THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors
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THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors. / Willadsen, Elisabeth; Persson , Christina; Lohmander, Anette; Lundeborg, Inger ; Alaluusua, Suvi ; Aukner, Ragnhild ; Bau, Anja; Boers, Maria; Bowden, Melanie ; Davies, Julie; Emborg, Berit; Havstam, Christina; Henningsson, Gunilla; Holmefjord, Anders; Hölttä, Elina ; Kisling-Møller, Mia; Kjøll, Lillian; Lundberg, Maria; McAleer, Eilish ; Nyberg, Jill; Paaso, Marjukka; Pedersen, Nina Helen; Rasmussen, Therese; Reisæter, Sigvor; Søgaard Andersen, Helene; Schöps, Antje; Tørdal, Inger-Beate; Semb, Gunvor.
In: Journal of Plastic Surgery and Hand Surgery, Vol. 1, No. 51, 20.02.2017, p. 38-51.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors
AU - Willadsen, Elisabeth
AU - Persson , Christina
AU - Lohmander, Anette
AU - Lundeborg, Inger
AU - Alaluusua, Suvi
AU - Aukner, Ragnhild
AU - Bau, Anja
AU - Boers, Maria
AU - Bowden, Melanie
AU - Davies, Julie
AU - Emborg, Berit
AU - Havstam, Christina
AU - Henningsson, Gunilla
AU - Holmefjord, Anders
AU - Hölttä, Elina
AU - Kisling-Møller, Mia
AU - Kjøll, Lillian
AU - Lundberg, Maria
AU - McAleer, Eilish
AU - Nyberg, Jill
AU - Paaso, Marjukka
AU - Pedersen, Nina Helen
AU - Rasmussen, Therese
AU - Reisæter, Sigvor
AU - Søgaard Andersen, Helene
AU - Schöps, Antje
AU - Tørdal, Inger-Beate
AU - Semb, Gunvor
PY - 2017/2/20
Y1 - 2017/2/20
N2 - Background and aim: Normal articulation before school start is a main objective in cleft palate treatment. The aim was to investigate if differences exist in consonant proficiency at age 5 years between children with unilateral cleft lip and palate (UCLP) randomised to different surgical protocols for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy.Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Norway, Sweden, and the UK.Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with non-syndromic UCLP. Speech audio- and video-recordings of 391 children (136 girls and 255 boys) were available and transcribed phonetically. The main outcome measure was Percent Consonants Correct (PCC) from blinded assessments.Results: In Trial 1, arm A showed statistically significant higher PCC scores (82%) than arm B (78%) (p = .045). No significant differences were found between prevalences in Trial 2, A: 79%, C: 82%; or Trial 3, A: 80%, D: 85%. Across all trials, girls achieved better PCC scores, excluding s-errors, than boys (91.0% and 87.5%, respectively) (p = .01).Conclusions: PCC scores were higher in arm A than B in Trial 1, whereas no differences were found between arms in Trials 2 or 3. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.Trial registration: ISRCTN29932826.Keywords: Primary palatal repair, unilateral cleft lip and palate, consonant proficiency, cleft speech characteristics, randomised clinical trial
AB - Background and aim: Normal articulation before school start is a main objective in cleft palate treatment. The aim was to investigate if differences exist in consonant proficiency at age 5 years between children with unilateral cleft lip and palate (UCLP) randomised to different surgical protocols for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy.Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Norway, Sweden, and the UK.Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with non-syndromic UCLP. Speech audio- and video-recordings of 391 children (136 girls and 255 boys) were available and transcribed phonetically. The main outcome measure was Percent Consonants Correct (PCC) from blinded assessments.Results: In Trial 1, arm A showed statistically significant higher PCC scores (82%) than arm B (78%) (p = .045). No significant differences were found between prevalences in Trial 2, A: 79%, C: 82%; or Trial 3, A: 80%, D: 85%. Across all trials, girls achieved better PCC scores, excluding s-errors, than boys (91.0% and 87.5%, respectively) (p = .01).Conclusions: PCC scores were higher in arm A than B in Trial 1, whereas no differences were found between arms in Trials 2 or 3. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.Trial registration: ISRCTN29932826.Keywords: Primary palatal repair, unilateral cleft lip and palate, consonant proficiency, cleft speech characteristics, randomised clinical trial
M3 - Journal article
VL - 1
SP - 38
EP - 51
JO - Journal of Plastic Surgery and Hand Surgery
JF - Journal of Plastic Surgery and Hand Surgery
SN - 2000-656X
IS - 51
ER -
ID: 168257921