{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:29:02Z","timestamp":1777523342238,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2007,11,1]],"date-time":"2007-11-01T00:00:00Z","timestamp":1193875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the speech intelligibility of patients with clefts before and after placement of a speech prosthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo (HRAC\/USP), Bauru, Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Twenty-seven patients with unoperated cleft palate or operated cleft palate presenting with velopharyngeal insufficiency (VPI) after primary palatoplasty, treated with speech prosthesis, aged 8 to 63 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Patients were fitted with palatopharyngeal obturators or pharyngeal bulbs, suitable to their dental needs. Five speech-language pathologists blindly evaluated speech samples of the patients with and without the prosthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Classification of speech samples according to a scoring system developed for speech intelligibility problems: 1 (normal), 2 (mild), 3 (mild to moderate), 4 (moderate), 5 (moderate to severe), and 6 (severe). Results were evaluated by the calculation of means of all judges for each patient in both situations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The judges presented significant agreement (W = .789, p &lt; .01). Speech intelligibility was significantly better after placement of the prosthesis for both unoperated patients (Z = 1.93, p = .02) and operated patients with VPI after primary palatoplasty (Z = 1.78, p = .03).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Speech intelligibility may be improved by rehabilitation of patients with cleft palate using a speech prosthesis. Speech therapy is needed to eliminate any compensatory articulation productions developed prior to prosthetic management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/06-061.1","type":"journal-article","created":{"date-parts":[[2007,11,9]],"date-time":"2007-11-09T15:03:32Z","timestamp":1194620612000},"page":"635-641","source":"Crossref","is-referenced-by-count":50,"title":["Speech Intelligibility of Patients with Cleft Lip and Palate after Placement of Speech Prosthesis"],"prefix":"10.1177","volume":"44","author":[{"given":"Jo\u00e3o Henrique Nogueira","family":"Pinto","sequence":"first","affiliation":[{"name":"Department of Prosthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo"},{"name":"Department of Prosthodontics, School of Dentistry, University of Sagrado Cora\u00e7\u00e3o, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giseleda Silva","family":"Dalben","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria In\u00eas","family":"Pegoraro-Krook","sequence":"additional","affiliation":[{"name":"Department of Communication Disorders, Bauru School of Dentistry, University of S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,11,1]]},"reference":[{"key":"bibr1-06-061.1","first-page":"617","volume-title":"Cleft Lip and Palate.","author":"Adisman I.K.","year":"1971"},{"key":"bibr2-06-061.1","first-page":"291","volume":"2","author":"Alley N.R.A.","year":"1965","journal-title":"Cleft Palate J."},{"key":"bibr3-06-061.1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(59)90111-8"},{"key":"bibr4-06-061.1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(94)90097-3"},{"key":"bibr5-06-061.1","first-page":"377","volume":"2","author":"Arndt W.B.","year":"1965","journal-title":"Cleft Palate J."},{"key":"bibr6-06-061.1","first-page":"176","volume":"2","author":"Brandt S.D.","year":"1965","journal-title":"Cleft Palate J."},{"key":"bibr7-06-061.1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.2604.326"},{"key":"bibr8-06-061.1","first-page":"3","volume-title":"Communicative Disorders Related to Cleft Lip and Palate.","author":"Bzoch K.R.","year":"2004"},{"key":"bibr9-06-061.1","first-page":"95","volume":"1","author":"Curtis T.A.","year":"1964","journal-title":"Cleft Palate J."},{"key":"bibr10-06-061.1","first-page":"441","volume":"1","author":"Falter J.W.","year":"1964","journal-title":"Cleft Palate J."},{"key":"bibr11-06-061.1","volume-title":"Diagnosing Speech Disorders From Cleft Palate.","author":"Fletcher S.G.","year":"1978"},{"key":"bibr12-06-061.1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1993_030_0055_ltsroc_2.3.co_2"},{"key":"bibr13-06-061.1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1951.0158"},{"key":"bibr14-06-061.1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1992_029_0485_ditrap_2.3.co_2"},{"key":"bibr15-06-061.1","doi-asserted-by":"publisher","DOI":"10.1597\/02-164.1"},{"key":"bibr16-06-061.1","first-page":"842","volume":"115","author":"Jian S.","year":"2002","journal-title":"Chin Med J."},{"key":"bibr17-06-061.1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1999_036_0328_tirotp_2.3.co_2"},{"key":"bibr18-06-061.1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2000_037_0348_saliit_2.3.co_2"},{"key":"bibr19-06-061.1","unstructured":"KummerA.W. 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