Vocal characteristics of children with cleft lip/palate and associated velopharyngeal incompetence. 1993

J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
Department of Otolaryngology, University of Western Ontario, Canada.

This investigation was designed to evaluate the relationship between aerodynamic measures of velopharyngeal competence and laryngeal function in individuals with repaired cleft palate. Twenty-seven cleft lip and palate or cleft palate individuals, between the ages of 4 and 16 years, were evaluated in an ENT clinic for assessment of vocal function. A commercially available aerodynamic (pressure/flow) system for evaluating velopharyngeal function was used to classify estimated opening of the velopharyngeal port during speech production. Aerodynamic measures of laryngeal function (transglottal pressure and airflow, and laryngeal airway resistance) were also collected. A computerized system for acoustic analyses of voice production was employed to determine vocal characteristics of pitch perturbation (jitter), amplitude perturbation (shimmer) and signal-to-noise ratio (SNR). The results suggested that the cleft speakers showed numerically larger measures of perturbation in the vocal signal, and greater laryngeal airway resistance than their normal controls. Subgroups of cleft palate speakers, based on their vocal dynamics, were proposed. Implications for medical and behavioral management for these subgroups are discussed.

UI MeSH Term Description Entries
D008297 Male Males
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D002971 Cleft Lip Congenital defect in the upper lip where the maxillary prominence fails to merge with the merged medial nasal prominences. It is thought to be caused by faulty migration of the mesoderm in the head region. Harelip,Cleft Lips,Harelips,Lip, Cleft,Lips, Cleft
D002972 Cleft Palate Congenital fissure of the soft and/or hard palate, due to faulty fusion. Cleft Palate, Isolated,Cleft Palates,Palate, Cleft,Palates, Cleft
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D013061 Speech Acoustics The acoustic aspects of speech in terms of frequency, intensity, and time. Acoustics, Speech,Acoustic, Speech,Speech Acoustic
D014681 Velopharyngeal Insufficiency Failure of the SOFT PALATE to reach the posterior pharyngeal wall to close the opening between the oral and nasal cavities. Incomplete velopharyngeal closure is primarily related to surgeries (ADENOIDECTOMY; CLEFT PALATE) or an incompetent PALATOPHARYNGEAL SPHINCTER. It is characterized by hypernasal speech. Palatopharyngeal Incompetence,Inadequate Velopharyngeal Closure,Velopharyngeal Incompetence,Incompetence, Palatopharyngeal,Incompetence, Velopharyngeal,Insufficiency, Velopharyngeal,Velopharyngeal Closures, Inadequate

Related Publications

J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
October 2011, Plastic and reconstructive surgery,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
February 2002, European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
January 1992, Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
November 2003, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
May 1992, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
July 2006, Annals of plastic surgery,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
November 2002, Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
November 1997, The Journal of pediatrics,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
June 2001, British journal of plastic surgery,
J R Lewis, and M L Andreassen, and H A Leeper, and D L Macrae, and J Thomas
July 1972, Sygeplejersken,
Copied contents to your clipboard!