Could speech disorders in children with cleft lip and palate be justified by impaired central auditory skills?

Jaqueline Lourenço Cerom; Maria Renata José; Luciana Paula Maximino; Jeniffer de Cássia Rillo Dutka; Maria Inês Pegoraro-Krook; Mariza Ribeiro Feniman

doi:10.1590/1982-0216/202325310022

Original Articles

Could speech disorders in children with cleft lip and palate be justified by impaired central auditory skills?

Jaqueline Lourenço Cerom; Maria Renata José; Luciana Paula Maximino; Jeniffer de Cássia Rillo Dutka; Maria Inês Pegoraro-Krook; Mariza Ribeiro Feniman

http://dx.doi.org/10.1590/1982-0216/202325310022 Revista CEFAC, vol.25, n3, e10022, 2023

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Abstract

Purpose: to verify the association between central auditory skills and speech disorders related to velopharyngeal dysfunction.

Methods: forty-five children, with repaired non-syndromic cleft lip and palate or cleft lip only, aged 7-11 years old, were divided into three groups: G1 (n=15), children with hypernasality, nasal air emission, and compensatory articulations; G2 (n=15), children with hypernasality and nasal air emission, but without compensatory articulations; and G3 (n=15), children without hypernasality, nasal air emission, and compensatory articulations. The medical records of all participants were analyzed to verify the eligibility criteria and obtain speech assessments, and then, they were submitted to an assessment of central auditory skills. Statistical analysis comprised descriptive and chi-square test with a significance level of 5%.

Results: G1 presented a higher occurrence of impairment in central auditory skills differing from the other groups, particularly in the temporal ordering and binaural integration skills. A significant difference was observed among groups in temporal ordering ability. No significant association was found between the use of specific types of compensatory articulations and impaired auditory skills.

Conclusion: there was an association between changes in temporal ordering auditory skills and binaural integration in children with velopharyngeal dysfunction, regardless of the presence or type of compensatory articulation found.

Keywords

Cleft Lip; Cleft Palate; Hearing; Speech; Velopharyngeal Insufficiency

Referencias

1. Freitas JA de S, Neves LT das, Almeida ALPF de, Garib DG, Trindade-Suedam IK, Yaedú RYF et al. Rehabilitative treatment of cleft lip and palate: experience of the hospital for rehabilitation of craniofacial anomalies/USP (HRAC/USP) - part 1: Overall aspects. J Appl Oral Sci. 2012;20(1):9-15. https://doi.org/10.1590/S1678-77572012000100003. PMID: 22437671.

2. Chapman K, Dixon A, Wilson K, Dobbelsteyn C, Cordero K, Trost-Cardamone J et al. Benchmarking speech outcomes of kindergarteners with cleft palate. Cleft Palate-Craniofacial J. 2017;54(3):e43-e44.

3. Dochy F, Vanheule E, De Leenheer E, Van Hoecke H. Middle ear problems in children with cleft palate: a cross-sectional study. Arch Otolaryngol Rhinol. 2019;5(3):78-82. https://doi.org/10.17352/2455-1759.000103.

4. Hardin-Jones MA, Chapman KL, Wright J, Halter KA, Schulte J, Dean JA et al. The impact of early palatal obturation on consonant development in babies with unrepaired cleft palate. Cleft Palate-Craniofacial J. 2002;39(2):157-63. https://doi.org/10.1597/1545-1569_2002_039_0157_tioepo_2.0.co_2. PMID: 11879071.

5. Chapman KL, Hardin-Jones M, Halter KA. The relationship between early speech and later speech and language performance for children with cleft lip and palate. Clin Linguist Phonetics. 2003;17(3):173-97. https://doi.org/10.1080/0269920021000047864. PMID: 12858838.

6. Kuo C-L. Glue ear in children with cleft lip and palate: an update. Clin Med Ther. 2018;1(1):1-10. https://doi.org/10.24983/SCITEMED.CMT.2018.00062.

