Assessment of speech nasality in children with Robin Sequence
PURPOSE: To report the outcomes of primary palatoplasty in Robin Sequence (RS); to verify the relationship between modalities of assessment of nasality; to compare nasality between techniques at palatoplasty.METHODS: This study involved the identification of hypernasality in four modalities: live as...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Fonoaudiologia
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| Series: | CoDAS |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822015000100051&lng=en&tlng=en |
| _version_ | 1811279785306882048 |
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| author | Rosana Prado-Oliveira Ilza Lazarini Marques Luiz de Souza Telma Vidoto de Souza-Brosco Jeniffer de Cássia Rillo Dutka |
| author_facet | Rosana Prado-Oliveira Ilza Lazarini Marques Luiz de Souza Telma Vidoto de Souza-Brosco Jeniffer de Cássia Rillo Dutka |
| author_sort | Rosana Prado-Oliveira |
| collection | DOAJ |
| description | PURPOSE: To report the outcomes of primary palatoplasty in Robin Sequence (RS); to verify the relationship between modalities of assessment of nasality; to compare nasality between techniques at palatoplasty.METHODS: This study involved the identification of hypernasality in four modalities: live assessment with 4-point scale; live assessment with cul-de-sactest; multiple listeners' ratings of recorded phrase; nasometric assessment. Live ratings of speech nasality and nasalance scores were retrieved from charts, while a recorded phrase was rated by listeners for occurrence of hypernasality. Agreement between the modalities was established as well as association between nasality, nasal turbulence and age at surgery and at assessment. Fisher's exact test was used to compare findings between surgical techniques.RESULTS: Agreement between nasalance, live assessment with 4-point scale, live assessment with cul-de-sac, and multiple listeners' ratings of recorded samples ranged between reasonable (0.32) and perfect (1.00). Percentage occurrence of hypernasality varied largely between assessment modalities. Mean occurrence of hypernasality was lower for the group submitted to Furlow technique (26%) than the group that received von Langenbeck technique (53%). Only findings obtained live were statistically significant (scale: p=0.012; cul-de-sac:p<0.001). Listeners identified nasal turbulence for 22 (32%) samples out of the 69 recordings, and an association was found between hypernasality and nasal turbulence.CONCLUSION: Lower occurrence of hypernasality was identified for patients with RS in Furlow group. Identification of hypernasality varied largely among the four assessment modalities. |
| first_indexed | 2024-04-13T01:00:52Z |
| format | Article |
| id | doaj.art-6e77f657b9ce43489ea5b7d9f39cc8d0 |
| institution | Directory Open Access Journal |
| issn | 2317-1782 |
| language | English |
| last_indexed | 2024-04-13T01:00:52Z |
| publisher | Sociedade Brasileira de Fonoaudiologia |
| record_format | Article |
| series | CoDAS |
| spelling | doaj.art-6e77f657b9ce43489ea5b7d9f39cc8d02022-12-22T03:09:28ZengSociedade Brasileira de FonoaudiologiaCoDAS2317-1782271515710.1590/2317-1782/20152014055S2317-17822015000100051Assessment of speech nasality in children with Robin SequenceRosana Prado-OliveiraIlza Lazarini MarquesLuiz de SouzaTelma Vidoto de Souza-BroscoJeniffer de Cássia Rillo DutkaPURPOSE: To report the outcomes of primary palatoplasty in Robin Sequence (RS); to verify the relationship between modalities of assessment of nasality; to compare nasality between techniques at palatoplasty.METHODS: This study involved the identification of hypernasality in four modalities: live assessment with 4-point scale; live assessment with cul-de-sactest; multiple listeners' ratings of recorded phrase; nasometric assessment. Live ratings of speech nasality and nasalance scores were retrieved from charts, while a recorded phrase was rated by listeners for occurrence of hypernasality. Agreement between the modalities was established as well as association between nasality, nasal turbulence and age at surgery and at assessment. Fisher's exact test was used to compare findings between surgical techniques.RESULTS: Agreement between nasalance, live assessment with 4-point scale, live assessment with cul-de-sac, and multiple listeners' ratings of recorded samples ranged between reasonable (0.32) and perfect (1.00). Percentage occurrence of hypernasality varied largely between assessment modalities. Mean occurrence of hypernasality was lower for the group submitted to Furlow technique (26%) than the group that received von Langenbeck technique (53%). Only findings obtained live were statistically significant (scale: p=0.012; cul-de-sac:p<0.001). Listeners identified nasal turbulence for 22 (32%) samples out of the 69 recordings, and an association was found between hypernasality and nasal turbulence.CONCLUSION: Lower occurrence of hypernasality was identified for patients with RS in Furlow group. Identification of hypernasality varied largely among the four assessment modalities.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822015000100051&lng=en&tlng=enRobin SequenceCleft PalateHypernasalityNasometryPalatoplasty |
| spellingShingle | Rosana Prado-Oliveira Ilza Lazarini Marques Luiz de Souza Telma Vidoto de Souza-Brosco Jeniffer de Cássia Rillo Dutka Assessment of speech nasality in children with Robin Sequence CoDAS Robin Sequence Cleft Palate Hypernasality Nasometry Palatoplasty |
| title | Assessment of speech nasality in children with Robin Sequence |
| title_full | Assessment of speech nasality in children with Robin Sequence |
| title_fullStr | Assessment of speech nasality in children with Robin Sequence |
| title_full_unstemmed | Assessment of speech nasality in children with Robin Sequence |
| title_short | Assessment of speech nasality in children with Robin Sequence |
| title_sort | assessment of speech nasality in children with robin sequence |
| topic | Robin Sequence Cleft Palate Hypernasality Nasometry Palatoplasty |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822015000100051&lng=en&tlng=en |
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