Talet hos femåriga barn med läpp-käk-gomspalt
En jämförelse mellan internationellt adopterade barn och svenskfödda barn
Läpp-käk-gomspaltAdoptionTalavvikelserOperationsålderLogopedinsatsCleft lip and palateAdoptionSpeechAge of surgerySpeech therapy
This retrospective study aimed to examine differences at age fivebetween twenty-six internationally adopted and twenty-six Swedish-bornchildren with cleft lip and palate regarding age of surgery, speech andintervention. Correlation between age of surgery and speechvariables andgender differences was examined. Blind assessment of audio recordedsentence repetition or naming of words was performed by two speechpathologists. Soft palate was closed significantly later for the study groupthan the control group. Age at closure of hard palate did not differ. The studygroup had significantly higher prevalence of velopharyngeal incompetenceand higher prevalence was noted among children who received surgery ofsoft palate after two years of age. Correlation between age at soft palateclosure and variables related to velopharyngeal competence existed. Nosignificant differences between groups existed regarding intervention. Largerdifficulties in the study group indicate larger need for future treatment and afollow-up is of interest.