Cleft lip and palate care in the United Kingdom: The clinical standards advisory group (CSAG) study. Part 3 : Speech outcomes

• Published in: The Cleft palate-craniofacial journal 2001, Vol.38 (1), p.30-37
• Main Authors: SELL, Debbie, GRUNWELL, Pamela, MILDINHALL, S. U. E, MURPHY, Terrie, CORNISH, Tremaine A. O, BEARN, David, SHAW, William C, MURRAY, John J, WILLIAMS, Alison C, SANDY, Jonathan R
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Child; Child, Preschool; Cleft Lip - physiopathology; Cleft Lip - therapy; Cleft Palate - physiopathology; Cleft Palate - therapy; Cohort Studies; Cross-Sectional Studies; Dentistry; Facial bones, jaws, teeth, parodontium: diseases, semeiology; Humans; Medical sciences; Non tumoral diseases; Observer Variation; Otorhinolaryngology. Stomatology; Outcome Assessment (Health Care); Phonetics; Prospective Studies; Reproducibility of Results; Speech - physiology; Speech Disorders - classification; Speech Disorders - therapy; Speech Intelligibility - physiology; Speech Therapy; Statistics, Nonparametric; Treatment Outcome; United Kingdom; Velopharyngeal Insufficiency - classification; Velopharyngeal Insufficiency - surgery; Videotape Recording
• ISSN: 1055-6656; 1545-1569
• DOI: 10.1597/1545-1569(2001)038<0030:CLAPCI>2.0.CO;2

To summarize speech outcomes in children born with unilateral cleft lip and palate (UCLP) throughout the United Kingdom. Prospective descriptive study on a cross-sectional sample of children. Data were collected for 238 5-year-olds (born between April 1, 1989, and March 31, 1991) and 218 12-year-olds (born between April 1, 1982, and March 31, 1984) with complete UCLP. Ratings of intelligibility, nasality, "speech cleft type characteristics" and speech therapy intervention. Nineteen percent of 5-year-olds and 4% of 12-year-olds were judged to be impossible to understand or just intelligible to strangers. Thirty-four percent of 5-year-olds and 17% of 12-year-olds had at least one serious error of consonant production. Eighteen percent of 5-year-olds and 12-year-olds had consistent hypernasality of mild, moderate, or severe degree. Approximately two-thirds of both age groups had undergone speech therapy.