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Speech assessment following microsurgical soft palate repair
Affiliation:1. Department of Oral and Maxillofacial Surgery, Helios Kliniken Schwerin, Wismarsche Straße 393-397, 19049, Schwerin, Germany;2. ISBA University of Cooperative Education, Ziegelseestr. 1, 19055, Schwerin, Germany;3. Department of Medical Biometry and Epidemiology, Eppendorf University Hospital, University of Hamburg, Martinistr. 52, D-20246, Hamburg, Germany;4. Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, Rostock University Medical Center, Schillingallee 35, 18057, Rostock, Germany;5. MKG-Praxis Am Stadthafen, Schliemannstraße 18, 19055, Schwerin, Germany;1. Faculty of Medicine, Lisboa University, Portugal;2. Instituto Português da Face, Lisboa, Portugal;3. Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, Portugal;1. Dept of Oral and Maxillofacial Surgery, Indo-Bhutan Friendship Hospital, Thimphu, 11001, Bhutan;2. Dept of Oral and Maxillofacial Surgery, Command Military Dental Centre (Western Command), Chandimandir, India;3. Dept of Anesthesiology, Military Hospital, Jalandhar Cantt, Punjab, India;4. Department of Preventive & Social Medicine, Armed Forces Medical College, Pune, Maharashtra, India;1. Maxillofacial Surgery and Diagnostic Science, College of Dentistry, Qassim University, Saudi Arabia;2. Faculty of Dental Medicine for Girls, Al Azhar University, Cairo, Egypt;3. Postgraduate Clinical Attachment, Qassim Regional Dental Center, Saudi Arabia;1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan, Hubei, 430079, China;2. Department of Oral & Maxillofacial Head Neck Oncology, School & Hospital of Stomatology, Wuhan University, Wuhan, Hubei, 430079, China;1. Department of Oral and Maxillofacial Surgery, Federal Armed Forces Hospital, Rübenacherstr. 170, 56072, Koblenz, Germany;2. Department of Oral and Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany;3. Department of Oral and Maxillofacial Surgery, Specialist Clinic Hornheide, Dorbaumstr. 300, 48157, Münster, Germany;4. Department of Oral and Maxillofacial Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany;5. Department of Oral and Maxillofacial Surgery, University Hospital Erlangen, Glückstr. 11, 91054, Erlangen, Germany
Abstract:The aim of this study was to analyze speech intelligibility of children, who had undergone microsurgical soft palate repair according to Sommerlad.Cleft palate patients were treated by closure of the soft palate according to Sommerlad at about 6 months of age. At the age of 11, their speech was evaluated through automatic speech recognition. Word recognition rate (WR) was used as the outcome parameter of automatic speech recognition. To validate automatic speech results, an institute for speech therapy evaluated the speech samples for perceptual intelligibility. The results of this study group were compared to an age-matched control group.A total of 61 children were evaluated in this study, 29 in the study group and 32 in the control group. Study group patients had a lower word recognition rate (mean 43.03, SD 12.31) compared to the control group (mean 49.98, SD 12.54, p = 0.033). The magnitude of the difference was considered small (95% CI of the difference 0.6–13.3). The study group patients received significantly lower scores in the perceptual evaluation (mean 1.82, SD 0.58) compared to the control group mean (mean 1.51, SD 0.48, p = 0.028). Again, the magnitude of the difference was small (95% CI of the difference 0.03–0.57).Within the limitations of the study it seems that microsurgical soft palate repair according to Sommerlad at the age of 6 months might be a relevant alternative to other well established surgical techniques.
Keywords:Cleft palate  Microsurgery  PEAKS  Automatic speech recognition  Speech intelligibility
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