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Related Experiment Videos

Recent progress in treating patients with cleft palate

M Kawano1, N Isshiki, I Honjo

  • 1Kyoto University of Education, Japan.

Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)
|January 1, 1997
PubMed
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Significant advancements in cleft palate speech treatment have been achieved, with improved surgical techniques and anesthesia increasing success rates. Diagnostic tools like fiberscopy and fluorovideoscopy aid in pinpointing articulation issues for better speech therapy outcomes.

Area of Science:

  • Speech-Language Pathology
  • Otolaryngology
  • Pediatric Surgery

Background:

  • Cleft palate treatment has seen significant progress over four decades.
  • Surgical success rates for normal speech have risen from 65% to over 90%.
  • Intratracheal intubation anesthesia has improved surgical safety and ease.

Purpose of the Study:

  • To analyze faulty articulation in cleft palate speech.
  • To investigate the role of velopharyngeal incompetence in speech defects.
  • To evaluate diagnostic methods for speech therapy in cleft palate patients.

Main Methods:

  • Combined use of fiberscopy and fluorovideoscopy for diagnostic assessment.
  • Analysis of faulty articulations, including laryngeal fricatives and glottal stops.

Related Experiment Videos

  • Correlation of velopharyngeal function with articulation patterns.
  • Main Results:

    • Fiberscopy and fluorovideoscopy provide detailed insights into articulation and velopharyngeal function.
    • Faulty articulations secondary to velopharyngeal incompetence were identified in the larynx.
    • Specific laryngeal sites (epiglottis, arytenoids, vocal folds) were found to be involved in faulty articulation.

    Conclusions:

    • Advanced diagnostic imaging aids in precise speech therapy for cleft palate.
    • Velopharyngeal incompetence can lead to atypical laryngeal articulations.
    • Understanding the exact location of faulty articulation improves therapeutic strategies for cleft palate speech.