An exploratory study on speech and hearing outcomes in children with cleft lip and palate

Hasherah Mohd Ibrahim, Fatin Hanim Mohamed Yusoff, Kartini Ahmad, Sandra Van Dort

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Little is known about the treatment outcomes of children with cleft lip and/or palate (CLP) receiving surgical care for primary lip and palate closure in Malaysia. Objectives: This study examined the speech and hearing status of Malay-speaking children with CLP residing in Kuala Lumpur. Methods: Parents whose children were between the age of 5 and 7 years were recruited via the Cleft Lip and Palate Association of Malaysia (CLAPAM) registry. Parents completed a survey and the children completed a speech and hearing assessment at the Audiology and Speech Sciences Clinic, Universiti Kebangsaan Malaysia. Outcomes: Speech measures include nasality rating, nasalance scores, articulation errors and speech intelligibility rating, while hearing measures include hearing thresholds and tympanometry results for each child. Results: Out of 118 registered members who fulfilled the inclusion criteria, 21 agreed to participate in the study. The overall speech and hearing status of children in this sample were poor. Only four (19%) participants had normal speech intelligibility rating and normal hearing bilaterally. In terms of overall cleft management, only four (19%) participants were seen by a cleft team while seven (33%) had never had their hearing tested prior to this study. Conclusion: Participants in this sample had poor outcomes in speech and hearing and received uncoordinated and fragmented cleft care. This finding calls for further large scale research and collaborative efforts into improving and providing centralised, multidisciplinary care for children born with CLP.

Original languageEnglish
Pages (from-to)321-325
Number of pages5
JournalMedical Journal of Malaysia
Volume70
Issue number6
Publication statusPublished - 1 Dec 2015

Fingerprint

Cleft Lip
Cleft Palate
Hearing
Malaysia
Speech Intelligibility
Parents
Audiology
Acoustic Impedance Tests
Palate
Child Care
Lip
Registries
Primary Health Care
Outcome Assessment (Health Care)
Research

Keywords

  • Cleft lip and palate
  • Hearing
  • Speech

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An exploratory study on speech and hearing outcomes in children with cleft lip and palate. / Mohd Ibrahim, Hasherah; Yusoff, Fatin Hanim Mohamed; Ahmad, Kartini; Van Dort, Sandra.

In: Medical Journal of Malaysia, Vol. 70, No. 6, 01.12.2015, p. 321-325.

Research output: Contribution to journalArticle

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