Speech and language characteristics in individuals with nonsyndromic submucous cleft palate—A systematic review

Boyce, Jessica O; Kilpatrick, Nicky; Morgan, Angela

doi:10.1111/cch.12613

Cited by 29 publications

(38 citation statements)

References 87 publications

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“…To our knowledge, this is the first study to explore the language and pragmatic skills of children with SMCP alongside speech, limiting possible comparisons to existing literature (Boyce et al . ). Nonetheless, we can draw inferences from studies that examine these skills in children with overt clefts.…”

Section: Discussionmentioning

confidence: 97%

“…Speech profiles reported in this study complement existing literature, with participants having normal resonance to severe hypernasality accompanied by a range of cleft speech articulatory features (Boyce et al . , Isotalo et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…The heterogeneity of speech profiles reported here may be anticipated given the broad age range of participants and age at SMCP diagnosis, with further associated influences of individualized surgical treatment (e.g., timing and technique; Boyce et al . , Swanson et al . , Sommerlad et al .…”

Section: Discussionmentioning

confidence: 99%

“…Most investigations exploring communication in individuals with SMCP focus on the impact of anatomical abnormalities and surgical treatment (Boyce et al . , Swanson et al . ).…”

Section: Introductionmentioning

confidence: 99%

“…Studies consistently report that individuals with SMCP may have VPI characterized by increased nasal resonance (hypernasality), nasal air emission or turbulence and palatalized or glottal articulation (Boyce et al . , Sommerlad et al . ).…”

Section: Introductionmentioning

confidence: 99%

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Exploring the speech and language of individuals with non‐syndromic submucous cleft palate: a preliminary report

Boyce

Sánchez

Amor

et al. 2019

Intl J Lang & Comm Disor

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Background: Submucous cleft palate (SMCP) has a heterogeneous presentation and is often identified late or misdiagnosed. Diagnosis is prompted by speech, resonance or feeding symptoms associated with velopharyngeal insufficiency. However, the broader impacts of SMCP on communication have rarely been examined and therefore are poorly understood. Aim: To describe the communicative profile of individuals with non-syndromic SMCP by examining speech, language and pragmatics (social language). Methods & Procedures: Fifteen participants with SMCP aged 5;1-12;8, without a genetic diagnosis, participated in the study. Participants completed standardized assessments examining language, resonance, speech and non-verbal intellect. Parents also completed the Children's Communication Checklist (CCC-2), which provided a measure of overall communicative ability, including pragmatic skills. Formal language outcomes were compared with two cohorts: 36 individuals with overt non-syndromic clefts and 129 individuals with no history of clefting. Outcomes & Results: Speech intelligibility was reduced secondary to hypernasality, disordered articulation and/or impaired phonology (n = 7) in children with SMCP. Poorer overall language outcomes were observed for children with SMCP compared with both those with overt clefts and no history of clefting (p < 0.001). Language scores for children with SMCP ranged from impaired (n = 6) to above the standardized mean (n = 4). Receptive and expressive language performance were independently correlated with non-verbal IQ (p < 0.01). Those with severe language impairment (n = 4) also had borderline or impaired non-verbal IQ. Parents reported that speech and semantics were the most affected sub-domains of communication, while scores were the highest for the initiation domain. Speech and language skills were correlated strongly with pragmatics (r = 0.877, p < 0.01). Conclusions & Implications: Overall, performance was variable within the SMCP group across speech, language and pragmatic assessments. In addition to well-documented speech difficulties, children with SMCP may have language or pragmatic impairments, suggesting that further neurodevelopmental influences may be at play. As such, for individuals with SMCP, additional clinical screening of language and pragmatic abilities may be required to ensure accurate diagnosis and guide both cleft and non-cleft related therapy programmes.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Most investigations exploring communication in individuals with SMCP focus on the impact of anatomical abnormalities and surgical treatment (Boyce et al . , Swanson et al . ).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the speech and language of individuals with non‐syndromic submucous cleft palate: a preliminary report

Boyce

Sánchez

Amor

et al. 2019

Intl J Lang & Comm Disor

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Effectiveness of secondary furlow palatoplasty with buccal myomucosal flap in correction of velopharyngeal insufficiency in patients with cleft palate

Aboulhassan,

Elrouby,

Refahee

et al. 2024

Clin Oral Invest

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Objectives The main purpose of this study was evaluation of the effectiveness of secondary furlow palatoplasty with buccal myomucosal flap (FPBF) for the treatment of velopharyngeal insufficiency (VPI) in patients with a cleft palate who were treated with two flap palatoplasty (TFP) in their primary palate repair. Material and methods Twenty-three medically free children aged 4–8 years with non-syndromic and previously repaired cleft palate via TFP participated in the study. All patients received secondary surgery following the technique of FPBF. Preoperative speech evaluation was done before the secondary repair and 3 months after the surgery using a hypernasal speech scale, speech intelligibility scale, and nasopharyngoscopy. Results A statistically significant improvement was observed regarding the degree of hypernasality and speech intelligibility while comparing the preoperative scores after the primary surgery to the postoperative scores after the secondary surgery. In addition, a statistically significant improvement was found in the nasopharyngoscopic assessment. Conclusions The incorporation of a buccal myomucosal flap with Furlow palatoplasty was successful in improving hypernasality, speech intelligibility, and nasopharyngoscopic scores in patients with cleft palate. Trial registration clinicaltrials.gov (NCT05626933). Clinical relevance This technique might be the surgical technique of choice while treating patients who are suffering from VPI after cleft palate repair.

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A case of bilateral cleft lip and palate requiring long-term cannulation: A case report

Arai

Funada

Hasegawa

et al. 2021

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathol

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Speech and language characteristics in individuals with nonsyndromic submucous cleft palate—A systematic review

Cited by 29 publications

References 87 publications

Exploring the speech and language of individuals with non‐syndromic submucous cleft palate: a preliminary report

Exploring the speech and language of individuals with non‐syndromic submucous cleft palate: a preliminary report

Effectiveness of secondary furlow palatoplasty with buccal myomucosal flap in correction of velopharyngeal insufficiency in patients with cleft palate

A case of bilateral cleft lip and palate requiring long-term cannulation: A case report

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