Skip to main content
SpringerLink
Log in

Speech Therapy in Cleft Patients

  • Chapter
  • First Online:
Cleft Lip and Palate Treatment

Abstract

The objective of the speech therapist is prevention, guidance, rehabilitation, and reduction of complications resulting from changes in the myofunctional orofacial system (SMO) (ASHA 2001; Ibayashi et al. 2008; Namura et al. 2008; Castro-Sanchez et al. 2011). These changes include specific conditions or behaviors that could negatively impact the posture and appearance of organs belonging to this system and its functions—breathing, sucking, swallowing, chewing, and speech (Felício and Ferreira 2008; Felício et al. 2010).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Altmann EBC. Fissuras labiopalatinas. 4th ed. Carapicuíba: Pró-Fono; 2000.

    Google Scholar 

  • American Cleft Palate-Craniofacial Association. Parameters for evaluation and treatment of pacients with cleft lip/palate or other craniofacial anomalies – revised edition [homepage on the Internet]. Chapel Hill: American Cleft Palate-Craniofacial Association. 2009. Disponível em: http://www.acpa-cpf.org/uploads/site/Parameters_Rev_2009.pdf. Accessed 5 Jan 2013.

  • American Speech-Language-Hearing Association. Roles of speech and language pathologists in swallowing and feeding disorders: technical report. ASHA. 2001. http://www.asha.org/NR/rdonlyres/B8DE1480-C7B4-4383-A1F6-5829E9CB0CF5/0/v3TRRolesSLPSwallowingFeeding.pdf.

  • Barbosa DA. Resultados de fala e de função velofaríngea do retalho faríngeo e da veloplastia intravelar na correção da insuficiência velofaríngea: estudo comparativo. Dissertação [mestrado]. Bauru; 2011. p 129.

    Google Scholar 

  • Bertier CE, Trindade IEK. Deformidades nasais: avaliação e tratamento cirúrgico. In: Trindade IEK, Silva Filho OG, editors. Fissuras labiopalatinas: uma abordagem interdisciplinar. São Paulo: Santos; 2007. p. 87–107.

    Google Scholar 

  • Bunduki V, Ruano R, Sapienza AD, Hanaoka BY, Zugaib M. Diagnóstico Pré-Natal de Fenda Labial e Palatina: Experiência de 40 Casos. Rev Bras Ginecol Obstet. 2001;23(9):561–6.

    Article  Google Scholar 

  • Capelozza Filho L, Normando AD, Silva Filho OG. Isolated influences of operated and unoperated male adults with UCLP. Cleft Palate J. 1996;33(1):51–6.

    Article  CAS  Google Scholar 

  • Castro-Sanchez AM, Mataran-Penarrocha GA, Arroyo-Morales M, Saavedra-Hernandez M, Fernandez-Sola C, Moreno-Lorenzo C. Effects of myofascial release techniques on pain, physical function, and postural stability in patients with fibromyalgia: a randomized controlled trial. Clin Rehabil. 2011;25(9):800–13.

    Article  PubMed  Google Scholar 

  • Dotevall H, Lohmander-Agerskov A, Ejnell H, Bake B. Perceptual evaluation of speech and velopharyngeal function in children with and without cleft palate and the relationship to nasal airflow patterns. Cleft Palate Craniofac J. 2002;39(4):409–24.

    Article  PubMed  Google Scholar 

  • Douglas CR. Tratado de Fisiologia aplicado à fonoaudiologia. São Paulo: Robe Editorial; 2002.

    Google Scholar 

  • Felício CMF. Desenvolvimento normal das funções estomatognáticas. In: Fernandes FDM, Mendes BCA, Navas ALPGP, editors. Tratado de Fonoaudiologia. São Paulo: Roca; 2009. p. 10–27.

    Google Scholar 

  • Felício CM, Ferreira CLP. Protocolo of orofacial myofunctional evaluation with scores. Int J Pediatr Otorhinolaryngol. 2008;72(3):367–75.

