Related Experiment Video
Updated: May 2, 2026
04:58
Method of Studying Palatal Fusion using Static Organ Culture
Published on: September 19, 2015
8.3K
Primary Language Spoken at Home and Speech Outcomes Among Children With Cleft Palate
Amanda E Du1, Olivia Lopes1, Nicole Mastacouris2
1Tufts University School of Medicine, Boston, Massachusetts, USA.
The Laryngoscope
|April 30, 2026
Summary
Primary language did not significantly impact cleft palate repair outcomes like fistula or hypernasality. However, non-English speakers showed higher rates of persistent hypernasality and revision surgery, suggesting potential resource disparities.
Area of Science:
- Craniofacial surgery
- Speech-language pathology
- Health disparities
Background:
- Early detection of speech abnormalities post-cleft palate repair is crucial for timely intervention.
- Understanding factors influencing intervention rates can improve patient outcomes.
- Primary language may affect access to or utilization of speech services.
Purpose of the Study:
- To investigate if primary language influences the need for subsequent interventions after cleft palate repair in the United States.
- To compare rates of hypernasality, speech therapy, and revision surgery between English and non-English speaking children with cleft palate.
Main Methods:
- Retrospective analysis of 124 patients treated at a single urban cleft team, evaluated at least two years post-palate repair.
- Fisher's exact test was used to compare outcomes between English and non-English speaking groups.
- Outcomes assessed included postoperative fistula, hypernasality/audible nasal emissions (ANEs), persistent hypernasality/ANEs after speech therapy (ST), and revision surgery.
Main Results:
- No significant differences were found in fistula rates, hypernasality/ANEs, or persistent hypernasality/ANEs after ST between English and non-English speaking children.
- However, non-English speaking patients demonstrated higher rates of hypernasality/ANEs (45.5% vs. 14.3%) and persistent hypernasality/ANEs after ST (23.6% vs. 0.0%).
- Rates of revision surgery were also higher in non-English speakers (33.6% vs. 7.1%), though not statistically significant (p=0.06).
Conclusions:
- In a US urban setting, non-English and non-Spanish speaking patients had lower observed rates of hypernasality and revision surgery.
- These findings suggest potential disparities in the detection of speech abnormalities within this population.
- Further research is needed to explore resource availability and access to care for non-English speaking children with cleft palate.
Keywords:
cleft palatecraniofacial surgeryhypernasalitylanguagepediatricspeech therapyvelopharyngeal insufficiencyMore Related Videos
06:04Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
3.0K
10:11Portable Intermodal Preferential Looking IPL: Investigating Language Comprehension in Typically Developing Toddlers and Young Children with Autism
Published on: December 14, 2012
22.1K
Related Concept Videos
01:22Language Development
1.1K
Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
1.1K
01:27Language and Cognition
881
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
881
01:26Assessment of the Mouth
1.6K
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
1.6K
01:10Higher Mental Functions of the Brain: Language
6.0K
Language is a system of communication that allows the expression of thoughts, ideas, and feelings. The brain processes language in both hemispheres.
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
6.0K
01:28Development of the Oral Microbiota
65
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
65
01:24Components of Language
840
Language, whether spoken, signed, or written, consists of specific components: lexicon and grammar. The lexicon is the vocabulary of a language, comprising its words. Grammar is the set of rules used to convey meaning through the lexicon. For example, English grammar adds “-ed” to most verbs to indicate past tense. Words are formed by combining phonemes, which are the basic sound units of a language. Different languages have different sets of phonemes (e.g., “ah” vs.
840