Introduction: The purpose of this study was to compare 3 methodologies that predict facial growth relative to incremental and positional changes over short- and long-term time periods. The 3 prediction systems that were tested and compared were the Ricketts analysis, the Johnston grid analysis, and the Fishman maturational analysis. Methods: Serial lateral cephalometric headfilms and hand-wrist films of 50 untreated subjects from the Burlington Growth Center at the University of Toronto, Toronto, Ontario, Canada, were used. The sample was subdivided by skeletal classification and further subdivided by sex. The sample comprised 19 skeletal Class I subjects (10 female, 9 male), 20 Class 11 subjects (10 female, 10 male), and 11 Class III subjects (6 female, 5 male). Three serial headplates were traced on each subject, and the associated chronologic and maturational ages were noted. The subjects were divided into a young adolescent subgroup approximately 9 years of age (T1), a micladolescent subgroup approximately 13 years of age (T2), and a late adolescent-adult age group approximately 20 years of age (T3). Predictions were made between the time periods. To measure and compare the predicted amounts of downward and forward skeletal growth vs the actual growth values, anatomic landmarks were chosen in the cranial base and on the maxilla and the mandible (Point A and gnathion), and increases between the respective points were measured. A paired t test was applied to each test group for the statistical analysis. Graphic representations were also created in the form of "positional envelopes" that encapsulated the predictive data for each methodology. To evaluate both incremental and positional accuracy, these data envelopes were subsequently related to the true positions of Point A and gnathion. Results and Conclusions: Although not the case in every instance, it was demonstrated that the maturationally oriented Fishman analysis was superior to both the chronologically based Johnston grid and Ricketts analysis for short- and long-term predictions.

OBJECTIVE:The purpose of this study was to retrospectively investigate mandibular asymmetry in unilateral cleft lip and palate individuals (UCLP) in relation to chronologic age and in relation to lower facial asymmetry.DESIGN:The longitudinal records of 34 UCLP individuals and 142 controls treated in the Department of Orthodontics, Eastman Dental Center, Rochester, NY, were included in the study. Posteroanterior and oblique cephalometric radiographs were analyzed for lower facial asymmetry and mandibular asymmetry, respectively. Mandibular asymmetry in UCLP was analyzed relative to three age groups (6-10, 11-14, and 15 or greater) and compared to controls. Moreover, mandibular asymmetry was analyzed relative to lower facial asymmetry.RESULTS:UCLP individuals showed no significant differences in mandibular asymmetry compared to controls. In addition, no significant correlation was found between mandibular asymmetry and lower facial asymmetry in UCLP.CONCLUSIONS:The degree of mandibular asymmetry in UCLP appears not to be the major contributing factor to the lower facial asymmetry noted on these individuals. Possible cranial-base/temporal-region anomalies may be involved in unilateral cleft lip and palate and be responsible of the asymmetry noted in the lower facial skeleton.

The attenuation number of the TMJ disk was measured in direct sagittal computerized tomograms (CTs) of eight fresh TMJ autopsy specimens. The CT attenuation number was correlated to histologic observations of hyalinization, calcification, and cartilaginous metaplasia of the disk. Correlations were found between high CT attenuation numbers and the presence of hyalinization, calcification, and foci of cartilaginous metaplasia in the disks. The results suggest that the high CT attenuation number of a disk might be associated with hyalinization, calcification, and metaplastic cartilage formation.

To study physiological basis for deviant resonance in hearing-impaired speakers, cephalometric roentgenography and cineradiography were applied to analyze oral/pharyngeal relationships during vowels produced in isolation and within a sentence context. The films, synchronized with sound recording, were traced and measured for 10 normal hearing and 4 hearing-impaired women with deviant resonance. Vocal tract conformations and dimensions were defined by measures of the lips, tongue, mandible, velum, hyoid bone, epiglottis, and laryngeal sinus. Means, standard deviations, and analyses of variance were applied to facilitate descriptions and comparisons between the groups. The hearing-impaired speakers had near normal lip openings for /i/ and /u/ but more open positions for /a/. The tongue tended to retract for the front vowel and front for the back vowel /u/. For high vowels, most of the hearing-impaired speakers had an elevated hyoid, an unusually large vertical dimension between hyoid and laryngeal sinus, and a retracted tongue root, which was associated with a marked retraction or deflection of the epiglottis toward the pharyngeal wall. The cine analysis of the normal hearing speakers showed rather well defined and consistent shifts in tongue position for the front vowels produced in the sentence context. The hearing-impaired speakers with deviant resonance showed greater variation among speakers in tongue body position and a significant retrusion of the dorsum of the tongue at a site significantly lower than observed in hearing speakers. The consistent tongue root retraction during static as well as dynamic speech production is interpreted as support for Boone's hypothesized cause of pharyngeal resonance in speech of the hearing impaired.

