• Title/Summary/Keyword: Cleft Palate

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Assessment and Treatment of the Cleft Palate Speech Disorder by Use of the Nasometer (비음측정기를 사용한 구개열 언어의 평가 및 치료)

  • Shin, Hyo-Keun;Leem, Dae-Ho;Whang, Sang-Jun;Kim, Dong-Chil;Kim, Hyun-Gi
    • Korean Journal of Cleft Lip And Palate
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    • v.11 no.1
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    • pp.1-12
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    • 2008

  • In cleft palate patient, characteristic of speech disorder is the resonance disorder result from velopharyngeal incompetence. Clinically VPI caused by congenital factor as congenital palatal incompetence, submucosal cleft palate, and caused by acquired factor as CNS damage, tumor, palatal palsy. The clinicians more concerned about the speech disorders after cleft palate surgery rather than language pathologist. The resonance disorder devided for hypernasality, hyponasality and nasal emission, but as a rule, hypernasality is typical phenomenon of the resonance disorder. Traditionally clinicians and language pathologists evaluated four-stage or five-stage of hypernasality by subjective assessment. Although language pathologist is well-trained, results of the language level should be different. In late 1980s, Kay Elemetrics Corp. developed nasometer that objective nasalance identified with well-trained language pathologist and originate from nasometer Tonar I and II were developed by Fletcher. Therefore objective nasalance test was possible, the nasometer used in hospital, collage and speech clinic both and home and abroad. Standardization of the cleft palate speech assessment must be settled without delay because of different character result in different language and different assessment results by dialect in same language. In our study, we provide the data base for the standardization of cleft palate speech assessment which through report of objective assessment method, speech therapy effects and problems result in interdisciplinary teamwork by nasometer use in treatment of cleft palate patient.

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A STUDY ON THE CRANIOFACIAL MORPHOLOGY OF OPERATED CONGENITAL CLEFT LIP & PALATE (외과적 수술을 받은 선천성 구순 구개열자의 두개 안면 형태에 관한 연구)

  • To, Song-Hee;Sohn, Byung-Wha
    • The korean journal of orthodontics
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    • v.23 no.4 s.43
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    • pp.543-564
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    • 1993

  • A cephalometric study was undertaken to reveal significant differences of craniofacial morphology of operated congenital cleft lip and palate subjects and control subjects. The material for this study consisted of 73 subjects with operated congenital cleft lip and palate subjects(53 males, 20 females) and 110 control subjects (7 males, 34 females) ranging from 3 to 14 years old. Each group was divided into four age groups (3-5, 6-8, 9-11, 12-14 year) and analyzed by Cohen's method and Burstone's method. The following conclusions were obtained ; 1. In Wit's appraisal, there was no difference the cleft lip and palate subjects and the control subjects. 2. In the cleft lip and palate subjects, they had smaller and more retrusive maxilla than the control subjects in both sexes. 3. In the cleft lip and palate subjects, they had more retrusive mandible than the control subjects in both sexes. 4. In the cleft lip and palate subjects, they had more concave profile than the control subjects.

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