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Updated: Sep 15, 2025

Method of Studying Palatal Fusion using Static Organ Culture
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Articulation-function-associated brain developmental changes in cleft lip and palate patients.

Wenjing Zhang1, Zhongtian Guan2, Lei Cao1

  • 1Department of Rehabilitation Medicine, Xuanwu Hospital Capital Medical University, Beijing, China.

Brain Research Bulletin
|July 13, 2025
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Summary
This summary is machine-generated.

Individuals with cleft lip and palate (CLP) show altered brain function impacting articulation. Age influences these brain changes, necessitating tailored rehabilitation strategies for children and adults with CLP.

Keywords:
Articulation disorderCleft lip and palateFunctional connectivityGraph theoryMediation effect

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Area of Science:

  • Neuroscience
  • Speech-Language Pathology
  • Medical Imaging

Background:

  • Articulation disorder is a common communication issue in individuals with cleft lip and palate (CLP).
  • Previous research explored structural and functional brain changes in CLP, but age-related functional alterations linked to articulation remain unclear.

Purpose of the Study:

  • To investigate age-related brain functional differences in CLP patients.
  • To correlate these brain function differences with articulation performance.

Main Methods:

  • Resting-state functional magnetic resonance imaging (fMRI) was used on 127 participants (CLP children, healthy children, CLP adults, healthy adults).
  • Voxel-based analysis, functional connectivity, and network topology were assessed.
  • Mediation analysis explored relationships between age, brain function, and articulation.

Main Results:

  • Significant differences in resting-state brain function were observed between CLP children and adults, particularly in areas for semantic processing and motor control.
  • CLP adults showed increased connectivity and enhanced network properties compared to controls.
  • Regional homogeneity in the left medial superior frontal cortex mediated the link between articulation and age.

Conclusions:

  • CLP patients exhibit altered brain functional synchronization, with adults showing more developed networks.
  • Age-specific differences underscore the need for tailored rehabilitation protocols for CLP patients.
  • Understanding these age-related brain changes can inform more effective treatment strategies.