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Articulation Function Changes in Children With Cleft Lip and Palate: A One-Year Follow-Up Study
Wenjing Zhang1, Xinyu Shen2, Chunlin Li3
1School of Stomatology, Capital Medical University.
The Journal of Craniofacial Surgery
|March 18, 2026
Summary
Speech therapy significantly improves articulation in children with cleft lip and palate (CLP). Improvements in speech skills, like Percentage Correct Consonants (PCC), are maintained long-term, aiding daily communication.
Area of Science:
- Speech-Language Pathology
- Pediatric Medicine
- Craniofacial Anomalies
Background:
- Children with cleft lip and palate (CLP) often exhibit speech sound disorders.
- Articulation function is a critical component of communication for this population.
- Understanding treatment efficacy and long-term outcomes is essential for clinical practice.
Purpose of the Study:
- To evaluate changes in articulation function in children with CLP.
- Assessments were conducted before treatment, immediately after treatment, and at a 1-year follow-up.
- The study aimed to determine the short-term and long-term effects of speech therapy.
Main Methods:
- A pre-post control design involving 24 children with CLP.
- Speech assessments included Percentage Correct Consonants (PCC), Percentage Correct Places (PCP), Percentage Correct Manners (PCM), Cleft Speech Characteristics (CSC), and Phonological Simplification Processes (PSP).
- Data were collected at three time points: pre-treatment, post-treatment, and 1-year follow-up.
Main Results:
- All speech indicators showed significant improvement immediately after treatment (P<0.05).
- Percentage Correct Consonants (PCC), Percentage Correct Places (PCP), and Phonological Simplification Processes (PSP) remained stable during the 1-year follow-up.
- Cleft Speech Characteristics (CSC) and Percentage Correct Manners (PCM) demonstrated continued improvement during the follow-up period.
Conclusions:
- Speech therapy is effective in improving articulation in children with CLP.
- The learned speech skills are integrated into daily communication and show lasting benefits.
- Findings support personalized treatment plans and optimized intervention strategies for CLP speech disorders.
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