The Method Of Surgical Lip Repair Affects Speech Outcomes In Children With Bilateral Cleft Lip And Palate

Objective:It was hypothesized that lip repair protocols in children with bilateral cleft lip and palate (BCLP) would affect development of bilabial consonants /m/ /b/ /p/. This study compared speech outcomes in 2 surgical groups.Design:A retrospective case note investigation.Setting:UK Cleft Centre (2000-2009).Patients:Forty-nine children with complete BCLP, of whom 26 had a 1-stage and 23 a 2-stage bilateral cleft lip repair.Interventions:One-stage cleft lip repair versus a 2-staged cleft lip repair.Main Outcome Measures:Bilabial consonant production at 18 months, 3 and 5 years of age. Cleft Speech Characteristics (CSCs) at age 5.Results:At age 18 months, 81% of the 1-stage lip repair group and 4% of the 2-stage lip repair group produced bilabial consonants (P 更多