The patient was born with a severe cleft of the right lip, alveolus, and palate. After surgical correction of these defects at a very young age, the patient began a 6-year period of active orthodontic treatment at the Eastman Dental Center. With the cooperation of the patient and his parents, successful results, both dentally and skeletally, have been achieved. The treatment results have been stable during the 3-year period following the initial placement of retention. The postretention records show a molar relationship within normal limits and some return of the original spacing located in the mandibular anterior segment. The bonded "Maryland bar" is still in place and the cast single-tooth partial is still being used. At the proper time, a fixed permanent bridge is planned.

CINERADIOGRAPHIC AND PRESSURE-FLOW ANALYSIS OF SPEECH BEFORE AND AFTER PHARYNGEAL-FLAP SURGERY: PDF Only

No AccessJournal of Speech and Hearing DisordersArticle1 Aug 1961Palatal Function and Cleft Palate Speech Joanne D. Subtelny, Herbert Koepp-Baker, and J. Daniel Subtelny Joanne D. Subtelny Google Scholar More articles by this author , Herbert Koepp-Baker Google Scholar More articles by this author and J. Daniel Subtelny Google Scholar More articles by this author https://doi.org/10.1044/jshd.2603.213 SectionsAboutPDF ToolsAdd to favoritesDownload CitationTrack Citations ShareFacebookTwitterLinked In Additional Resources FiguresReferencesRelatedDetailsCited by Tara L. Whitehill, Carrie L. Gotzke and Megan Hodge (2013) Speech Intelligibility Cleft Palate Speech: Assessment and Intervention10.1002/9781118785065.ch16 The Cleft Palate-Craniofacial Journal39:1 (50-58)1 Jan 2002Assessing Intelligibility in Speakers With Cleft Palate: A Critical Review of the LiteratureTara L. Whitehill The Cleft Palate-Craniofacial Journal39:1 (50-58)1 Jan 2002Assessing Intelligibility in Speakers with Cleft Palate: A Critical Review of the LiteratureTara L. Whitehill The Cleft Palate-Craniofacial Journal37:4 (348-348)1 Jun 2000Speech and Language Issues in the Cleft Palate Population: The State of the ArtDavid P. Kuehn and Karlind T. Moller The Cleft Palate-Craniofacial Journal37:4 (1-35)1 Jul 2000Speech and Language Issues in the Cleft Palate Population: The State of the ArtDavid P. Kuehn and Karlind T. Moller Clinical Linguistics & Phonetics8:3 (219-233)1 Jan 1994A methodology for the evaluation of severely disordered cleft palate speechDebbie Sell, Pam Grunwell and Michael Mars Oral Surgery, Oral Medicine, Oral Pathology73:1 (13-18)1 Jan 1992The modified superiorly based pharyngeal flapHiroshi Yoshida, John Paul Stella, G.E. Ghali and Bruce N. Epker Oral and Maxillofacial Surgery Clinics of North America3:3 (501-516)1 Aug 1991Speech Evaluation and TreatmentMary Anne Witzel The Cleft Palate-Craniofacial Journal28:1 (115-118)1 Jan 1991A Cineradiographic Study of Velopharyngeal Movements for Deviant versus Nondeviant ArticulationGunilla Henningsson and Annika Isberg British Journal of Plastic Surgery40:4 (377-383)1 Jul 1987The effect of tongue position on division of airflow in the presence of velopharyngeal defectsW.G. Selley, M-C. Zananiri, R.E. Ellis and F.C. Flack Journal of Phonetics12:4 (297-306)1 Oct 1984Articulatory coordination and the clinical profile of two cleft palate speakersGerald N. Zimmermann, Michael P. Karnell and Patricia Rettaliata A. C. Nichols (1981) Articulation—Organic Factors Communication Disorders10.1007/978-1-4757-9760-2_1 Journal of Communication Disorders13:3 (239-247)1 May 1980A radiographic investigation of velar positioning in hearing-impaired young adultsEarl J. Seaver, James R. Andrews and Joseph J. Granata FREDERICKA BELL-BERTI (1980) Velopharyngeal Function: A Spatial–Temporal Model 10.1016/B978-0-12-608604-1.50012-4 The Journal of Prosthetic Dentistry28:6 (620-625)1 Dec 1972Presurgical maxillary prosthesis: An analysis of speech intelligibilityLeo J. Kipfmueller and Brien R. Lang Annals of Otology, Rhinology & Laryngology73:2 (443-457)1 Jun 1964XLIII Pharyngeal Implants for Reduction of Air Space in Velopharyngeal InsufficiencyPaul H. Ward and Joseph M. Wepman Review of Educational Research33:1 (20-37)1 Feb 1963Chapter II: The Speech HandicappedStanley Ainsworth Exceptional Children29:8 (365-370)1 Apr 1963Recent Research in Speech PathologyStanley Ainsworth Volume 26Issue 3August 1961Pages: 213-224 Get Permissions Add to your Mendeley library History Published in issue: Aug 1, 1961 Metrics Topicsasha-topicsasha-article-typesCopyright & PermissionsCopyright © 1961 American Speech-Language-Hearing AssociationPDF downloadLoading ...

