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Instrumental assessment of velopharyngeal closure for speech.
Karnell, Michael P.
Afiliación
  • Karnell MP; Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City 52242-1602, USA. michael-karnell@uiowa.edu
Semin Speech Lang ; 32(2): 168-78, 2011 May.
Article en En | MEDLINE | ID: mdl-21948643
The presence of a palatal cleft at birth should not prevent good speech production in most children provided they have (1) appropriate surgical intervention to close the palate at or around the child's first birthday, (2) careful monitoring of speech development throughout childhood, (3) speech therapy when needed, and (4) secondary surgical or speech-prosthetic intervention when needed. When managed carefully by an experienced, well-prepared multidisciplinary team that applies the criteria listed above, ~70% of children with nonsyndromic palatal clefts will have no significant difficulties with speech intelligibility or speech quality due to velopharyngeal insufficiency by the time they enter elementary school. Speech assessment is the first step toward comprehensive team management of children with cleft palate. The purpose of this chapter is to describe the use of instrumentation in the evaluation of speech of children with palatal clefts, within the context of a multidisciplinary team. The focus of this article is on instruments that are used to supplement the perceptual assessment to document current speech status and plan management strategies.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Articulación / Espectrografía del Sonido / Inteligibilidad del Habla / Medición de la Producción del Habla / Calidad de la Voz / Fonética / Insuficiencia Velofaríngea Límite: Child / Humans Idioma: En Revista: Semin Speech Lang Año: 2011 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Articulación / Espectrografía del Sonido / Inteligibilidad del Habla / Medición de la Producción del Habla / Calidad de la Voz / Fonética / Insuficiencia Velofaríngea Límite: Child / Humans Idioma: En Revista: Semin Speech Lang Año: 2011 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos