信息和治疗发音偏差。