No AccessJournal of Speech and Hearing ResearchResearch Article1 Dec 1959Intelligibility and Associated Physiological Factors of Cleft Palate Speakers Joanne D. Subtelny, and J. Daniel Subtelny Joanne D. Subtelny Google Scholar and J. Daniel Subtelny Google Scholar https://doi.org/10.1044/jshr.0204.353 SectionsAboutPDF ToolsAdd to favoritesDownload CitationTrack Citations ShareFacebookTwitterLinked In Additional Resources FiguresReferencesRelatedDetailsCited by Folia Phoniatrica et Logopaedica74:1 (17-28)Assessment of Intelligibility in Children with Velopharyngeal Insufficiency: The Relationship between Intelligibility in Context Scale and Experimental MeasuresHedieh Hashemi Hosseinabad, Karla N. Washington, Suzanne E. Boyce, Noah Silbert and Ann W. Kummer Shankar Rengasamy Venugopalan and Veerasathpurush Allareddy (2022) Craniofacial Growth and Development Peterson's Principles of Oral and Maxillofacial Surgery10.1007/978-3-030-91920-7_58 Perspectives of the ASHA Special Interest Groups5:6 (1492-1504)17 Dec 2020The Effect of Dental and Occlusal Anomalies on Articulation in Individuals With Cleft Lip and/or Cleft PalateKazlin N. Mason Sergio Damas, Oscar Cordón and Oscar Ibáñez (2020) Relationships Between the Skull and the Face for Forensic Craniofacial Superimposition Handbook on Craniofacial Superimposition10.1007/978-3-319-11137-7_3 Tara L. Whitehill, Carrie L. Gotzke and Megan Hodge (2011) Speech Intelligibility Cleft Palate Speech: Assessment and Intervention10.1002/9781118785065.ch169 Aug 2011 The Cleft Palate-Craniofacial Journal39:1 (50-58)1 Jan 2002Assessing Intelligibility in Speakers with Cleft Palate: A Critical Review of the LiteratureTara L. Whitehill The Cleft Palate-Craniofacial Journal39:1 (50-58)1 Jan 2002Assessing Intelligibility in Speakers With Cleft Palate: A Critical Review of the LiteratureTara L. Whitehill Operative Techniques in Plastic and Reconstructive Surgery2:4 (239-244)1 Nov 1995Pharyngoplasty revisited and revisedHenry K. Kawamoto Oral and Maxillofacial Surgery Clinics of North America3:3 (501-516)1 Aug 1991Speech Evaluation and TreatmentMary Anne Witzel BETTY JANE PHILIPS and RAYMOND D. KENT (1984) Acoustic–Phonetic Descriptions of Speech Production in Speakers with Cleft Palate and Other Velopharyngeal Disorders 10.1016/B978-0-12-608611-9.50008-5 Journal of Communication Disorders13:2 (133-146)1 Mar 1980Oral language characteristics of adult cleft-palate speakers compared on the basis of cleft type and sexHerbert A. Leeper, Mary Pannbacker and Jacki Roginski Clinical Otolaryngology & Allied Sciences5:1 (61-74)19 Jan 2009Management of velopharyngeal incompetence in dysarthria: a historical reviewJAMES PAUL DWORKIN and F. JOHNS DONNELL Clinical Otolaryngology5:1 (61-74)1 Feb 1980Management of velopharyngeal incompetence in dysarthria: a historical reviewJAMES PAUL DWORKIN and DONNELL F. JOHNS Clinics in Plastic Surgery2:2 (299-304)1 Apr 1975The Determination of Velopharyngeal Incompetence by Aerodynamic and Acoustical TechniquesDONALD W. WARREN The Journal of Prosthetic Dentistry27:1 (63-72)1 Jan 1972Treating velopharyngeal inadequacies with a palatal lift prosthesisLeo J. Kipfmueller and Brien R. Lang The Journal of Prosthetic Dentistry26:2 (213-218)1 Aug 1971Effect of cleft palate prostheses on respiratory effortMatthew T. Wood and Donald W. Warren The Journal of Prosthetic Dentistry25:3 (327-333)1 Mar 1971Effects of a palatal lift prosthesis upon the speech intelligibility of a dysarthric patientRobert C. Marshall and Richard N. Jones Richard Luchsinger and Gottfried E. Arnold (1970) Pathologie der Sprechorgane: Dysglossie Handbuch der Stimm- und Sprachheilkunde10.1007/978-3-7091-7130-1_17 American Journal of Orthodontics53:6 (423-445)1 Jun 1967A comparison of air-flow and cephalometric techniques for evaluation of normal and cleft palate patients. Part ILawrence F. Quigley Review of Educational Research33:1 (20-37)1 Feb 1963Chapter II: The Speech HandicappedStanley Ainsworth Volume 2Issue 4December 1959Pages: 353-360 Get Permissions Add to your Mendeley library History Published in issue: Dec 1, 1959PubMed ID: 13835528 Metrics Topicsasha-topicsasha-article-typesCopyright & PermissionsCopyright © 1959 American Speech-Language-Hearing AssociationPDF downloadLoading ...