Cleft Lip and Palate Care in the United Kingdom—The Clinical Standards Advisory Group (CSAG) Study. Part 3: Speech Outcomes

Abstract

Objective

To summarize speech outcomes in children born with unilateral cleft lip and palate (UCLP) throughout the United Kingdom.

Design

Prospective descriptive study on a cross-sectional sample of children.

Patients/Participants

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.

Main Outcomes

Ratings of intelligibility, nasality, “speech cleft type characteristics” and speech therapy intervention.

Conclusions

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.

Keywords

speech unilateral cleft lip and palate

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