The first eletrocnic Journal of Otolaryngology in the world
ISSN: 1809-9777

E-ISSN: 1809-4864

 
1841 

Year: 2014  Vol. 18   Num. 1  - Jan/Mar - (7º)
DOI: 10.1055/s-0033-1358582
Section: Original Article
 
Can Peripheral Hearing Justify the Speech Disorders in Children with Operated Cleft Palate?
Author(s):
Jaqueline Lourenço Cerom, Camila de Cássia Macedo, Mariza Ribeiro Feniman
Key words:
hearing loss - cleft palate - speech
Abstract:

Introduction: Any impairment in the hearing ability of a child with cleft lip and palate may cause difficulties in receptive and expressive language.

Purpose: Check the association between velopharyngeal dysfunction (VPD), compensatory articulation (CA), and peripheral hearing loss in children with cleft palate surgery.

Methods: Retrospective study with 60 children (group 1: presence of VPD and CA; group 2: absence of VPD, presence of CA; group 3: presence of VDP, absence of CA; group 4: absence of VPD and CA), age 4 to 5 years old, with cleft palate surgery, through the analysis of the hearing, VP, and speech evaluations.

Results: Group 4 presented 80% normal hearing; group 1 had 60% hearing loss. The conductive hearing loss type was the most frequent. The glottal stop was the most frequent in group 1 and the middorsum palatal plosive in group 2. There was no significant association (p = 0.05) between hearing loss and the presence of compensatory articulations (groups 2 and 4), nor between hearing loss and the presence of VPD (groups 3 and 4; p = 0.12). Statistical significance (p = 0.025) was found when the group with VPD was associated with the group with CA, that is, group 1 with the control group (group 4).

Conclusion: Significant association between peripheral hearing loss, compensatory articulations, and VPD was verified for the children in group 1, which not only presented compensatory articulations but also VPD.

All right reserved. Prohibited the reproduction of papers
without previous authorization of FORL © 1997- 2020