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Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate

Information about the prevalence of consonant production errors, including compensatory articulations (CA), in individuals with cleft lip and palate (CLP) who speak Brazilian Portuguese is limited, particularly regarding liquid sounds. The literature primarily reports the occurrence of CA for plosiv...

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Autores principales: PRANDINI, Estefânia Leite, PEGORARO-KROOK, Maria Inês, DUTKA, Jeniffer de Cássia Rillo, MARINO, Viviane Cristina de Castro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Odontologia de Bauru da Universidade de São Paulo 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973458/
https://www.ncbi.nlm.nih.gov/pubmed/22230991
http://dx.doi.org/10.1590/S1678-77572011000600007
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author PRANDINI, Estefânia Leite
PEGORARO-KROOK, Maria Inês
DUTKA, Jeniffer de Cássia Rillo
MARINO, Viviane Cristina de Castro
author_facet PRANDINI, Estefânia Leite
PEGORARO-KROOK, Maria Inês
DUTKA, Jeniffer de Cássia Rillo
MARINO, Viviane Cristina de Castro
author_sort PRANDINI, Estefânia Leite
collection PubMed
description Information about the prevalence of consonant production errors, including compensatory articulations (CA), in individuals with cleft lip and palate (CLP) who speak Brazilian Portuguese is limited, particularly regarding liquid sounds. The literature primarily reports the occurrence of CA for plosive and fricative sounds, since occurrence of CAs in sounds that require higher amounts of oral air pressure is expected. While the use of CA during liquid sound production is not expected, clinical experience suggests that individuals with CLP present with inadequate backing, elevation, and anteriorization of the tongue as well as tongue clicks during production of /r/ and /l/. OBJECTIVES: Describe the occurrence of consonant error productions during liquid sounds for children with CLP; compare the occurrence between children operated with the Furlow and von Langenbeck techniques for palatoplasty; and compare the occurrence between children operated between 9-12 months and 15-18 months of age at primary palatoplasty. MATERIAL AND METHODS: A sample of 397 children (237 males and 160 females) with operated unilateral CLP was studied. In this group, 163 underwent palatoplasty with the Furlow procedure and 234 with the modified von Langenbeck procedure. Age at palatoplasty was between 9 and 12 months for 189 children and between 15 and 18 months for 208 children. Data about production of /l/, /r/, /R/, /λ/ and consonant clusters /l/ and /r/ were obtained from speech pathology records. Speech pathologists registered the speech findings after an auditory-perceptual evaluation of the participants at the sixth year of age. RESULTS: The use of middorsum palatal place (MDP) of production was identified for 2% of the sample. Tongue anteriorization of the /l/ production was observed for 55% of the children. No significant difference was found related to surgical technique, but children operated earlier developed the use of the consonant cluster /r/ sooner than children operated later (p=0.040). CONCLUSION: We found a low occurrence of use of cleft related CA during attempts of production of liquid phonemes, and the variable age at primary palatoplasty significantly interfered with the acquisition of consonant cluster /r/.
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spelling pubmed-39734582014-04-03 Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate PRANDINI, Estefânia Leite PEGORARO-KROOK, Maria Inês DUTKA, Jeniffer de Cássia Rillo MARINO, Viviane Cristina de Castro J Appl Oral Sci Original Articles Information about the prevalence of consonant production errors, including compensatory articulations (CA), in individuals with cleft lip and palate (CLP) who speak Brazilian Portuguese is limited, particularly regarding liquid sounds. The literature primarily reports the occurrence of CA for plosive and fricative sounds, since occurrence of CAs in sounds that require higher amounts of oral air pressure is expected. While the use of CA during liquid sound production is not expected, clinical experience suggests that individuals with CLP present with inadequate backing, elevation, and anteriorization of the tongue as well as tongue clicks during production of /r/ and /l/. OBJECTIVES: Describe the occurrence of consonant error productions during liquid sounds for children with CLP; compare the occurrence between children operated with the Furlow and von Langenbeck techniques for palatoplasty; and compare the occurrence between children operated between 9-12 months and 15-18 months of age at primary palatoplasty. MATERIAL AND METHODS: A sample of 397 children (237 males and 160 females) with operated unilateral CLP was studied. In this group, 163 underwent palatoplasty with the Furlow procedure and 234 with the modified von Langenbeck procedure. Age at palatoplasty was between 9 and 12 months for 189 children and between 15 and 18 months for 208 children. Data about production of /l/, /r/, /R/, /λ/ and consonant clusters /l/ and /r/ were obtained from speech pathology records. Speech pathologists registered the speech findings after an auditory-perceptual evaluation of the participants at the sixth year of age. RESULTS: The use of middorsum palatal place (MDP) of production was identified for 2% of the sample. Tongue anteriorization of the /l/ production was observed for 55% of the children. No significant difference was found related to surgical technique, but children operated earlier developed the use of the consonant cluster /r/ sooner than children operated later (p=0.040). CONCLUSION: We found a low occurrence of use of cleft related CA during attempts of production of liquid phonemes, and the variable age at primary palatoplasty significantly interfered with the acquisition of consonant cluster /r/. Faculdade de Odontologia de Bauru da Universidade de São Paulo 2011 /pmc/articles/PMC3973458/ /pubmed/22230991 http://dx.doi.org/10.1590/S1678-77572011000600007 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
PRANDINI, Estefânia Leite
PEGORARO-KROOK, Maria Inês
DUTKA, Jeniffer de Cássia Rillo
MARINO, Viviane Cristina de Castro
Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate
title Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate
title_full Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate
title_fullStr Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate
title_full_unstemmed Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate
title_short Occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate
title_sort occurrence of consonant production errors in liquid phonemes in children with operated cleft lip and palate
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973458/
https://www.ncbi.nlm.nih.gov/pubmed/22230991
http://dx.doi.org/10.1590/S1678-77572011000600007
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