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  • Title: Speech in 6 year old children with sub-mucous cleft palate.
    Author: Isotalo E, Pulkkinen J, Haapanen ML.
    Journal: J Craniofac Surg; 2007 Jul; 18(4):717-22; discussion 723-24. PubMed ID: 17667655.
    Abstract:
    Speech in 83 children (in total) with sub-mucous cleft palate was evaluated at the age of 6 years. Velopharyngeal insufficiency was graded on the basis of perceptual assessment, taking into account the co-existence of various velopharyngeal insufficiency characteristics in speech. Out of 56 patients operated with a velopharyngeal flap to eliminate velo-pharyngeal insufficiency, 42 of them (75%) achieved normal velopharyngeal function in speech. Dento-alveolar misarticulations were found in 35% of the children. Misar-ticulations occurred independently of velopharyngeal insufficiency.
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