Better speech outcomes after very early palatal repair?—A longitudinal case-control study in Ugandan children with cleft palate

Bettens, Kim; Alighieri, Cassandra; Bruneel, Laura; D’haeseleer, Evelien; Luyten, Anke; Sseremba, Daniel; Musasizib, Duncan; Ojok, Isaac; Hodges, Andrew; Galiwango, George; Vermeersch, Hubert; Lierde, Kristiane Van

doi:10.1016/j.jcomdis.2022.106198

Cited by 3 publications

(1 citation statement)

References 42 publications

(78 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar results were found in previous studies that used different models and strategies to enhance speech therapy in children with CP ± L in many LMICs. 5 7 8 9 25 26 27 28 29 Regarding hearing, development of language and psychosocial skills are significantly influenced by moderate hearing loss (hearing level = 41–60 dB) that generally may affect children who then fall behind in language skills compared with their normal hearing peers, 30 where average conversational speech loudness is 40 to 60 dB. 31 Most children in this study had normal hearing level in an ear and had normal speech and language development or with a minimal effect on outcomes.…”

Section: Discussionmentioning

confidence: 99%

Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals

Prathanee,

Thanawirattananit,

Surit

et al. 2024

Arch Plast Surg

View full text Add to dashboard Cite

Background Shortage of speech and language therapists results in lack of speech services. The aims of this study were to find the effectiveness of a combination speech therapy model at Level IV: General speech and language pathologist (GSLP) and Level V: Specific speech and language pathologist (SSLP) in reduction of the number of articulation errors and promotion the quality of life (QoL) for children with cleft palate with or without cleft lip (CP ± L). Methods Fifteen children with CP ± L, aged 4 years 1 month to 10 years 9 months (median = 76 months; minimum:maximum = 49:129 months) were enrolled in this study. Pre- and post-assessment included oral peripheral examination; articulation tests via Articulation Screening Test, Thai Universal Parameters of Speech Outcomes for People with Cleft Palate, Hearing Evaluation, The World Health Organization Quality of Life Brief_Thai (WHOQOL-BRIEF-THAI) version questionnaire for QoL were performed. Speech therapy included a 3-day intensive speech camp by SSLP, five 30-minute speech therapy sessions by a GSLP, and five 1-day follow-up speech camps by SSLP that provided four 45-minute speech therapy sessions for each child. Results Post-articulation revealed statistically significant reduction of the numbers of articulation errors at word, sentence, and screening levels (median difference [MD] = 3, 95% confidence interval [CI] = 2–5; MD = 6, 95% CI = 4.5–8; MD = 2.25, 95% CI = 1.5–3, respectively) and improvement of QoL. Conclusion A speech task force consisting of a combination of Level IV: GSLP and Level V: SSLP could significantly reduce the number of articulation errors and promote QoL.

show abstract

Section: Discussionmentioning

confidence: 99%

Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals

Prathanee,

Thanawirattananit,

Surit

et al. 2024

Arch Plast Surg

View full text Add to dashboard Cite

show abstract

Socioeconomic Deprivation Detrimentally Influences Language Outcomes in Toddlers With Cleft Palate

Fujiki,

Lien,

Munday

et al. 2024

J Speech Lang Hear Res

View full text Add to dashboard Cite

Purpose: The purpose of this study was to examine the influence of socioeconomic deprivation on language and developmental outcomes in toddlers with cleft palate with or without cleft lip (CP ± L). Other factors known to influence language outcomes were also considered, including home language history, history of hearing problems, syndromic diagnoses, and sex. Method: A multicenter, cross-sectional study design was conducted. Data for 566 16-month-old toddlers with CP ± L were collected from 17 outpatient cleft palate clinics located throughout the United States. Outcome measures included the MacArthur–Bates Communicative Development Inventories, LENA Developmental Snapshot, age at first word as reported by the caregiver, and the Ages and Stages Questionnaires–Third Edition (ASQ-3). Multivariable linear or logistic regression was used to determine the influence of socioeconomic deprivation, as measured by the Area Deprivation Index, on language and developmental outcomes. Results: Greater socioeconomic deprivation significantly predicted poorer language outcomes in toddlers with CP ± L, including receptive vocabulary words ( p = .02), expressive vocabulary words ( p = .02), and late-developing gestures ( p = .02). Additionally, toddlers from less affluent neighborhoods produced their first words significantly later than their counterparts living in more affluent areas ( p < .01). Lower maternal education levels predicted significantly increased risk for problem solving delays ( p < .01), and patients with subsidized insurance were at significantly increased risk for personal–social delays on the ASQ-3 ( p < .01). Conclusions: Children with CP ± L are susceptible to developmental delays associated with socioeconomic deprivation. These findings have implications for identifying a child's individual risk factors for developmental language disorders when conducting speech-language assessments. Future study should examine how inequities in care can be mitigated and addressed.

show abstract

Management of Speech and Hearing in Low-Income and Middle-Income Countries: Current Conditions, Problems, Future Directions

Sasikumar,

Hariharan,

Vittal

et al. 2024

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Management of speech and hearing issues in low-income and middle-income countries (LMICs) has been challenging, considering the population size and availability of resources. There is a need to investigate the depth of these challenges and explore the efficacy of strategies to overcome them. This review aimed to delineate the speech and hearing issues in individuals with cleft lip and palate and how they have been managed in the context of LMICs. Keywords were developed based on the objectives of the study to search for literature published during the period 2010 to 2023. Articles from PubMed, Google Scholar, Science Direct, and ProQuest databases were retrieved using appropriate keyword searches. The titles and abstracts were screened to delete the unsuitable articles. Relevant gray literature and hand-searched articles published were also included. The findings are summarized under the following heads in the context of LMICs: incidence and severity of speech and hearing issues, challenges, and barriers in providing speech and hearing services, methods of developing manpower and training, methods of assessing speech and hearing outcomes, service delivery models employed, and the recent advances relating to management of speech and hearing. A wide range of topics revolving around managing speech and hearing issues in individuals with cleft lip and palate has been researched in the context of LMICs. Scattered and fragmented solutions have been provided to overcome the varied challenges in LMICs. The gaps in the literature and the future directions for research have been identified.

show abstract

Better speech outcomes after very early palatal repair?—A longitudinal case-control study in Ugandan children with cleft palate

Cited by 3 publications

References 42 publications

Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals

Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals

Socioeconomic Deprivation Detrimentally Influences Language Outcomes in Toddlers With Cleft Palate

Management of Speech and Hearing in Low-Income and Middle-Income Countries: Current Conditions, Problems, Future Directions

Contact Info

Product

Resources

About