Speech and Language in the Patient with Cleft Palate

2012 ◽  
pp. 137-146 ◽  
Author(s):  
Sue Mildinhall
Keyword(s):  
Cleft Palate ◽  
Speech And Language

scholarly journals An Exploratory Study of Speech and Language Therapy Intervention for Children Born With Cleft Palate ± Lip

2020 ◽  
pp. 105566562095473
Author(s):  
Caroline Williams ◽  
Sam Harding ◽  
Yvonne Wren
Keyword(s):  
Decision Making ◽  
United Kingdom ◽  
Service Delivery ◽  
Cleft Palate ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Service Delivery Models ◽  
The United Kingdom ◽  
Delivery Models

Introduction: Children born with a cleft palate ± lip are at risk of developing speech and language difficulties, which may require intervention from a speech and language therapist (SLT). To date, there is no strong evidence to support one approach to intervention over another, neither is it clear which approaches or methods of provision are commonly used. Objectives: To describe the range of speech and language therapy interventions being used with children born with cleft palate in the United Kingdom up to 5 years of age. To explore the different ways, interventions are being delivered. Design: A prospective study to conduct 9 semi-structured focus groups. Iterative content analysis was completed. Setting: Regional Cleft Lip and Palate Centers in the United Kingdom. Participants: Sixty-two speech and language therapy professionals from specialist cleft teams and community services. Results: Four main codes were identified: “intervention approaches,” “service delivery models,” “decision-making and rationale,” and “patient-centered care.” Participants frequently discussed how they adopt an eclectic style when delivering intervention, the importance of an individualized approach for each child and service delivery constraints, such as a lack of resources. Conclusion: Insight into the multitude of intervention approaches used by SLTs, aspects which influence their decision-making and the variability of service delivery models were gained. Uncertainty regarding which intervention approaches and methods for delivery are most effective provides rationale for future research, to improve the effectiveness of speech and language intervention for children with cleft palate ± lip.

The Management of Otitis Media with Early Routine Insertion of Grommets in Children with Cleft Palate—A Systematic Review

2009 ◽  
Vol 46 (1) ◽  
pp. 30-38 ◽  
Author(s):  
Sirisha Ponduri ◽  
Rebecca Bradley ◽  
Pamela E. Ellis ◽  
Sara T. Brookes ◽  
Jonathan R. Sandy ◽  
...  
Keyword(s):  
Systematic Review ◽  
Language Development ◽  
Cleft Palate ◽  
Cohort Studies ◽  
Outcome Measures ◽  
Case Series ◽  
Secondary Outcome ◽  
Speech And Language ◽  
Historical Cohort ◽  
Speech And Language Development

Objective: To determine whether early routine grommet insertion in children with cleft palate has a beneficial effect on hearing and speech and language development compared with conservative management. Design: Systematic review of randomized controlled trials, controlled clinical trials, case series, and prospective and historical cohort studies. Main Outcome Measures: The main outcome measure was the effect of early routine grommet placement on the degree of conductive hearing loss. Secondary outcome measures included differences in hearing level, possible side effects, speech and language development, and quality of life. Results: We identified 368 citations for review. From a review of the titles, 34 potentially relevant papers were selected. Of these, 18 studies met our inclusion criteria, including eight case series, six historical cohort studies, three prospective cohort studies, and one randomized trial. Most studies were either small or of poor quality or both. The results of the studies were contradictory, with some studies suggesting early placement of grommets was beneficial and others reporting there was no benefit. Conclusions: There is currently insufficient evidence on which to base the clinical practice of early routine grommet placement in children with cleft palate.

The effectiveness of mentoring speech and language pathology students when they face patients with cleft palate

2015 ◽  
Vol 79 (10) ◽  
pp. 1708-1713 ◽  
Author(s):  
María del Carmen Pamplona ◽  
Pablo Antonio Ysunza ◽  
Pilar Sarre ◽  
Santiago Morales ◽  
Mariana Sterling
Keyword(s):  
Cleft Palate ◽  
Speech And Language ◽  
Language Pathology

Speech and Language Therapy Interventions for Children with Cleft Palate: A Systematic Review

2013 ◽  
Vol 50 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Alyson Bessell ◽  
Debbie Sell ◽  
Penny Whiting ◽  
Sue Roulstone ◽  
Liz Albery ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cleft Palate ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Therapy Interventions

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

2019 ◽  
Vol 54 (5) ◽  
pp. 767-778 ◽  
Author(s):  
Jessica O. Boyce ◽  
Katherine Sanchez ◽  
David J. Amor ◽  
Sheena Reilly ◽  
Annette Da Costa ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Preliminary Report ◽  
Speech And Language ◽  
Submucous Cleft Palate

Parental Judgement of Hearing Loss in Infants With Cleft Palate

2020 ◽  
Vol 57 (7) ◽  
pp. 886-894 ◽  
Author(s):  
Lucy McAndrew
Keyword(s):  
Hearing Loss ◽  
Cleft Palate ◽  
Middle Ear ◽  
Objective Assessment ◽  
Speech And Language ◽  
Language Therapy ◽  
Parental Concern ◽  
Hearing Assessment ◽  
Specialist Center

Objective: To investigate whether reported parental concern is supported by hearing assessment findings in children with cleft palate. To describe this population by examining the relationship between cleft type, middle ear status, and hearing loss. Design: Retrospective consecutive case note review. Setting: Tertiary institutional regional cleft center. Patients: Consecutive cases of 194 babies born with cleft palate and referred to the specialist center from January 2009 and December 2013. Following exclusions, data from 155 infants were included for analysis. Interventions: Documented parental concern in ear, nose and throat (ENT) and speech and language therapy case notes were compared to hearing assessment findings. Findings from otoscopic examination, tympanometry, and hearing assessment were analyzed with respect to cleft type. Results: Parental concern is not always accurately reflected by objective assessment particularly when no concern is reported. Analysis of the cohort examined suggests that cleft type is not related to middle ear findings or hearing. Conclusions: It is helpful to be aware of parental concern and clinicians should consider that parental reports may not be accurately reflected by test results. As cleft type was not found to substantially influence middle ear status or hearing it is not recommended to adapt speech and language advice offered to families according to cleft type. Follow-up studies to increase participant numbers would support a statistical analysis.

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