Visual aspects of speech in patients with cleft lip and palate

• Autorzy: Hortis-Dzierzbicka Maria , Radkowska Elżbieta , Gonet Wiktor
• Języki publikacji: EN

Abstrakty

EN

Cleft lip and palate belongs to the most severe developmental defects. Its treatment is longlasting and requires multidisciplinary approach, while its stigmatization in the form of disturbance of facial aesthetics and/or speech disorders often remains forever, despite long and complex surgical treatment, correction of occlusion and laborious speech therapy. The speech of a patient with cleft lip and/or palate (henceforth: cleft lip/palate) reflects the location and extent of the anatomical defect. In cleft palate speech, one can distinguish active and passive compensations of the structural disorders. This article presents a less widely known visual aspect of cleft lip/palate speech production, i.e. compensatory facial movements during speech, as well as dysfunctional activity of the tongue that is inserted between the teeth or even operates outside the oral cavity in the production of anterior sounds in patients with considerable maxillary hypoplasia and occlusal disorders typical of cleft lip/ palate manifested as severe pseudo-progenia.

Słowa kluczowe

EN

cleft lip and palate; speech outcome assessment; open nasalisation; compensatory facial grimacing; interdental lisping; malocclusion

• Wydawca: Polskie Towarzystwo Logopedyczne
• Czasopismo: Logopedia
• Rocznik: 2012
• Tom: 41 EN
• Strony: 125-131

Daty

wydano

2012-01-01

Twórcy

autor

Hortis-Dzierzbicka Maria

• Institute of Mother and Child, Warsaw

autor

Radkowska Elżbieta

• Institute of Mother and Child, Warsaw

autor

Gonet Wiktor

• Maria Curie-Sklodowska University, Institute of English, Department of Phonetics and Phonology, Lublin

Bibliografia

• Hortis-Dzierzbicka, M., 2004, Nasofiberoskopia w ocenie zastosowania płata gardłowego w niewydolności podniebienno-gardłowej u pacjentów z rozszczepem podniebienia. Rozprawa na stopień doktora habilitowanego nauk medycznych. Wyd. Medyczne Borgis. Warszawa.
• Hortis-Dzierzbicka, M., Radkowska, E., Fudalej P., 2012, Speech outcomes in 10-year-old children with complete unilateral cleft lip and palate after one-stage lip and palate repair in the first year of life. “J Plast Reconstr Aesth Surg”, 65: 175-181.
• Hortis-Dzierzbicka, M., Izdebski, K., 2008, Impact of Cleft Lip and Palate (CLP) and Velopharyngeal Insufficiency (VPI) on Emotive Aspects of Voice and Speech, [w] Emotions in the Human Voice, Vol. II: Clinical Evidence, Ed. K. Izdebski, Plural Publishing, Inc. San Diego: 69-82.
• Konopska, L., 2006, Wymowa osób z wadą zgryzu, Wyd. Nauk. Uniw. Szczecińskiego, Szczecin.
• Stecko, E., Hortis-Dzierzbicka, M., 2000, Seplenienie międzyzębowe - norma wiekowa czy patologia? „Nowa Pediatria, 18: 30-33.
• Warren, D.W., Dalston, R.M., Morr, K.E., Hairfield, W.M., Smith, L.R., 1989, The speech regulating system: Temporal and aerodynamic responses to velopharyngeal inadequacy. “J Speech Hear Res”, 32: 566-575.
• Witzel, M.A., 1995, Communicative impairment associated with clefting, [w] Cleft Palate Speech Management, A Multidisciplinary Approach, eds. R, Shprintzen, J.Bardach, Mosby Inc, Saint Louis: 137-166.
• Zdunkiewicz-Jedynak, D., Hortis-Dzierzbicka, M., 2000, Lingwistyczne podstawy oceny i dokumentacji zaburzeń mowy u dzieci z wadą rozszczepową twarzy. Wydawnictwa Uniwersytetu Warszawskiego, Warszawa.