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Residual hypernasality in repaired cleft palate.

R M Mason, J W Helmick

    Journal of Communication Disorders
    |September 1, 1979
    PubMed
    Summary
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    This review offers speech-language pathologists a framework for managing speech in children with repaired cleft palate. It clarifies velopharyngeal valving, nasality, and hypernasality to guide treatment strategies.

    Area of Science:

    • Speech-Language Pathology
    • Pediatric Medicine
    • Craniofacial Anomalies

    Background:

    • Children with repaired cleft palate often exhibit speech sound disorders.
    • Understanding velopharyngeal function is crucial for effective speech management.
    • Nasality and hypernasality are common speech characteristics in this population.

    Purpose of the Study:

    • To provide speech-language pathologists with a decision-making framework for identifying and managing speech issues in children with repaired cleft palate.
    • To clarify the phenomena of velopharyngeal valving, nasality, and hypernasality.
    • To propose management strategies for common causes of hypernasality.

    Main Methods:

    • Review of selected components of the speech process.
    • Discussion and clarification of velopharyngeal valving, nasality, and hypernasality.

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  • Proposal of management approaches based on fundamental phenomena.

    • Main Results:

    • A framework for speech identification and management in children with repaired cleft palate.
    • Clarification of key speech production phenomena.
    • Evidence-based suggestions for managing hypernasality.

    Conclusions:

    • Understanding velopharyngeal function is essential for speech-language pathologists.
    • Targeted management strategies can improve speech outcomes in children with repaired cleft palate.
    • This framework aids in selecting appropriate interventions for speech disorders.