    Article  PubMed  Google Scholar 

  • Felício CM, Folha GA, Ferreira CL, Medeiros AP. Expanded protocol of orofacial myofunctional evaluation with scores: validity and reliability. Int J Pediatr Otorhinolaryngol. 2010;74(11):1230–9.

    Article  PubMed  Google Scholar 

  • Genaro KF, Fukushiro AP, Suguimoto MLFCP. Avaliação e tratamento dos distúrbios da fala. In: Trindade IEK, Silva Filho OG, editors. Fissuras labiopalatinas: uma abordagem interdisciplinar. São Paulo: Santos; 2007. p. 109–22.

    Google Scholar 

  • Genaro KF, Yamashita RP, Trindade IEK. Avaliação clínica e instrumental na fissura labiopalatina. In: Fernandes FDM, Mendes BCA, Navas ALPGP, editors. Tratado de Fonoaudiologia. São Paulo: Roca; 2009. p. 488–503.

    Google Scholar 

  • Golding-Kushner KJ. Therapy techniques for cleft palate speech and related disorders. San Diego: Singular Thomson Learning; 2001.

    Google Scholar 

  • Graciano MIG, Tavano LD, Bachega MI. Aspectos psicossociais da reabilitação. In: Trindade IEK, Silva Filho OG (org). Fissuras labiopalatinas: uma abordagem interdisciplinar. São Paulo: Santos: 311–333, 2007.

    Google Scholar 

  • Hortis-Dzierzbicka M, Radkowska E, Fudalej P. 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 Aesthet Surg. 2012;65:175–81.

    Article  PubMed  Google Scholar 

  • Ibayashi H, Fujino Y, Pham TM, Matsuda S. Intervention Study of exercise program for oral function in healthy elderly people. Tohoku J Exp Med. 2008;215:237–45.

    Article  PubMed  Google Scholar 

  • Johns DF, Rohrich RJ, Awada M. Velopharyngeal incompetence: a guide for clinical evaluation. Plast Reconstr Surg. 2003;112(7):1890–7.

    Article  PubMed  Google Scholar 

  • Kummer AW. Resonance disorders and velopharyngeal dysfunction (VPD). In: Kummer AW, editor. Cleft palate and craniofacial anomalies. San Diego: Singular Thomson Learning; 2004a. p. 176–213.

    Google Scholar 

  • Kummer AW. Developmental aspects: language, cognition, and phonology. In: Kummer AW, editor. Cleft palate and craniofacial anomalies. San Diego: Singular Thomson Learning; 2004b. p. 129–44.

    Google Scholar 

  • Kummer AW. Prosthetic managment. In: Kummer AW, editor. Cleft palate and craniofacial anomalies: Effects on speech and resonance. New York: Thomson Delmar Learning; 2004c.

    Google Scholar 

  • Lee A, Whitehill TL, Ciocca V. Effect of listener training on perceptual judgement of hypernasality. Clin Linguist Phon. 2009;23(5):319–34.

    Article  PubMed  Google Scholar 

  • Miller CK, Kummer AW. Feeding problems of infants with cleft lip/alate or craniofacial anomalies. In: Kummer AW, editor. Cleft palate and craniofacial anomalies. San Diego: Singular Thomson Learning; 2004. p. 103–27.

    Google Scholar 

  • Minervino-Pereira ACM. O processo de enfrentamento vivido por pais de indivíduos com fissure labiopalatina, nas diferentes fases do tratamento. Tese[doutorado]. Bauru; 2005. p 143.

    Google Scholar 

  • Nahai FR, Williams JK, Thomas J. The management of cleft lip and palate: pathways for treatment and longitudinal assessment. Sem Plast Surg. 2005;19(4):275–85.

    Article  Google Scholar 

  • Namura M, Motoyoshi M, Namura Y, Shimizu N. The effects of PNF training on the facial profile. J Oral Sci. 2008;50:45–51.

