{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T22:54:34Z","timestamp":1790031274017,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T00:00:00Z","timestamp":1403481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The aim of this study was to compare the speech in subjects with cleft lip and palate, in whom three methods of the hard palate closure were used. One hundred and thirty\u2010seven children (96 boys, 41 girls; mean age\u00a0=\u00a012\u00a0years, SD\u00a0=\u00a01\u00b72) with complete unilateral cleft lip and palate (CUCLP) operated by a single surgeon with a one\u2010stage method were evaluated. The management of the cleft lip and soft palate was comparable in all subjects; for hard palate repair, three different methods were used: bilateral von Langenbeck closure (<jats:italic>b\u2010<jats:styled-content style=\"fixed-case\">vL<\/jats:styled-content><\/jats:italic> group, <jats:italic>n<\/jats:italic>\u00a0=\u00a039), unilateral von Langenbeck closure (<jats:italic>u\u2010<jats:styled-content style=\"fixed-case\">vL<\/jats:styled-content><\/jats:italic> group, <jats:italic>n<\/jats:italic>\u00a0=\u00a056) and vomerplasty (<jats:italic>v\u2010p<\/jats:italic> group, <jats:italic>n<\/jats:italic>\u00a0=\u00a042). Speech was assessed: (i) perceptually for the presence of a) hypernasality, b) compensatory articulations (CAs), c) audible nasal air emissions (ANE) and d) speech intelligibility; (ii) for the presence of compensatory facial grimacing, (iii) with clinical intra\u2010oral evaluation and (iv) with videonasendoscopy. A total rate of hypernasality requiring pharyngoplasty was 5\u00b71%; total incidence post\u2010oral compensatory articulations (CAs) was 2\u00b72%. The overall speech intelligibility was good in 84\u00b77% of cases. Oronasal fistulas (ONFs) occurred in 15\u00b77% <jats:italic>b\u2010<jats:styled-content style=\"fixed-case\">vL<\/jats:styled-content><\/jats:italic> subjects, 7\u00b71% <jats:italic>u\u2010<jats:styled-content style=\"fixed-case\">vL<\/jats:styled-content><\/jats:italic> subjects and 50% <jats:italic>v\u2010p<\/jats:italic> subjects (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00\u00b7001). No statistically significant intergroup differences for hypernasality, CAs and intelligibility were found (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a00\u00b71). In conclusion, the speech after early one\u2010stage repair of CUCLP was satisfactory. The method of hard palate repair affected the incidence of ONFs, which, however, caused relatively mild and inconsistent speech errors.<\/jats:p>","DOI":"10.1111\/joor.12204","type":"journal-article","created":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T10:47:37Z","timestamp":1403520457000},"page":"809-815","source":"Crossref","is-referenced-by-count":15,"title":["Speech outcome in complete unilateral cleft lip and palate \u2013 a comparison of three methods of the hard palate closure"],"prefix":"10.1111","volume":"41","author":[{"given":"M.","family":"Hortis\u2010Dzierzbicka","sequence":"first","affiliation":[{"name":"Laboratory of Speech Pathology and Upper Airway Endoscopy Institute of Mother and Child Warsaw Poland"},{"name":"Department of Otolaryngology and Maxillofacial Surgery Universitary Clinical Hospital Olsztyn Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Radkowska","sequence":"additional","affiliation":[{"name":"Laboratory of Speech Pathology and Upper Airway Endoscopy Institute of Mother and Child Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Stecko","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Social Sciences and Humanities Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Dudzinski","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Maxillofacial Surgery Universitary Clinical Hospital Olsztyn Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. S.","family":"Fudalej","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics University of Bern Bern Switzerland"},{"name":"Department of Orthodontics Medical Faculty of Palack\u00fd University Olomouc Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.12.012"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1597\/09-010.1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2011.09.015"},{"key":"e_1_2_7_5_1","first-page":"153","article-title":"Psychosocial adjustment in early adulthood: the role of teasing and father support","volume":"33","author":"Storch EA","year":"2003","journal-title":"Child Study J"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1597\/05-080"},{"key":"e_1_2_7_7_1","volume-title":"Linguistic basis of assessment and documentation of speech disorders in children with cleft lip and\/or palate [in Polish]","author":"Zdunkiewicz\u2010Jedynak D","year":"2000"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1597\/08-039.1"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-086.1"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2011.514946"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198704000-00001"},{"key":"e_1_2_7_12_1","first-page":"404","volume-title":"Practical statistics for medical research","author":"Altman DG","year":"1991"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-196608000-00008"},{"key":"e_1_2_7_14_1","volume-title":"The Eurocleft project 1996\u20132000. 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