The effect of maxillary advancement on articulation of alveolar consonants in cleft patients

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Alaluusua , S , Harjunpää , R , Turunen , L , Geneid , A , Leikola , J & Heliövaara , A 2020 , ' The effect of maxillary advancement on articulation of alveolar consonants in cleft patients ' , Journal of Cranio-Maxillo-Facial Surgery , vol. 48 , no. 5 , pp. 472-476 . https://doi.org/10.1016/j.jcms.2020.02.002

Title: The effect of maxillary advancement on articulation of alveolar consonants in cleft patients
Author: Alaluusua, Suvi; Harjunpää, Roni; Turunen, Leena; Geneid, Ahmed; Leikola, Junnu; Heliövaara, Arja
Contributor: University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, Helsinki University Hospital Area
University of Helsinki, Plastiikkakirurgian yksikkö
University of Helsinki, HUS Head and Neck Center
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
Date: 2020-02-14
Language: eng
Number of pages: 5
Belongs to series: Journal of Cranio-Maxillo-Facial Surgery
ISSN: 1010-5182
URI: http://hdl.handle.net/10138/326421
Abstract: Introduction Maxillary advancement may affect speech in cleft patients. The aim of this study was to evaluate the effect of maxillary advancement on Finnish alveolar consonants/s/,/l/, and/r/in cleft patients. Materials and methods Fifty-nine Finnish-speaking nonsyndromic cleft patients, who had undergone Le Fort I or bimaxillary osteotomies, were evaluated retrospectively Production of the Finnish alveolar consonants/s/,/l/, and/r/was assessed from pre- and postoperative standardized video recordings by two experienced speech pathologists. McNemar’s test was used in the statistical analyses. Kappa statistics were calculated to assess reliability. Results The patients included 35 females and 24 males with CP (n = 12), UCLP (n = 31), and BCLP (n = 16). There was a significant improvement in/s/and/l/sounds after maxillary advancement (p = 0.039 and p = 0.002, respectively). The preoperative mean percentage of/s/errors was 34%; postoperatively it was 20%./L/was misarticulated preoperatively by 34% of the patients and postoperatively by 19%./R/was misarticulated preoperatively by 47% of the patients and postoperatively by 42%. The level of mild articulation errors rose from 25% to 31%, while severe articulation errors decreased from 37% to 25%. The reliabilities were good. Conclusion When planning orthognathic surgery in cleft patients with maxillary retrusion and articulation errors, advancement of the maxilla might be a means for improving articulation of/s/and/l/.
Subject: 3126 Surgery, anesthesiology, intensive care, radiology
cleft palate
cleft lip and palate
maxillary advancement
articulation
osteotomy
speech
Cleft palate
Osteotomy
I OSTEOTOMY
CRANIOFACIAL CEPHALOMETRIC MORPHOLOGY
SPEECH
PALATE
Articulation
LIP
ORTHOGNATHIC SURGERY
Speech
LATER NEED
Maxillary advancement
VELOPHARYNGEAL FUNCTION
Cleft lip and palate
AGE
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