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022 _a1998-376X
100 _aAparna, V. S.
245 0 _aVelopharyngeal Closure and Resonance in Children Following Early Cleft Palate Repair: Outcome Measurement
260 _c2019
270 _aAll India Institute of Speech and Hearing, Manasagangothri, Mysuru, Karnataka, India
270 _aConsultant Maxillofacial Surgeon, Jain Unit of Smile Train, Bhagwaan Mahaveer Jain Hospital, Bangalore, Karnataka, India
270 _aConsultant Speech Language pathologist, Jain Unit of Smiletrain, Bhagwaan Mahaveer Jain hospital, Bangalore, Karnataka, India
300 _a201-208
490 _vVolume 52 Issue 2
520 _aIntroduction Timing of cleft palate repair and the method of speech outcome measurement in children with cleft lip and palate are much debated topics. The associated problems and quality of life in these children depend on the timing of the surgery.Aim The aim of this study was to investigate the velopharyngeal (VP) function and resonance parameters in children following early cleft palate repair.Method A total of 25 Kannada-speaking children with early repaired cleft palate were subjected to speech assessment and videofluoroscopic assessment. Perceptual speech parameters measured were severity of hypernasality and presence of nasal air emission. Videofluoroscopy was interpreted in terms of closure ratios to predict the severity of VP dysfunction.Results The analysis of videofluoroscopic images indicated that 48% of children had complete VP closure and 52% had perceptually normal resonance. A good correlation was found between the closure ratio and hypernasality.Conclusion Understanding the perceptual speech parameters and their structural correlates for outcome measurement will give better evidence for refining the existing treatment protocols. Data on a larger population are warranted for establishing predictors of optimum speech outcome.
653 _avideofluoroscopy - perceptual speech - hypernasality - nasal air emission - closure ratio
700 _aKrishnamurty Bonanthaya
700 _aPushpavathi, M.
773 _aIndian Journal of Plastic Surgery
856 _uhttps://doi.org/10.1055/s-0039-1696608
942 _cFJAS
_yFJAS
999 _c17817
_d17817