Language Screening in Toddlers with Cleft Lips and or Palates: A Pilot Study
,
Abstract
Introduction: Children with cleft lips and or palates are at risk for speech and language disorders. Early speech and language intervention help them to advance their full speech and language abilities. This study aimed to determine whether language abilities in toddlers with oral clefts would differ from those of normal children.
Materials and Methods: The study recruited 2 groups of children aged 12 to 24 months. The toddlers with cleft lips and or palates as a group of children with orofacial anomalies were born at Shahid Akbar-Abadi Hospital from March 2017 to March 2019 in Tehran City, Iran. The parents of non cleft children and those with oral clefts answered the questions of the verbal and non-verbal communication screening checklist for Persian-speaking children.
Results: The results showed significant differences between the scores of the receptive-expressive language achieved by toddlers with clefts and non-clefts peers aged 12-18 months (P<0.05) and 18-24 months (P<0.05). But the results showed no significant differences between the non cleft toddlers and those with clefts in non-verbal communication (P>0.05).
Conclusion: The toddlers with orofacial anomalies need early speech and language intervention.
1. Owens RE. Language development. An introduction. New York City: Pearson College Division; 2015. https://www.google.com/books/edition/Language_Development/ibvBrQEACAAJ?hl=en
2. Hoff E. Language experience and language milestones during early childhood. In: McCartney K, Phillips D, editors. Handbook of early childhood development. New Jersey: Blackwell; 2006. [DOI:10.1002/9780470757703.ch12]
3. Hoff E, Shatz M. Language development. New York: Wiley; 2009. https://www.google.com/books/edi_Developme/PCy6c9hIL5YC?hl=en&gbpv=0
4. Rosenbaum S, Simon P. Speech and language disorders in children: implications for the social security administration’s supplemental security income program. Washington, D.C: National Academies. [PMID]
5. Sunderajan T, Kenhere SV. Speech and language delay in children: Prevalence and risk factors. Journal of Family Medicine and Primary Care. 2019; 8(5):1642-6. [DOI:10.4103/jfmpc.jfmpc_162_19] [PMID] [PMCID]
6. Cooper ME, Ratay JS, Marazita ML. Asian oral-facial cleft birth prevalence. The Cleft Palate-Craniofacial Journal. 2006; 43(5):580-9. [DOI:10.1597/05-167] [PMID]
7. Haseli A, Hajimirzaie S, Bagheri L, Sadeghian A, Ahmadnia E. [Prevalence of cleft lip and cleft palate in Iran: A systematic review and meta-analysis (Persian)]. Journal of Mazandaran University of Medical Sciences. 2019; 28(168):185-97. http://jmums.mazums.ac.ir/article-1-11920-en.html
8. Scherer NJ, D’Antonio LL, McGahey H. Early intervention for speech impairment in children with cleft palate. The Cleft Palate-Craniofacial Journal. 2008; 45(1):18-31. [DOI:10.1597/06-085.1] [PMID]
9. Nagarajan R, Savitha VH, Subramaniyan B. Communication disorders in individuals with cleft lip and palate: An overview. Indian Journal of Plastic Surgery. 2009; 42(S 01):S137-43. [DOI:10.1055/s-0039-1699387]
10. Shaffer AD, Ford MD, Losee JE, Goldstein J, Costello BJ, Grunwaldt LJ, Jabbour N. The association between age at palatoplasty and speech and language outcomes in children with cleft palate: An observational chart review study. The Cleft palate-craniofacial journal. 2020; 57(2):148-60. [DOI:10.1177/1055665619882566] [PMID]
11. Chapman KL. Vocalizations of toddlers with cleft lip and palate. The Cleft Palate-Craniofacial Journal. 1991; 28(2):172-8. [DOI:10.1597/1545-1569_1991_028_0172_votwcl_2.3.co_2] [PMID]
12. Chapman KL, Hardin-Jones M, Schulte J, Halter KA. Vocal development of 9-month-old babies with cleft palate. Journal of Speech, Language, and Hearing Research. 2001; 44(6):1268-83. [PMID]
13. Scherer NJ, Boyce S, Martin G. Pre-linguistic children with cleft palate: Growth of gesture, vocalization, and word use. International Journal of Speech-Language Pathology. 2013; 15(6):586-92. [PMID]
14. Kapp-Simon KA, Krueckeberg S. Mental development in infants with cleft lip and/or palate. The Cleft Palate-Craniofacial Journal. 2000; 37(1):65-70. [PMID]
