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Speech outcomes following Sommerlad primary palatoplasty : results of the Ghent University Hospital

Laura Bruneel (UGent) , Kim Bettens (UGent) , Marc De Bodt (UGent) , Nathalie Roche (UGent) , Katrien Bonte (UGent) and Kristiane Van Lierde (UGent)
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Abstract
Objective and subjects: Speech outcomes were described for 16 patients with cleft palate (mean age: 5.4 years) following Sommerlad primary palatoplasty performed by a single surgeon of the Ghent University Hospital. These speech outcomes were compared with those of an age and gender matched control group without cleft palate (mean age: 5.3 years). Methods: Speech intelligibility/distinctiveness, resonance, nasal airflow and articulation, were perceptually evaluated. Additionally, nasalance values and the NSI 2.0 were determined. Results: In seven patients, speech intelligibility/distinctiveness was disordered. Hypernasality was present in twelve participants, whereas nasal emission and nasal turbulence were perceived in thirteen and five patients respectively. Both perceptual and instrumental speech evaluations were significantly poorer in the patient group in comparison to the control group. Conclusions: Patients still present with both obligatory and compensatory speech disorders following Sommerlad's palatoplasty. In the future, a Dutch speech assessment protocol will be developed in order to standardize follow-up of these patients and to allow for within-center and inter-center comparisons.
Keywords
Cleft palate, Speech, Sommerlad palatoplasty, PHARYNGEAL FLAP SURGERY, CLEFT AUDIT PROTOCOL, PALATAL REPAIR, VELOPHARYNGEAL INSUFFICIENCY, INTRAVELAR VELOPLASTY, 2-FLAP PALATOPLASTY, LIP, DISORDERS, CHILDREN, PATHOLOGISTS

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Chicago
Bruneel, Laura, Kim Bettens, Marc De Bodt, Nathalie Roche, Katrien Bonte, and Kristiane Van Lierde. 2018. “Speech Outcomes Following Sommerlad Primary Palatoplasty : Results of the Ghent University Hospital.” Journal of Communication Disorders 72: 111–121.
APA
Bruneel, L., Bettens, K., De Bodt, M., Roche, N., Bonte, K., & Van Lierde, K. (2018). Speech outcomes following Sommerlad primary palatoplasty : results of the Ghent University Hospital. JOURNAL OF COMMUNICATION DISORDERS, 72, 111–121.
Vancouver
1.
Bruneel L, Bettens K, De Bodt M, Roche N, Bonte K, Van Lierde K. Speech outcomes following Sommerlad primary palatoplasty : results of the Ghent University Hospital. JOURNAL OF COMMUNICATION DISORDERS. 2018;72:111–21.
MLA
Bruneel, Laura, Kim Bettens, Marc De Bodt, et al. “Speech Outcomes Following Sommerlad Primary Palatoplasty : Results of the Ghent University Hospital.” JOURNAL OF COMMUNICATION DISORDERS 72 (2018): 111–121. Print.
@article{8552996,
  abstract     = {Objective and subjects: Speech outcomes were described for 16 patients with cleft palate (mean age: 5.4 years) following Sommerlad primary palatoplasty performed by a single surgeon of the Ghent University Hospital. These speech outcomes were compared with those of an age and gender matched control group without cleft palate (mean age: 5.3 years). 
Methods: Speech intelligibility/distinctiveness, resonance, nasal airflow and articulation, were perceptually evaluated. Additionally, nasalance values and the NSI 2.0 were determined. 
Results: In seven patients, speech intelligibility/distinctiveness was disordered. Hypernasality was present in twelve participants, whereas nasal emission and nasal turbulence were perceived in thirteen and five patients respectively. Both perceptual and instrumental speech evaluations were significantly poorer in the patient group in comparison to the control group. 
Conclusions: Patients still present with both obligatory and compensatory speech disorders following Sommerlad's palatoplasty. In the future, a Dutch speech assessment protocol will be developed in order to standardize follow-up of these patients and to allow for within-center and inter-center comparisons.},
  author       = {Bruneel, Laura and Bettens, Kim and De Bodt, Marc and Roche, Nathalie and Bonte, Katrien and Van Lierde, Kristiane},
  issn         = {0021-9924},
  journal      = {JOURNAL OF COMMUNICATION DISORDERS},
  language     = {eng},
  pages        = {111--121},
  title        = {Speech outcomes following Sommerlad primary palatoplasty : results of the Ghent University Hospital},
  url          = {http://dx.doi.org/10.1016/j.jcomdis.2018.01.004},
  volume       = {72},
  year         = {2018},
}

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