The Effects of Age, Information, and Personal Contact on Attitudes toward Individuals with Cleft-Lip and Palate

2016 ◽  
Vol 53 (4) ◽  
pp. 427-434
Author(s):  
Adam Blancher ◽  
Mary Ann Goodwyn
2006 ◽  
Vol 43 (6) ◽  
pp. 731-739 ◽  
Author(s):  
R. K. K. Chan ◽  
B. McPherson ◽  
T. L. Whitehill

Objective: The purpose of this study was to investigate the effect of personal contact on the attitudes of individuals towards persons with cleft lip and palate (CLP) and the possible cultural differences in these attitudes for Chinese respondents living in Hong Kong. Design: Chinese parent, teacher, and employer groups were administered a cleft lip and palate attitudinal questionnaire and the Scale of Attitudes Toward Disabled Persons inventory. Subjects: Thirty-nine parents of children with CLP, 27 teachers of children with CLP, and 37 employers with no previous contact with individuals with CLP participated in the study. Results: The results showed significant intergroup differences on several items involving beliefs concerning emotional health, social development, and employment-related barriers for individuals with CLP, and whether such individuals should seek nonmedical help to treat speech problems. Employers showed a comparatively less favorable attitude to persons with CLP than the two other groups. Conclusion: Parent, teacher, and employer groups in the Chinese community studied showed differences in their attitudes towards individuals with CLP. The findings suggest the need for further community health education to help develop more positive attitudes towards disabled persons in general, as well as programs targeted at reducing negative stereotyping of adults and children with CLP.


2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352


1993 ◽  
Vol 20 (4) ◽  
pp. 733-753 ◽  
Author(s):  
Alvaro A. Figueroa ◽  
John W. Polley ◽  
Mimis Cohen

BDJ ◽  
1998 ◽  
Vol 185 (7) ◽  
pp. 320-321 ◽  
Author(s):  
Biase Di ◽  
A Markus

Author(s):  
Jakob Brief ◽  
Jan Behle ◽  
Angelika Stellzig-Eisenhauer ◽  
Stefan Hassfeld

2009 ◽  
pp. 091202121239062
Author(s):  
Maria Mani ◽  
Staffan Morén ◽  
Ornolfur Thorvardsson ◽  
Olafur Jakobsson ◽  
Valdemar Skoog ◽  
...  

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