The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2002
A profile of the features and speech in patients with mandibulofacial dysostosis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Vallino-Napoli Linda D
Аннотация
PURPOSE: To present a profile of the features and speech in patients with mandibulofacial dysostosis (MFD). Data were collected on occlusion, palatal condition, hearing, resonance, voice, and articulation.
PATIENTS: Thirty patients with MFD ranging in age from 1.6 to 21.0 years.
STUDY DESIGN: Retrospective and prospective cross-sectional designs.
SETTING: Pediatric tertiary care hospital.
RESULTS: Sixty percent of the patients had an open bite. Isolated cleft palate was found in 37% with other types of cleft conditions occurring less frequently. Twenty-three percent underwent tracheostomy. All patients demonstrated hearing loss, 93% were conductive and 7% were mixed. Resonance, voice, and articulation were also affected. Seventy-seven percent had aberrant resonance including hypernasality, hyponasality, mixed hyper- and hyponasality or muffled resonance, which was found in 40% of the patients. Voice quality was abnormal in 63%. All patients had articulation errors. Although overlap between categories occurred, results showed that 60% had errors related to malocclusion, 30% demonstrated errors usually associated with velopharyngeal inadequacy and 50% had general articulatory or phonological errors that could be attributed to other causes.
CONCLUSIONS: The features and speech of patients with MFD are complex. The speech disorders may have multiple overlapping etiologies that require careful differential diagnosis. This is imperative to establish appropriate treatment regimens and evaluate clinical outcomes.
PATIENTS: Thirty patients with MFD ranging in age from 1.6 to 21.0 years.
STUDY DESIGN: Retrospective and prospective cross-sectional designs.
SETTING: Pediatric tertiary care hospital.
RESULTS: Sixty percent of the patients had an open bite. Isolated cleft palate was found in 37% with other types of cleft conditions occurring less frequently. Twenty-three percent underwent tracheostomy. All patients demonstrated hearing loss, 93% were conductive and 7% were mixed. Resonance, voice, and articulation were also affected. Seventy-seven percent had aberrant resonance including hypernasality, hyponasality, mixed hyper- and hyponasality or muffled resonance, which was found in 40% of the patients. Voice quality was abnormal in 63%. All patients had articulation errors. Although overlap between categories occurred, results showed that 60% had errors related to malocclusion, 30% demonstrated errors usually associated with velopharyngeal inadequacy and 50% had general articulatory or phonological errors that could be attributed to other causes.
CONCLUSIONS: The features and speech of patients with MFD are complex. The speech disorders may have multiple overlapping etiologies that require careful differential diagnosis. This is imperative to establish appropriate treatment regimens and evaluate clinical outcomes.
Предметные рубрики MeSH
AdolescentAdultArticulation DisordersChildChild, PreschoolCleft PalateCross-Sectional StudiesDental OcclusionFaceFemaleHearingHearing LossHearing Loss, ConductiveHumansInfantMaleMalocclusionMandibulofacial DysostosisOpen BitePhonationProspective StudiesRetrospective StudiesSpeechSpeech DisordersTracheostomyVelopharyngeal InsufficiencyVoiceVoice DisordersVoice Quality