The effect of early insertion of grommets on the development of speech in children with cleft palates

Abstract The aim of this study was to find out whether simultaneous primary palatoplasty and myringotomy was advantageous in the management of otitis media with effusion in children with cleft lip and palate and whether this combined operation resulted in improvement in the early development of spee...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2007-10, Vol.45 (7), p.527-533
Main Authors: Merrick, G.D, Kunjur, J, Watts, R, Markus, A.F
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Case-Control Studies
Child
Child, Preschool
Cleft audit protocol for speech
Cleft Lip - complications
Cleft Lip - surgery
Cleft lip and palate
Cleft Palate - complications
Cleft Palate - surgery
Clinical Audit
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Language Development
Male
Medical sciences
Middle Ear Ventilation - instrumentation
Non tumoral diseases
Otitis media with effusion
Otitis Media with Effusion - complications
Otitis Media with Effusion - surgery
Otorhinolaryngology. Stomatology
Reconstructive Surgical Procedures
Speech and language development
Speech Intelligibility - physiology
Surgery
Voice Disorders - complications
Voice Disorders - etiology
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Summary:Abstract The aim of this study was to find out whether simultaneous primary palatoplasty and myringotomy was advantageous in the management of otitis media with effusion in children with cleft lip and palate and whether this combined operation resulted in improvement in the early development of speech. Assessments of hearing and speech were made in 50 consecutive patients with cleft lip and palate who had the combined operation (the cleft group). The results were compared with those of an age- and sex-matched control group. The incidence of otitis media with effusion in the cleft group was 24%, compared with 14% in the control group. Assessment of speech using the cleft audit protocol for speech showed that 90% of patients with clefts had speech-intelligibility ratings that were either normal or showed only minor defects, compared with 98% of controls. Among patients with clefts, there was no evidence of cleft-type characteristics of speech in 58%.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2007.02.003