Dudak-damak yarıklı bireylerde maloklüzyonun konuşma bozukluklarına etkisi

Yıl 2015, Cilt: 32 Sayı: 2, 85 - 9, 21.04.2015

Bengisu Akarsu Güven İlken Kocadereli

https://doi.org/10.17214/aot.96718

Öz

Dudak-damak yarığı yüzün en sık rastlanılan konjenital anomalisidir. Dudak-damak yarıklı hastalar ağız yapılarındaki anatomik ve fonksiyonel farklılıklar nedeniyle konuşma problemleri açısından yüksek risk grubundadırlar. Dudak-damak yarıkları bebeklikten yetişkinliğe uzanan bir süreçte multidisipliner ekip yaklaşımı ile tedavi edilmektedir. Bu ekip yaklaşımının önemli bir parçası olan ortodontik tedavi, maloklüzyonu elimine ederek konuşmanın düzeltilmesinde olumlu katkılar sağlayabilmektedir.

Anahtar Kelimeler

Artikülasyon, fonasyon, konuşma terapisi, yarık dudak damak

Influence of malocclusion on speech disorders in subjects with cleft lip and palate

Öz

Cleft lip and palate is the most common congenital anomaly of the face. Because of anatomical and functional deviations in the oral structure, patients with cleft lip and palate are at an elevated risk for speech problems. Treatment of the cleft lip and palate requires a multidisciplinary team approach from infancy to adulthood. As an important part of this approach, orthodontic treatment might have positive contributions in the management of speech.

