Essay On Pharyngeal Flap Surgery

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With a cleft lip or palate comes obstruction in airflow during speech. Pharyngeal flap surgery is a procedure commonly use to correct the airflow during speech for people with cleft palate (CP) or cleft lip and palate (CLP). A study conducted by Dr. John E. Riski (1979), Articulation Skills and Oral-Nasal Resonance in Children with Pharyngeal Flaps, examined articulation and resonance as a means to provide information necessary to rate the effectiveness of the pharyngeal flap procedure. The purpose of the study was three-fold: (a) to examine the effect of chronological age on the development of articulation and resonance, (b) to examine articulation and resonance before and after pharyngeal flap surgery, and (c) to examine the effect of the…show more content…
The 52 children were then compared with a control group made up of 48 children (with no pharyngeal flaps); Twenty-seven of the children had clefts of the lip and palate (CLP) and the other 21 children had clefts of the palate only (CP). Evaluation of speech and language proficiency was made on each child’s birthday from three years of age through adolescence (Riski, 1979). The oral-nasal balance was screened via conversational speech by a highly qualified speech pathologist. If a child’s oral-nasal resonance was within normal limits, it was marked as “acceptable”. On the contrary, if a child’s oral-nasal resonance was not within normal limits, it was marked as “unacceptable”. Overall, results of this study suggested that children who had pharyngeal-flap surgery were delayed in speech sound acquisition. Articulation for each child was measured using the Templin Darley 50-Item Screening Test. To obtain an analysis, the scores of each child were compared to the mean scores of Templin’s (1957) normative sample. Articulation developmental was measured by dividing the study group by cleft type. The two cleft groups were then compared to the non-cleft group tested by Templin (1957). Findings suggested that the CLP group followed the same curve as the normal, although it was usually a year behind the normal group (Riski, 1979). Comparatively, the CLP-F children demonstrated a much slower rate of articulation acquisition before the age of six years than did the CLP children. Additionally, between the ages of six and eight years, the CLP-F children demonstrated a rapid increase in the acquisition of speech sounds and were catching up to the speech proficiency demonstrated by the CLP group. Similarly, the CP and CP-F groups were compared.
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