7. Sharma RK, Nanda V. Problems of middle ear and hearing in cleft children. Indian J Plast Surg. 2009;42(Suppl):S144-148. https://doi.org/10.4103/0970-0358.57198. PMID: 19884670.

8. Moraes TFD de, Salvador KK, Cruz MS, Campos CF, Feniman MR. Hearing process in children with cleft lip and palate with or without history of otitis. Int Arch Otorhinolaryngol. 2011;15(4):431-6. https://doi.org/10.1590/S1809-48722011000400005.

9. Kummer AW, Clark SL, Redle EE, Thomsen LL, Billmire DA. Current practice in assessing and reporting speech outcomes of cleft palate and velopharyngeal surgery: a survey of cleft palate/craniofacial professionals. Cleft Palate-Craniofacial J. 2012;49(2):146-52. https://doi.org/10.1597/10-285. PMID: 21501067.

10. Hall A, Wills AK, Mahmoud O, Sell D, Waylen A, Grewal S et al. Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate: the Cleft Care UK study. Part 2. Orthod Craniofacial Res. 2017;20(Suppl 2):8-18. https://doi.org/10.1111/ocr.12184. PMID: 28661080.

11. Bhatnagar SC, Korabic EW. Neuronatomy and neurophysiology of central auditory pathways. In: Parthasarathy TK, editor. An introduction to auditory processing disorders in children. 3rd ed. Mahwah: LEA; 2006. p.119-48.

12. Boéchat EM. Plasticidade do sistema auditivo quanto à sensibilidade auditiva para tons puros e respostas para fala na deficiência auditiva neurossensorial [thesis]. São Paulo (SP): Faculdade de Medicina, Universidade de São Paulo; 2003.

13. Lemos ICC, Feniman MR. Teste de Habilidade de Atenção Auditiva Sustentada (THAAS) em crianças de sete anos com fissura labiopalatina. Braz J Otorhinolaryngol. 2010;76(2):199-205. https://doi.org/10.1590/S1808-86942010000200009.

14. Araújo LMM, Lauris JRP, Feniman MR. Crianças com fissura labiopalatina e baixo peso ao nascimento em testes auditivos centrais. Int Arch Otorhinolaryngol. 2011;15(3):314-8. https://doi.org/10.1590/S1809-48722011000300008.

15. Boscariol M, André KD, Feniman MR. Cleft palate children: performance in auditory processing tests. Braz J Otorhinolaryngol. 2009;75(2):213-20. https://doi.org/10.1016/S1808-8694(15)30780-1. PMID: 19575106.

16. Ma X, McPherson B, Ma L. Behavioral assessment of auditory processing disorder in children with non-syndromic cleft lip and/or palate. Int J Pediatr Otorhinolaryngol. 2015;79(3):349-55. https://doi.org/10.1016/j.ijporl.2014.12.021. PMID: 25583086.

17. Cerom JL, Macedo C de C, Feniman MR. Can peripheral hearing justify the speech disorders in childrenwith operated cleft palate? Int Arch Otorhinolaryngol. 2014;18(1):27-35. https://doi.org/10.1055/s-0033-1358582. PMID: 25992059.

18. Sistema de Conselhos de Fonoaudiologia. Guia de Orientação na Avaliação Audiológica. Vol. 1. 2020.

19. Périco M de S, Dutka J de CR, Whitaker ME, Silva AFR da, Souza OMV de, Pegoraro-Krook MI. Agreement between perceptual tests and videofluoroscopy in the diagnosis of velopharyngeal dysfunction. Audiol., Commun. Res. 2014;19(3):222-9. https://doi.org/10.1590/S2317-64312014000300004.

20. Pereira LD, Schochat E. Testes comportamentais para avaliação do processamento auditivo central. Barueri (SP): Pró-Fono; 2011.

21. Keith RW. Manual of the random gap detection test. St. Louis: Auditec; 2000.

22. Barreto MASC, Muniz LF, Teixeira CF. Desempenho da habilidade de resolução temporal em crianças de 07 a 13 anos. Rev Soc Bras Fonoaudiol. 2004;9(4):220-8.