Anahtar Kelimeler

Articulation, cleft lip palate, phonation, speech therapy

Kaynakça

• Keskin M. Dudak damak yarıklarında etiyoloji. Turkiye Klinikleri J Plast Surg-Özel Sayı 2011;3:28-32.
• Şafak T, Akyürek M. Dudak-damak yarıkları. Turkiye Klinikleri J E.N.T.-Özel Sayı 2003;3:110-23.
• Kasten EF, Schmidt SP, Zickler CF, Berner E, Damian LA, Christian GM, et al. Team care of the patient with cleft lip and palate. Curr Probl Pediatr Adolesc Health Care 2008;38:138-58.
• Ruiter JS, Korsten-Meijer AG, Goorhuis-Brouwer SM. Communicative abilities in toddlers and in early school age children with cleft palate. Int J Pediatr Otorhinolaryngol 2009;73:693-8.
• Turner L, Jacobsen C, Humenczuk M, Singhal VK, Moore D, Bell H. The effects of lactation education and a prosthetic obturator appliance on feeding efficiency in infants with cleft lip and palate. Cleft Palate Craniofac J 2001;38:519-24.
• Thornton JB, Nimer S, Howard PS. The incidence, classification, etiology, and embryology of oralclefts. Semin Orthod 1996;2:162-8.
• Peterson-Falzone SJ, Hardin-Jones MA, Karnell MP. Cleft Palate Speech. 3rd edn. St. Louis: Mosby; 2001.
• Rullo R, Di Maggio D, Festa VM, Mazzarella N. Speech assessment in cleft palate patients: a descriptive study. Int J Pediatr Otorhinolaryngol 2009;73:641-4.
• Schuster M, Maier A, Bocklet T, Nkenke E, Holst A, Eysholdt U, et al. Automatically evaluated degree of intelligibility of children with different cleft type from preschool and elementary school measured by automatic speech recognition. Int J Pediatr Otorhinolaryngol 2012;76:362-9.
• Gerçeker M, Yorulmaz İ, Ural A. Ses ve konuşma. K.B.B. ve Baş Boyun Cerrahisi Dergisi 2000;8:71-8.
• Golding-Kushner KJ. Therapy Techniques for Cleft Palate Speech and Related Disorders. 1st edn. San Diego: Singular Thompson Learning; 2001. p.1-175.
• Chapman KL. Vocalizations of toddlers with cleft lip and palate. Cleft Palate Craniofac J 1991;28:172-8.
• Holland S, Gabbay JS, Heller JB, O’Hara C, Hurwitz D, Ford MD, et al. Delayed closure of the hard palate leads to speech problems and deleterious maxillary growth. Plast Reconstr Surg 2007;119:1302-10.
• Noordhoff MS, Kuo J, Wang F, Huang H, Witzel MA. Development of articulation before delayed hard-palate closure in children with cleft palate: a cross-sectional study. Plast Reconstr Surg 1987;80:518-24.
• Rohrich RJ, Gosman AA. An update on the timing of hard palate closure: a critical long-term analysis. Plast Reconstr Surg 2004;113:350-2.
• Lohmander A, Friede H, Lilja J. Long-term, longitudinal follow-up of individuals with unilateral cleft lip and palate after the gothenburg primary early veloplasty and delayed hard palate closure protocol: speech outcome. Cleft Palate Craniofac J 2012;49:657-71.
• Hortis-Dzierzbicka M, Radkowska E, Fudalej PS. Speech outcomes in 10-year-old children with complete unilateral cleft lip and palate after one-stage lip and palate repair in the first year of life. J Plast Reconstr Aesthet Surg 2012;65:175-81.
• Jones CE, Chapman KL, Hardin-Jones MA. Speech development of children with cleft palate before and after palatal surgery. Cleft Palate Craniofac J 2003;40:19-31.
• Nagarajan R, Savitha VH, Subramaniyan B. Communication disorders in individuals with cleft lip and palate: An overview. Indian J Plast Surg 2009;42:137-43.
• Gugsch C, Dannhauer KH, Fuchs M. [Evaluation of the progress of therapy in patients with cleft lip, jaw and palate, using voice analysis-a pilot study]. J Orofac Orthop 2008;69:257-67.
• Nalçacı N, Topbaç S, Orhan M, Doruk C. Dudak damak yarıklı bireylerde konuşma bozukluklarının önemi, konuşma terapisi ve distraksiyon
• osteogenezin değerlendirilmesi: iki olgu nedeniyle. Türk Ortodonti Derg 2009;22:45-53.
• Dalston RM. Velopharyngeal impairment in the orthodontic population. Semin Orthod 1996;2:220-7.
• Neumann S, Romonath R. Effectiveness of nasopharyngoscopic biofeedback in clients with cleft palate speech: a systematic review. Logoped Phoniatr Vocol 2012;37:95-106.
• Howell PG. The variation in the size and shape of the human speech pattern with incisor-tooth relation. Arch Oral Biol 1987;32:587-92.
• Laine T. Associations between articulatory disorders in speech and occlusal anomalies. Eur J Orthod 1987;9:144-50.
• Laine T. Malocclusion traits and articulatory components of speech. Eur J Orthod 1992;14:302-9.
• Cayley AS, Tindall AP, Sampson WJ, Butcher AR. Electropalatographic and cephalometric assessment of tongue function in open bite and non-open bite subjects. Eur J Orthod 2000;22:463-74.
• Guay AH, Maxwell DL, Beecher R. A radiographic study of tongue posture at rest and during the phonation of /s/ in class III malocclusion. Angle Orthod 1978;48:10-22.
• Keith K, Schaaf NG. The effects of dental abnormalities on speech production. Quintessence Int 1982;13:1353-62.
• Sahad Mde G, Nahás AC, Scavone-Junior H, Jabur LB, Guedes-Pinto E. Vertical interincisal trepass assessment in children with speech disorders. Braz Oral Res 2008;22:247-51.
• Vlachos CC. Orthodontic treatment for the cleft palate patient. Semin Orthod 1996;2:197-204.
• Hopkin GB. Orthodontic aspects of the diagnosis and management of speech defects in children. Proc R Soc Med 1972;65:409-13.
• Laitinen J, Ranta R, Pulkkinen J, Haapanen ML. Associations between dental occlusion and misarticulations of Finnish dental consonants in cleft lip/palate children. Eur J Oral Sci 1999;107:109-13.
• Laine T, Jaroma M, Linnasalo AL. Articulatory disorders in speech as related to the position of the incisors. Eur J Orthod 1985;7:260-6.
• Taher A. Speech defect associated with Class III jaw relationship. Plast Reconstr Surg 1997;99:1200.
• Vallino LD, Tompson B. Perceptual characteristics of consonant errors associated with malocclusion. J Oral Maxillofac Surg 1993;51:850-6.
• Johnson NC, Sandy JR. Tooth position and speech--is there a relationship? Angle Orthod 1999;69:306-10.
• Van Lierde KM, Dhaeseleer E, Luyten A, Van De Woestijne K, Vermeersch H, Roche N. Parent and child ratings of satisfaction with speech and facial appearance in Flemish pre-pubescent boys and girls with unilateral cleft lip and palate. Int J Oral Maxillofac Surg 2012;41:192-9.
• Riski JE. Speech, language and velopharyngeal dysfunction: management throughout the life of an individual with cleft palate. In: Berkowitz S, ed. Cleft Lip and Palate. 2nd edn. New York: Springer Science & Business Media; 2006. p.705-17.