Understanding of Speech Production in Cleft Lip/Palate A Review
Main Article Content
Keywords
speech production, cleft, medical interventions, velopharyngeal mechanism
Abstract
A cleft lip is a disorder caused by the incomplete joining of the lips or palate during fetal development. This condition can result in a variety of physical impairments, speech impairments, and even psychological impairments that can affect a person’s life. Patients with cleft lip usually suffer from dental problems, speech problems, and breathing and hearing problems. This condition can certainly lead to emotional and social problems that require attention from various parties, including surgeons, dentists, speech therapists, and psychologists, essential. Patients with cleft disorders usually have an inability to produce speech sounds due to the insufficient amount of air pressure passing through the oral cavity. The severity of the disorder depends on various factors such as the intensity of the cleft, age at the surgery, and hearing loss. Early support and treatment can greatly improve patients’ quality of life. It is necessary to conduct comprehensive research to address the different issues associated with cleft lip/palate. This involves not only healthcare professionals, such as speech-language pathologists, surgeons, orthodontists, and pediatric dentists, but also communication experts, such as linguists, to develop effective treatments and strategies. This review article discusses the relationship between clefts and speech production, as well as the factors that play a role in improving the quality of life of patients with cleft. The article aims to provide a comprehensive overview of clefts, serving as a reference for dentists, surgeons, linguists, and other professionals who work with cleft patients.
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References
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Berrezueta Reyes Eva Estefanía, Loja Arpi Paola Abigail, Méndez Álvarez Paúl Santiago, Padilla Viñanzaca Érika Paola, Peralta Quezada Jéssica Daniela, & Yunga Picón María Yolanda. (2023). Malocclusions and oral disorders associated with cleft lip and palate; Prevention and treatment. World Journal of Advanced Research and Reviews, 19(1), 970–976. https://doi.org/10.30574/wjarr.2023.19.1.1443
Bessell, A., Sell, D., Whiting, P.F., Roulstone, S., Albery, L., Persson, M., Verhoeven, A., Burke, M., & Ness, A.R. (2013). Speech and Language Therapy Interventions for Children with Cleft Palate: A Systematic Review. The Cleft Palate-Craniofacial Journal, 50, 1 - 17.
Blue, G.M., Kirk, E.P., Sholler, G.F., Harvey, R.P., & Winlaw, D.S. (2012). Congenital heart disease: current knowledge about causes and inheritance. Medical Journal of Australia, 197.
Cash, A. C., & Cobb, A. R. M. (2016). Orthognathic Surgery in the Patient with Cleft Lip and Palate. In Orthognathic Surgery (pp. 796–812). Wiley. https://doi.org/10.1002/9781119004370.ch56
Costa, G., & Pollack, A.E. (2022). Prenatal and postnatal drug exposure: focus on persistent central effects. Neural Regeneration Research, 18, 1697 - 1702.
Frederick, R., Hogan, A. C., Seabolt, N., & Stocks, R. M. S. (2022). An Ideal Multidisciplinary Cleft Lip and Cleft Palate Care Team. Oral Diseases, 28(5), 1412–1417. https://doi.org/10.1111/odi.14213
Fritzsche, S. (2019). Care of the Asian American Child With Cleft Lip or Palate. Plastic Surgical Nursing, 39(4), 142–147. https://doi.org/10.1097/PSN.0000000000000286
Fujiki, R. B., & Thibeault, S. L. (2023). Are Children with Cleft Palate at Increased Risk for Laryngeal Pathology? The Cleft Palate Craniofacial Journal, 60(11), 1385–1394. https://doi.org/10.1177/10556656221104027
Ganatra, S., Shetty, S., & Vijayalakshmi, P. (2021). Sclerocornea - A rare manifestation of full trisomy 13. Journal of Clinical Ophthalmology and Research, 9(2), 83. https://doi.org/10.4103/jcor.jcor_117_20
Gart, M. S., & Gosain, A. K. (2014). Surgical Management of Velopharyngeal Insufficiency. Clinics in Plastic Surgery, 41(2), 253–270. https://doi.org/10.1016/j.cps.2013.12.010
Gelany, A., & Abd EL Naeem, A. (2019). Anatomy of the Velopharyngeal Valve. Sohag Medical Journal, 23(1), 235–239. https://doi.org/10.21608/smj.2019.43700
Glantz, M.D., & Chambers, J.C. (2006). Prenatal drug exposure effects on subsequent vulnerability to drug abuse. Development and Psychopathology, 18, 893 - 922.
Haj, M., Koudstaal, M. J., Ramcharan, M. S., Hoogeboom, A. J. M., Koster, M. P. H., Srebniak, M. I., & Cohen-Overbeek, T. E. (2020). Undetected anomalies in foetuses with a prenatal diagnosis of isolated cleft. International Journal of Oral and Maxillofacial Surgery, 49(12), 1576–1583. https://doi.org/10.1016/j.ijom.2020.05.005
Handoko, H., & Yohana, N. (2023). Speech Production and Malocclusion: A Review. JURNAL ARBITRER, 10(1), 107–115. https://doi.org/10.25077/ar.10.1.107-115.2023
Hardin-Jones, M., Jones, D. L., & Dolezal, R. C. (2020). Opinions of Speech-Language Pathologists Regarding Speech Management for Children With Cleft Lip and Palate. The Cleft Palate-Craniofacial Journal, 57(1), 55–64. https://doi.org/10.1177/1055665619857000
Jamilian, A., Sarkarat, F., Jafari, M., Neshandar, M., Amini, E., Khosravi, S., & Ghassemi, A. (2017). Family history and risk factors for cleft lip and palate patients and their associated anomalies. Stomatologija, 19 3, 78-83 .
