Behavioral assessment of auditory processing disorder in children with non-syndromic cleft lip and/or palate

Ma, Xiaoran; McPherson, Bradley; Ma, Li

doi:10.1016/j.ijporl.2014.12.021

Cited by 12 publications

(6 citation statements)

References 24 publications

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“…For example, Maximino et al [ 23 ▪ ] reported an 81% failure rate in their study as discussed earlier and Boscariol et al [ 12 ] reported a ‘poor performance’ rate as high as 95%. In a large study with over 200 participants, Ma et al [ 14 ] found a maturational delay of 2 years in temporal processing in children with CLP. Temporal processing skills are thought to be crucial for the development of language skills as the ability to process rapid auditory stimuli is required to understand speech.…”

Section: Recent Findingsmentioning

confidence: 99%

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The relationship between auditory behaviours and speech and language development in children with cleft lip and palate

Eeden

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewChildren born with a cleft lip and palate (CLP) are at risk of speech problems. There is a high prevalence of conductive hearing loss due to otitis media with effusion and recent research has highlighted broader difficulties with language and educational attainment. There has been increased interest in the impact of auditory processing on a child's development, but little study into links between auditory skills and speech and language development.Recent findingsChildren with CLP consistently struggle with auditory tasks. Difficulties processing words in a noisy background, auditory attention and temporal processing are frequently reported. A recent study in the United Kingdom investigated the auditory behaviours of 95 children aged 5–8 years with nonsyndromic CLP and compared these with speech and language profiles. Auditory difficulties correlated with speech development and most auditory behaviours correlated with language outcomes. There was also a correlation of language with speech outcomes, suggesting a more complex and interdependent relationship.SummaryChildren with CLP present with high levels of difficulties with auditory skills. The potential impact of this on broader development needs further research, but clinicians should ensure that auditory skills beyond the hearing test are monitored, and advice given to parents to minimize the impact.

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Section: Recent Findingsmentioning

confidence: 99%

“…The literature on auditory behaviours in children with CLP has been growing since the late 1990s. Studies consistently show deficits in processing speech in noisy environments and temporal processing of rapid stimuli, as well as attention difficulties [12][13][14][15]. The use of parent reporting is common in studies.…”

Section: Introductionmentioning

confidence: 99%

The relationship between auditory behaviours and speech and language development in children with cleft lip and palate

Eeden

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…As described by the American Speech-Language-Hearing Association (American Speech-Language-Hearing Association, 2005), individuals with APD frequently show deficits or poor performance in one or more of the following listening skills: sound localization and lateralization; auditory discrimination; auditory pattern recognition; temporal aspects of audition; auditory performance decrements with competing acoustic signals and degraded acoustic signals. Using behavioral assessments (Boscariol, André & Feniman, 2009; Ma, McPherson & Ma, 2015) and questionnaire appraisals (Ma, McPherson & Ma, 2016; Minardi et al, 2004) children with CL/P often have indications of poorer auditory processing abilities than their craniofacially normal peers, and this is the case even for children with NSCL/P who have no history of middle ear disorder.…”

Section: Introductionmentioning

confidence: 99%

Electrophysiological assessment of auditory processing disorder in children with non-syndromic cleft lip and/or palate

McPherson

2016

PeerJ

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ObjectivesCleft lip and/or palate is a common congenital craniofacial malformation found worldwide. A frequently associated disorder is conductive hearing loss, and this disorder has been thoroughly investigated in children with non-syndromic cleft lip and/or palate (NSCL/P). However, analysis of auditory processing function is rarely reported for this population, although this issue should not be ignored since abnormal auditory cortical structures have been found in populations with cleft disorders. The present study utilized electrophysiological tests to assess the auditory status of a large group of children with NSCL/P, and investigated whether this group had less robust central auditory processing abilities compared to craniofacially normal children.Methods146 children with NSCL/P who had normal peripheral hearing thresholds, and 60 craniofacially normal children aged from 6 to 15 years, were recruited. Electrophysiological tests, including auditory brainstem response (ABR), P1-N1-P2 complex, and P300 component recording, were conducted.ResultsABR and N1 wave latencies were significantly prolonged in children with NSCL/P. An atypical developmental trend was found for long latency potentials in children with cleft compared to control group children. Children with unilateral cleft lip and palate showed a greater level of abnormal results compared with other cleft subgroups, whereas the cleft lip subgroup had the most robust responses for all tests.ConclusionChildren with NSCL/P may have slower than normal neural transmission times between the peripheral auditory nerve and brainstem. Possible delayed development of myelination and synaptogenesis may also influence auditory processing function in this population. Present research outcomes were consistent with previous, smaller sample size, electrophysiological studies on infants and children with cleft lip/palate disorders. In view of the these findings, and reports of educational disadvantage associated with cleft disorders, further research that focuses on the auditory processing abilities of children with cleft lip/palate disorder is warranted.

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“…In addition, studies had reported cortical auditory dysfunction reflected by abnormal auditory event-related potentials (ERPs) in children with NSCLP, indicating that the high level auditory disabilities might exist in this group [10,11] . Furthermore, auditory behavioral studies had reported that children with NSCLP appeared to have some overt behavior indicative of auditory disabilities, and scored significantly lower in the central auditory tests comparing their normal peers [12] . These studies could lead to a same conclusion that subjects with craniofacial clefts were potentially at risk of high level auditory dysfunction, or auditory processing disorders (APD).…”

Section: Introductionmentioning

confidence: 99%

Auditory Processing Impairments Under Background Noise in Children with Non-Syndromic Cleft Lip and/or Palate

Feng¹,

Zhang²

2016

Interspeech 2016

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Cleft lip and/or palate (CL/P) disorders are commonly occurring congenital malformations and hearing impairment is a very common co-morbidity. Most previous research has only focused on middle ear disorders and related auditory consequences in this group. Studies of higher level auditory status and central auditory processing abilities of this group have been unsystematic. The present study was conducted in order to objectively investigate the central auditory abilities in children with non-syndromic cleft lip and/or palate (NSCLP). A structured behavioral central auditory test battery was conducted in a group of children with NSCLP and their age/sex matched normal peers. The following behavioral central auditory tasks were undertaken, including hearing in noise test (HINT), dichotic digits test (DDT), and gaps in noise test (GIN). Results showed that there were no significant group differences in DDT test, indicating that the binaural separation and integration abilities could be normal in children with NSCLP. However, the cleft group performed significantly poorer than their normal peers for each ear in HINT test under noise condition and GIN test, suggesting that the children with NSCLP could have impaired monaural low redundancy auditory processing ability, and at risk of temporal resolution disability.

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Behavioral assessment of auditory processing disorder in children with non-syndromic cleft lip and/or palate

Cited by 12 publications

References 24 publications

The relationship between auditory behaviours and speech and language development in children with cleft lip and palate

The relationship between auditory behaviours and speech and language development in children with cleft lip and palate

Electrophysiological assessment of auditory processing disorder in children with non-syndromic cleft lip and/or palate

Auditory Processing Impairments Under Background Noise in Children with Non-Syndromic Cleft Lip and/or Palate

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