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Clinical Oral Investigations

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Open Access 01-03-2021 | Acute Otitis Media | Original Article

Incidence of cleft-related speech problems in children with an isolated cleft lip

Authors: B. J. A. Smarius, S. Haverkamp, H. de Wilde, A. van Wijck-Warnaar, A. B. Mink van der Molen, C. C. Breugem

Published in: Clinical Oral Investigations | Issue 3/2021

Abstract

Objectives

Clinicians agree that children with isolated cleft lip have fewer cleft-associated problems than children with cleft lip and palate. Unfortunately, for isolated cleft lip children, the risk of cleft-associated problems is unknown and maybe underestimated. Often, these children do not get the required follow-up by a multidisciplinary team and thereby not the known benefits in supporting their development. This study examines the incidence of cleft-related speech problems and ear problems in children with isolated cleft lip.

Materials and methods

A prospective study was performed on all children born with an isolated cleft lip and treated at the Wilhelmina Children’s Hospital in Utrecht between January 2007 and April 2014. Data were collected for sex, date of birth, genetics, cleft lip type, date of cleft lip repair, type of repair, speech/language problems, and ear problems.

Results

This study included 75 patients (59% male). The mean age of the children at the moment of speech examination was 32.5 months (SD 6.1). Eighteen of the 75 children (24%) needed speech and language therapy; however, only one child (1.3%) had a cleft-related speech problem. Sixteen of the 75 patients (21%) reported a history of one or more episodes of acute otitis media (AOM)/otitis media with effusion (OME) during the first 6 years.

Conclusion/clinical relevance

This is the first prospective study analyzing the incidence of cleft-related speech problems in children with an isolated cleft lip. These children do not have a higher risk of cleft-related speech problems or AOM/OME when compared to the general population. However, children with an isolated cleft do have a higher incidence of speech therapy.

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Title: Incidence of cleft-related speech problems in children with an isolated cleft lip
Authors: B. J. A. Smarius
S. Haverkamp
H. de Wilde
A. van Wijck-Warnaar
A. B. Mink van der Molen
C. C. Breugem
Publication date: 01-03-2021
Publisher: Springer Berlin Heidelberg
Keyword: Acute Otitis Media
Published in: Clinical Oral Investigations / Issue 3/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03367-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Incidence of cleft-related speech problems in children with an isolated cleft lip

Abstract

Objectives

Materials and methods

Results

Conclusion/clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion/clinical relevance

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