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. 2001 Jan;38(1):30-7.
doi: 10.1597/1545-1569_2001_038_0030_clapci_2.0.co_2.

Cleft lip and palate care in the United Kingdom--the Clinical Standards Advisory Group (CSAG) Study. Part 3: speech outcomes

D Sell  1 , P Grunwell, S Mildinhall, T Murphy, T A Cornish, D Bearn, W C Shaw, J J Murray, A C Williams, J R Sandy
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Cleft lip and palate care in the United Kingdom--the Clinical Standards Advisory Group (CSAG) Study. Part 3: speech outcomes

D Sell et al. Cleft Palate Craniofac J. 2001 Jan.

Abstract

Objective: To summarize speech outcomes in children born with unilateral cleft lip and palate (UCLP) throughout the United Kingdom.

Design: Prospective descriptive study on a cross-sectional sample of children.

Patients/participants: Data were collected for 238 5-year-olds (born between April 1, 1989, and March 31, 1991) and 218 12-year-olds (born between April 1, 1982, and March 31, 1984) with complete UCLP.

Main outcomes: Ratings of intelligibility, nasality, "speech cleft type characteristics" and speech therapy intervention.

Conclusions: Nineteen percent of 5-year-olds and 4% of 12-year-olds were judged to be impossible to understand or just intelligible to strangers. Thirty-four percent of 5-year-olds and 17% of 12-year-olds had at least one serious error of consonant production. Eighteen percent of 5-year-olds and 12-year-olds had consistent hypernasality of mild, moderate, or severe degree. Approximately two-thirds of both age groups had undergone speech therapy.

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