{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T21:17:03Z","timestamp":1780348623268,"version":"3.54.1"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CoDAS"],"published-print":{"date-parts":[[2017,10,26]]},"abstract":"<jats:p>RESUMO  Objetivo caracterizar o perfil e a fala de pacientes submetidos \u00e0 palatoplastia prim\u00e1ria em um hospital escola de S\u00e3o Paulo, levando-se em considera\u00e7\u00e3o a idade do paciente no momento da cirurgia (precoce at\u00e9 os 2 anos de idade e tardio ap\u00f3s 2 anos).  M\u00e9todo 97 indiv\u00edduos, de ambos os g\u00eaneros, com diagn\u00f3stico de fissura de palato associada ou n\u00e3o \u00e0 de l\u00e1bio, divididos em dois grupos: 1) grupo precoce (GP), composto por 43 indiv\u00edduos operados at\u00e9 o segundo ano de vida; 2) grupo tardio (GT), composto por 54 indiv\u00edduos operados ap\u00f3s o segundo ano. Os participantes foram submetidos \u00e0 avalia\u00e7\u00e3o cl\u00ednica fonoaudiol\u00f3gica. Os par\u00e2metros avaliados e considerados para o estudo foram: classifica\u00e7\u00e3o da resson\u00e2ncia, presen\u00e7a de ronco nasal aud\u00edvel, ocorr\u00eancia de fraca press\u00e3o intraoral, ocorr\u00eancia de emiss\u00e3o nasal, classifica\u00e7\u00e3o da inteligibilidade de fala e presen\u00e7a de dist\u00farbios articulat\u00f3rios compensat\u00f3rios (DACs). Uma porcentagem randomicamente selecionada de participantes (30%) foi reavaliada por mais duas fonoaudi\u00f3logas e a compara\u00e7\u00e3o entre os ju\u00edzes indicou alta concord\u00e2ncia.  Resultados (n\u00edvel de signific\u00e2ncia de 5%): os grupos n\u00e3o se diferenciaram em rela\u00e7\u00e3o \u00e0 classifica\u00e7\u00e3o da resson\u00e2ncia (p=0,067), grau de hipernasalidade (p=0,113), presen\u00e7a de ronco nasal (p=0,179), ocorr\u00eancia de fraca press\u00e3o intraoral (p=0,152), ocorr\u00eancia de emiss\u00e3o nasal (p=0,369) e classifica\u00e7\u00e3o da inteligibilidade de fala (p=0,113). Em rela\u00e7\u00e3o \u00e0 presen\u00e7a de DACs, os grupos se diferenciaram (p=0,020), com maior ocorr\u00eancia de fonemas alterados no GT.  Conclus\u00e3o foi poss\u00edvel caracterizar o perfil geral e de fala dos pacientes submetidos \u00e0 palatoplastia prim\u00e1ria do referido hospital escola. Concluiu-se que a realiza\u00e7\u00e3o da cirurgia precocemente traz melhores resultados em rela\u00e7\u00e3o \u00e0 fala.<\/jats:p>","DOI":"10.1590\/2317-1782\/20172016146","type":"journal-article","created":{"date-parts":[[2017,10,25]],"date-time":"2017-10-25T22:43:33Z","timestamp":1508971413000},"source":"Crossref","is-referenced-by-count":6,"title":["Perfil da fala de pacientes submetidos \u00e0 palatoplastia prim\u00e1ria"],"prefix":"10.1590","volume":"29","author":[{"given":"Katia Ignacio","family":"Menegueti","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Davison","family":"Mangilli","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nivaldo","family":"Alonso","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  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