{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:09:30Z","timestamp":1791590970232,"version":"4.3.4"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T00:00:00Z","timestamp":1694563200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Among the cleft types, bilateral cleft lip and palate (BCLP) generally requires multiple surgical procedures and extended speech therapy to achieve normal speech development. This study aimed to describe speech outcomes in 5-year-old Korean children with BCLP and examine whether normal speech could be achieved before starting school.<\/jats:p><jats:p>\n          Methods\u2003The retrospective study analyzed 52 children with complete BCLP who underwent primary palatal surgery at a tertiary medical center. Three speech-language pathologists made perceptual judgments on recordings from a speech follow-up assessment of 5-year-old children. They assessed the children's speech in terms of articulation, speech intelligibility, resonance, and voice using the Cleft Audit Protocol for Speech-Augmented-Korean Modification.<\/jats:p><jats:p>\n          Results\u2003The results indicated that at the age of five, 65 to 70% of children with BCLP presented articulation and resonance within normal or acceptable ranges. Further, seven children with BCLP (13.5%) needed both additional speech therapy and palatal surgery for persistent velopharyngeal insufficiency and speech problems even at the age of five.<\/jats:p><jats:p>\n          Conclusion\u2003This study confirmed that routine follow-up speech assessments are essential as a substantial number of children with BCLP require secondary surgical procedures and extended speech therapy to achieve normal speech development.<\/jats:p>","DOI":"10.1055\/a-2175-1893","type":"journal-article","created":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T23:04:26Z","timestamp":1694646266000},"page":"080-086","source":"Crossref","is-referenced-by-count":5,"title":["Speech Outcomes in 5-Year-Old Korean Children with Bilateral Cleft Lip and Palate"],"prefix":"10.1055","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3704-4907","authenticated-orcid":false,"given":"Kyung S.","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2512-6251","authenticated-orcid":false,"given":"Seungeun","family":"Jung","sequence":"additional","affiliation":[{"name":"Division of Speech Pathology and Audiology, Audiology and Speech Pathology Research Institute, Hallym University, Chuncheon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1549-4667","authenticated-orcid":false,"given":"Bo Ra","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8174-8915","authenticated-orcid":false,"given":"Tae-Suk","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6705-6274","authenticated-orcid":false,"given":"Young Chul","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2133-3720","authenticated-orcid":false,"given":"Seunghee","family":"Ha","sequence":"additional","affiliation":[{"name":"Division of Speech Pathology and Audiology, Audiology and Speech Pathology Research Institute, Hallym University, Chuncheon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,2,7]]},"reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1016\/j.bjps.2014.07.018","article-title":"Identifying the effect of cleft type, deprivation and ethnicity on speech and dental outcomes in UK cleft patients: a multi-centred study","volume":"67","author":"R M Choa","year":"2014","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1597\/03-134.1","article-title":"Speech production of preschoolers with cleft palate","volume":"42","author":"M A Hardin-Jones","year":"2005","journal-title":"Cleft Palate Craniofac J"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1597\/1545-1569_2002_039_0397_soiicp_2.0.co_2","article-title":"Speech outcomes in isolated cleft 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