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Updated: Nov 17, 2025

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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Robin Sequence: 5-Year Speech Outcomes-A Case-Control Study.

Michael Schwaiger1, Hannah Cook1, Zoe Jordan1

  • 1From the South Thames Cleft Service, Guy's and St. Thomas' Hospital; and the Department of Oral and Maxillofacial Surgery, Medical University of Graz.

Plastic and Reconstructive Surgery
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PubMed
Summary
This summary is machine-generated.

Children with Pierre Robin sequence (PRS) have worse speech outcomes and require more surgeries for velopharyngeal dysfunction by age 5 compared to those with cleft palate only.

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Area of Science:

  • Craniofacial anomalies
  • Pediatric speech pathology
  • Surgical outcomes

Background:

  • Pierre Robin sequence (PRS) is characterized by micrognathia, glossoptosis, and airway obstruction, often associated with cleft palate.
  • There is growing interest in the speech development of children with PRS and cleft palate.

Purpose of the Study:

  • To compare speech outcomes at age 5 in cleft patients with PRS versus a cohort with cleft palate only.
  • To assess the need for secondary speech surgery for velopharyngeal dysfunction in PRS patients.

Main Methods:

  • Speech parameters were evaluated using the Cleft Audit Protocol for Speech-Augmented.
  • Data were analyzed using National Audit Standards for Speech (UK).
  • Patients were treated between 2005 and 2012, including those requiring nasopharyngeal airway support or positioning for airway management.

Main Results:

  • Fifty-one PRS patients were compared to 128 cleft palate-only patients.
  • PRS patients showed a significantly higher rate of cleft speech characteristics (p = 0.001).
  • PRS patients had a significantly higher rate of secondary speech surgery for velopharyngeal dysfunction before age 5 (p = 0.016).

Conclusions:

  • Cleft patients with PRS are more likely to require surgery for velopharyngeal dysfunction before age 5.
  • These patients also present with a higher incidence of cleft speech characteristics at age 5.