Document Detail


Velopharyngeal function from the age of three to eight years in cleft palate patients.
MedLine Citation:
PMID:  11244283     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this investigation was to study changes of velopharyngeal function between the ages of 3 and 8 years. The subjects were 65 (30 girls and 35 boys) Finnish-speaking non-syndromic children with isolated cleft palate (CP, n = 35) and with unilateral cleft lip and palate (UCLP, n = 30) operated primarily at the age of 1.0-2.0 years. Before the age of 8 years, 16 children required velopharyngoplasty (VPP, ad modum Hoenig). The children were followed up for speech at the age of 3, 6 and 8 years. The perceptual speech characteristics nasal air emission, hypernasality, weakness of pressure consonants and compensatory articulations were registered. Indications for a velopharyngeal flap (by VPP) were identified on the basis of perceptual speech characteristics and confirmed by instrumental examinations. The results indicated that the method and timing of primary palatoplasty and sex did not correlate with the quality of velopharyngeal function. It was good both in children treated conservatively or with VPP at the age of 8 years. The children with a flap required speech therapy significantly more often than other children. No child with VPP and only 12% of the children without VPP had simultaneous nasal air emissions and hypernasality. Compensatory articulation was completely eliminated and weakness of pressure consonants was diagnosed only in 1 child without VPP. The CP children required significantly more often a velopharyngeal flap than the UCLP children. In conclusion, the CP and UCLP children develop a similar velopharyngeal function but in a different way.
Authors:
J Pulkkinen; M L Haapanen; M Paaso; J Laitinen; R Ranta
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)     Volume:  53     ISSN:  1021-7762     ISO Abbreviation:  Folia Phoniatr Logop     Publication Date:    2001 Mar-Apr
Date Detail:
Created Date:  2001-03-13     Completed Date:  2001-06-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9422792     Medline TA:  Folia Phoniatr Logop     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  93-8     Citation Subset:  IM    
Copyright Information:
Copyright 2001 S. Karger AG, Basel.
Affiliation:
Cleft Centre, Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
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MeSH Terms
Descriptor/Qualifier:
Articulation Disorders / diagnosis*,  physiopathology
Child
Child, Preschool
Cleft Lip / diagnosis*,  physiopathology
Cleft Palate / diagnosis*,  physiopathology
Female
Follow-Up Studies
Humans
Male
Palate, Soft / physiopathology
Sound Spectrography
Velopharyngeal Insufficiency / diagnosis,  physiopathology
Voice Quality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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