Kotlarek, K. J., & Krueger, B. I. (2023). Treatment of Speech Sound Errors in Cleft Palate: A Tutorial for Speech-Language Pathology Assistants. Language, Speech, and Hearing Services in Schools, 54(1), 171–188. https://doi.org/10.1044/2022_LSHSS-22-00071
Kummer, A. W. (2023). Normal speech and language and the management of speech disorders in patients with clefts. In Cleft and Craniofacial Orthodontics (pp. 236–248). Wiley. https://doi.org/10.1002/9781119778387.ch19
Lane, H., Harding, S., & Wren, Y. (2022). A systematic review of early speech interventions for children with cleft palate. International Journal of Language & Communication Disorders, 57(1), 226–245. https://doi.org/10.1111/1460-6984.12683
Leal, M. F. C., Lemos, A., Costa, G. F., & Lopes Cardoso, I. (2020). Genetic And Environmental Factors Involved In The Development Of Oral Malformations Such As Cleft Lip/Palate In Non-Syndromic Patients And Open Bite Malocclusion. European Journal of Medical and Health Sciences, 2(3). https://doi.org/10.24018/ejmed.2020.2.3.262
Lee, C. C. Y., Jagtap, R. R., & Deshpande, G. S. (2014). Longitudinal Treatment of Cleft Lip and Palate in Developing Countries. Journal of Craniofacial Surgery, 25(5), 1626–1631. https://doi.org/10.1097/SCS.0000000000001118
Leite, I.C., Paumgartten, F.J., & Koifman, S. (2002). Chemical exposure during pregnancy and oral clefts in newborns. Cadernos de Saúde Pública Vol.18 No.1
Löfkvist, U., Bäckström, K., Dahlby-Skoog, M., Gunnarsson, S., Persson, M., & Lohmander, A. (2020). Babbling and consonant production in children with hearing impairment who use hearing aids or cochlear implants – a pilot study. Logopedics Phoniatrics Vocology, 45(4), 172–180. https://doi.org/10.1080/14015439.2019.1695929
Lou, Q., Wang, X., & Chen, Y. (2021). Speech Outcomes Comparison Between Adult Velopharyngeal Insufficiency and Patients With Unrepaired Cleft Palate. Journal of Craniofacial Surgery, 32(2), 655–659. https://doi.org/10.1097/SCS.0000000000006994
Mak, A. S. L., & Leung, K. Y. (2019). Prenatal ultrasonography of craniofacial abnormalities. Ultrasonography, 38(1), 13–24. https://doi.org/10.14366/usg.18031
Martinelli, M., Palmieri, A., Carinci, F., & Scapoli, L. (2020). Non-syndromic Cleft Palate: An Overview on Human Genetic and Environmental Risk Factors. Frontiers in Cell and Developmental Biology, 8. https://doi.org/10.3389/fcell.2020.592271
Mason, K. N. (2020). The Effect of Dental and Occlusal Anomalies on Articulation in Individuals With Cleft Lip and/or Cleft Palate. Perspectives of the ASHA Special Interest Groups, 5(6), 1492–1504. https://doi.org/10.1044/2020_PERSP-20-00056
McCarthy J. G, Cutting C.B, Hogan V.M. Introduction to facial cleft. In Marci M. Lesperance, Cummings Pediatric Otolaryngology, Elsevier Health Sciences; 2021:124-125
Mc Goldrick, N., Revie, G., Groisman, B., Hurtado‐Villa, P., Sipek, A., Khoshnood, B., Rissmann, A., Dastgiri, S., Landau, D., Tagliabue, G., Pierini, A., Gatt, M., Mutchinick, O. M., Martínez, L., de Walle, H. E. K., Szabova, E., Lopez Camelo, J., Källén, K., Morgan, M., … Mossey, P. (2023). A multi‐program analysis of cleft lip with cleft palate prevalence and mortality using data from 22 International Clearinghouse for Birth Defects Surveillance and Research programs, 1974–2014. Birth Defects Research, 115(10), 980–997. https://doi.org/10.1002/bdr2.2176
Meinusch, M., & Romonath, R. (2011). Early language intervention for children with cleft lip and/or palate: A systematic review. Evidence-Based Communication Assessment and Intervention, 5, 197 - 215.
Muzammil, K., Nasir, N., Hassan, A., Padda, P., Siddiqui, Z., Mahmood, S. E., Zafar, K., & Abbas, H. (2021). Epidemiological Aspects of Cleft Lip and Cleft Palate. Journal of Evolution of Medical and Dental Sciences, 10(36), 3178–3183. https://doi.org/10.14260/jemds/2021/645
Olszewska, E., & Woodson, B. T. (2019). Palatal anatomy for sleep apnea surgery. Laryngoscope Investigative Otolaryngology, 4(1), 181–187. https://doi.org/10.1002/lio2.238
Pereira, V. J., & Sell, D. (2023). How differences in anatomy and physiology and other aetiology affect the way we label and describe speech in individuals with cleft lip and palate. International Journal of Language & Communication Disorders. https://doi.org/10.1111/1460-6984.12946
Perry, J. (2011). Anatomy and Physiology of the Velopharyngeal Mechanism. Seminars in Speech and Language, 32(02), 083–092. https://doi.org/10.1055/s-0031-1277712
Phippen, G. (2023). Articulating the issues: speech assessment and intervention in cleft lip and palate. British Dental Journal, 234(12), 912–917. https://doi.org/10.1038/s41415-023-5954-y
Raol, N., & Hartnick, C. J. (2015). Anatomy and Physiology of Velopharyngeal Closure and Insufficiency (pp. 1–6). https://doi.org/10.1159/000368003
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