23. Martins QP, Vellozo FF, Faccin VA, Garcia MV. Resolução temporal em crianças: análise de diferentes testes. Distúrb. Comun. 2017;29(4):727-33. https://doi.org/10.23925/2176-2724.2017v29i4p727-733.

24. van Eeden S, Stringer H. Linguistic and auditory processing skills in non-syndromic children with cleft palate: a scoping review. J Commun Disord. 2020;87:106029. https://doi.org/10.1016/j.jcomdis.2020.106029. PMID: 32712335.

25. Zaidan E, Garcia AP, Tedesco MLF, Baran JA. Desempenho de adultos jovens normais em dois testes de resolução temporal. Pró-Fono R Atual Cientif. 2008;20(1):19-24. https://doi.org/10.1590/S0104-56872008000100004.

26. Cassab TV, Zorzetto NL. Teste da fusão auditiva-revisado (AFT-R) em crianças com fissura labiopalatina. ACTA ORL/Técnicas em Otorrinolaringol. 2006;24(4):272-6.

27. Santos JLF dos, Parreira LMMV, Leite R de CD. Habilidades de ordenação e resolução temporal em crianças com desvio fonológico. Rev. CEFAC. 2010;12(3):371-6. https://doi.org/10.1590/S1516-18462010005000026.

28. Souza MA, Passaglio NJS, Souza VC, Scopel RR, Lemos SMA. Temporal ordering and sound localization: association with environment and language development. Audiol., Commun. Res. 2015;20(1):24-31. https://doi.org/10.1590/S2317-64312015000100001443.

29. Garcia VL, Campos DBKP, Padovani CR. Associação entre a avaliação de habilidades de consciência fonológica e de processamento auditivo em crianças com e sem distúrbio de aprendizagem. Fono Atual. 2005;8(31):4-11.

30. Fortes AB, Pereira LD, Azevedo MF. Resolução temporal: análise em pré-escolares nascidos a termo e pré-termo. Pró-Fono R Atual Cient. 2007;19(1):87-96. https://doi.org/10.1590/S0104-56872007000100010.

31. Bernhardt M, Stemberger J, Charest M. Intervention for speech production in children and adolescents: models of speech production and therapy approaches. Introduction to the issue. Can J Speech-Language Pathol Audiol. 2010;34(3):157-67.

32. Byun TMA, Tessier AM. Motor influences on grammar in an emergentist model of phonology. Lang Linguist Compass. 2016;10(9):431-52. https://doi.org/10.1111/lnc3.12205.

33. Terband H, Maassen B, Maas E. A psycholinguistic framework for diagnosis and treatment planning of developmental speech disorders. Folia Phoniatr Logop. 2019;71(5-6):216-27. https://doi.org/10.1159/000499426. PMID: 31269495.

34. Amaral MIR, Martins JE, Santos MFC. Estudo da audição em crianças com fissura labiopalatina não-sindrômica. Braz J Otorhinolaryngol. 2010;76(2):164-71. https://doi.org/10.1590/S1808-86942010000200004.

35. Geffen G, Sexton MA. The development of auditory strategies of attention. Dev Psychol. 1978;14(1):11-7. https://doi.org/ https://doi.org/10.1037/0012-1649.14.1.11.

36. Garcia VL, Pereira LD, Fukuda Y. Atenção seletiva: PSI em crianças com distúrbio de aprendizagem. Rev Bras Otorrinolaringol. 2007;73(3):404-11. https://doi.org/10.1590/S0034-72992007000300017.

Submitted date:
15/11/2022

Accepted date:
23/02/2023

Could speech disorders in children with cleft lip and palate be justified by impaired central auditory skills?

Jaqueline Lourenço Cerom; Maria Renata José; Luciana Paula Maximino; Jeniffer de Cássia Rillo Dutka; Maria Inês Pegoraro-Krook; Mariza Ribeiro Feniman

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