    Article  PubMed  Google Scholar 

  • Pegoraro-Krook MI, Dutka-Souza MCR, Magalhaes LCT, Feniman MR. Intervenção fonoaudiológica na fissura palatina. In: Fernandes FDM, Mendes BCA, Navas ALPGP, editors. Tratado de Fonoaudiologia. São Paulo: Roca; 2009. p. 504–12.

    Google Scholar 

  • Peterson-Falzone SJ, Trost-Cardamone JE, Karnell MP, Hardin-Jones M. The clinican’s guide to treating cleft palate speech. St. Louis: Mosby; 2006. p. 17–39.

    Google Scholar 

  • Pinho SMR. Fisiologia da Fonação. In: Fernandes FDM, Mendes BCA, Navas ALPGP, editors. Tratado de Fonoaudiologia. São Paulo: Roca; 2009. p. 45–51.

    Google Scholar 

  • Prandini EL, Pegoraro-Krook MI, Dutka JCR, Marino VCC. Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate. J Appl Oral Sci. 2011;19(6):579–85.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schuster M, Maier A, Bocklet T, Nkenke E, Holst A, Eysholdt U, Stelzle F. Automatically evaluated degree of intelligibility of children with different cleft type from preschool and elementary school measured by automatic speech recognition. Int J Pediatr Otorhinolaryngol. 2012;76:362–9.

    Article  PubMed  Google Scholar 

  • Sharma VP, Bella H, Cadier MM, Pigott RW, Goodacre TEE, Richard BM. Outcomes in facial aesthetics in cleft lip and palate surgery: a systematic review. J Plast Reconstr Aesthet Surg. 2012;65:1233–45.

    Article  CAS  PubMed  Google Scholar 

  • Shprintzen RJ. Instrumental assessment of velopharyngeal valving. In: Shprintzen RJ, Bardach J, editors. Cleft palate speech management: a multidisciplinary approach. St. Louis: Mosby; 1995. p. 221–56.

    Google Scholar 

  • Silva DP, Dornelles S, Paniagua LM, Costa SS, Collares MVM. Aspectos Patofisiológicos do Esfíncter Velofaríngeo nas Fissuras Palatinas. Int Arch Otorhinolaryngol. 2008;12(3):426–35.

    Google Scholar 

  • Smith BE, Kuehn DP. Speech Evaluation of Velopharyngeal Dysfunction. J Craniofac Surg. 2007;18(2):251–61.

    Article  PubMed  Google Scholar 

  • Trindade IEK, Genaro KF, Yamashita RP, Miguel HC, Fukushiro AP. Proposal for velopharyngeal function rating in a speech perceptual assessment. Pro-Fono. 2005;17(2):259–62.

    Article  PubMed  Google Scholar 

  • Warren DW, Hall DJ, Davis J. Oral port constriction and pressure airflow relationships during sibilant productions. Folia Phoniatr. 1981;33:380–94.

    Article  CAS  Google Scholar 

  • Warren DW, Allen GD, King HA. Physiological and perceptual effects of induced anterior open bite. Folia Phoniatr. 1984;36:164–73.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Faculdade de Ceilândia, University of Brasilia, Brasilia, Brazil

    Laura Davison Mangilli Ph.D.

  2. Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, São Paulo, Brazil

    Anelise Sabbag S.L.P.

Authors
  1. Laura Davison Mangilli Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anelise Sabbag S.L.P.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Laura Davison Mangilli Ph.D. .

Editor information

Editors and Affiliations

  1. University of São Paulo Medical School, São Paulo, São Paulo, Brazil

    Nivaldo Alonso

  2. SOBRAPAR Hospital, Campinas, São Paulo, Brazil

    Cassio Eduardo Raposo-Amaral

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Mangilli, L.D., Sabbag, A. (2018). Speech Therapy in Cleft Patients. In: Alonso, N., Raposo-Amaral, C. (eds) Cleft Lip and Palate Treatment. Springer, Cham. https://doi.org/10.1007/978-3-319-63290-2_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-63290-2_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-63289-6

  • Online ISBN: 978-3-319-63290-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation