Parent and child ratings of satisfaction with speech and facial appearance in Flemish pre-pubescent boys and girls with unilateral cleft lip and palate

Abstract The purpose of this controlled study is to determine satisfaction with speech and facial appearance in Flemish pre-pubescent children with unilateral cleft lip and palate. Forty-three subjects with unilateral cleft lip and palate and 43 age and gender matched controls participated in this s...

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Veröffentlicht in:International journal of oral and maxillofacial surgery 2012-02, Vol.41 (2), p.192-199
Hauptverfasser: Van Lierde, K.M, Dhaeseleer, E, Luyten, A, Van De Woestijne, K, Vermeersch, H, Roche, N
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container_end_page 199
container_issue 2
container_start_page 192
container_title International journal of oral and maxillofacial surgery
container_volume 41
creator Van Lierde, K.M
Dhaeseleer, E
Luyten, A
Van De Woestijne, K
Vermeersch, H
Roche, N
description Abstract The purpose of this controlled study is to determine satisfaction with speech and facial appearance in Flemish pre-pubescent children with unilateral cleft lip and palate. Forty-three subjects with unilateral cleft lip and palate and 43 age and gender matched controls participated in this study. The Cleft Evaluation Profile was used to assess the perceived satisfaction for individual features related to cleft care. Both the cleft palate subjects and their parents were satisfied with the speech and facial appearance. The Pearson χ2 test revealed significant difference between the cleft palate and the control group regarding hearing, nasal aesthetics and function, and the appearance of the lip. An in depth analysis of well specified speech characteristics revealed that children with clefts and their parents significantly more often reported the presence of an articulation, voice and resonance disorder and experienced /s/ /r/ /t/ and /d/ as the most difficult consonants. To what extent the incorporation of specific motor oriented oral speech techniques regarding the realisation of specific consonants, attention to vocal and ear care, and the recommendation of secondary velopharyngeal surgery, with the incorporation of primary correction of the cleft nose deformity simultaneously with primary lip closure, will aid these patients are future research subjects.
doi_str_mv 10.1016/j.ijom.2011.10.030
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Forty-three subjects with unilateral cleft lip and palate and 43 age and gender matched controls participated in this study. The Cleft Evaluation Profile was used to assess the perceived satisfaction for individual features related to cleft care. Both the cleft palate subjects and their parents were satisfied with the speech and facial appearance. The Pearson χ2 test revealed significant difference between the cleft palate and the control group regarding hearing, nasal aesthetics and function, and the appearance of the lip. An in depth analysis of well specified speech characteristics revealed that children with clefts and their parents significantly more often reported the presence of an articulation, voice and resonance disorder and experienced /s/ /r/ /t/ and /d/ as the most difficult consonants. 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subjects Adolescent
Articulation Disorders - psychology
Attitude to Health
Biological and medical sciences
Case-Control Studies
Child
Cleft Lip - psychology
cleft palate
Cleft Palate - psychology
congenital craniofacial deformities
Dentistry
Esthetics
Esthetics, Dental
Face - anatomy & histology
facial appearance
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Finland
Hearing - physiology
Humans
intelligibility
Interpersonal Relations
Lip - anatomy & histology
Male
Medical sciences
Non tumoral diseases
Nose - anatomy & histology
Nose - physiology
Otorhinolaryngology. Stomatology
Parents - psychology
Patient Satisfaction
Personal Satisfaction
Phonetics
Respiration
satisfaction
Self Concept
speech
Speech - physiology
Speech Intelligibility
Speech Therapy
Surgery
unilateral cleft palate
Voice Disorders - psychology
title Parent and child ratings of satisfaction with speech and facial appearance in Flemish pre-pubescent boys and girls with unilateral cleft lip and palate
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