15. Speltz ML, Endriga MC, Hill S, Maris CL, Jones K, Omnell ML. Cognitive and psychomotor development of infants with orofacial clefts. Journal of Pediatric Psychology. 2000; 25(3):185-90. [DOI:10.1093/jpepsy/25.3.185] [PMID]
16. Broen PA, Devers MC, Doyle SS, Prouty JM, Moller KT. Acquisition of linguistic and cognitive skills by children with cleft palate. Journal of Speech, Language, and Hearing Research. 1998; 41(3):676-87. [PMID]
17. Hardin-Jones M, Chapman KL. Early lexical characteristics of toddlers with cleft lip and palate. The Cleft Palate-Craniofacial Journal. 2014; 51(6):622-31. [DOI:10.1597/13-076] [PMID]
18. D’Antonio LL, Scherer NJ. Communication disorders associated with cleft palate. In: Losee JE, Kirschner RE, editors. Comprehensive cleft care. New York: McGraw-Hill Education; 2008. https://www.google.com/books/edition/Comprehensive_Cleft_Care/8QnUAAAACAAJ?hl=en
19. Kuehn DP, Moller KT. Speech and language issues in the cleft palate population: The state of the art. The Cleft Palate-Craniofacial Journal. 2000; 37(4):1-35. [DOI:10.1597/1545-1569_2000_037_0348_saliit_2.3.co_2]
20. Bzoch KR. Communicative disorders related to cleft lip and palate. Texas: PRO-ED, Incorporated; 2004. https://www.google.com/books/_Related_to_Cleft/3qceAQAAMAAJ?hl=en
21. Long NV, Dalston RM. Comprehension abilities of one-year-old infants with cleft lip and palate. The Cleft Palate Journal. 1983; 20(4):303-6. [PMID]
22. Lamônica DA, Silva-Mori MJ, Ribeiro Cda C, Maximino LP. [Receptive and expressive language performance in children with and without Cleft Lip and Palate (Portuguese)]. Codas. 2016; 28(4):369-72. [PMID]
23. Rescorla L, Dahlsgaard K, Roberts J. Late-talking toddlers: MLU and IPSyn outcomes at 3;0 and 4;0. Journal of Child Language. 2000; 27(3):643-64. [DOI:10.1017/S0305000900004232] [PMID]
24. Roulstone S, Peters TJ, Glogowska M, Enderby P. A 12-month follow-up of preschool children investigating the natural history of speech and language delay. Child: Care, Health and Development. 2003; 29(4):245-55. [DOI:10.1046/j.1365-2214.2003.00339.x] [PMID]
25. Morris H, Ozanne A. Phonetic, phonological, and language skills of children with a cleft palate. The Cleft Palate-Craniofacial Journal. 2003; 40(5):460-70. [PMID]
26. Priester GH, Goorhuis-Brouwer SM. Speech and language development in toddlers with and without cleft palate. International Journal of Pediatric Otorhinolaryngology. 2008; 72(6):801-6. [DOI:10.1016/j.ijporl.2008.02.004] [PMID]
27. Ghayoumi Anaraki Z, Faham M, Derakhshandeh F, Hashemi Hosseinabad H, Haresabadi F. Language parameters of 4- to 7-year-old Persian-speaking children with cleft lip and palate. Folia Phoniatrica et Logopaedica. 2016; 68(3):119-23. [DOI:10.1159/000450639] [PMID]
28. Safariyan N, Jalilevand N, Kamali M, Ebrahimipour M, Mehri A. The verbal & non-verbal communication screening checklist for Persian speaking children from 12 to 24 months and its validity and reliability. Iranian Rehabilitation Journal. 2017; 15(1):71-6. [DOI:10.18869/nrip.irj.15.1.71]
29. Vameghi R, Sajedi F, Kraskian Mojembari A, Habiollahi A, Lornezhad HR, Delavar B. Cross-cultural adaptation, validation and standardization of Ages and Stages Questionnaire (ASQ) in Iranian children. Iranian Journal of Public Health. 2013; 42(5):522-8. [PMID]
30. Agbenorku P. Orofacial clefts: A worldwide review of the problem. International Scholarly Research Notices. 2013; 1-7. [DOI:10.5402/2013/348465]
31. Rossetti LM. Communication intervention birth to three. New York: Singular Thomson Learning; 2001. https://www.google.com/books/edition/Communication_Intervention/_esIzgEACAAJ?hl=en
32. Lalsa SP. Early intervention of cleft lip and palate: Current issues practices and protocol. Journal of Head Neck & Spine Surgery. 2017; 1(2):555556. [DOI:10.19080/jhnss.2017.01.555556]
33. Witzel MA. Speech evaluation and treatment. Oral and Maxillofacial Surgery Clinics of North America. 1991; 3(3):501-16. [DOI:10.1016/S1042-3699(20)30522-7]
34. Miller CK. Feeding issues and interventions in infants and children with clefts and craniofacial syndromes. Seminars in Speech and Language. 2011; 32(2):115-26. [DOI:10.1055/s-0031-1277714] [PMID]
35. Brito NH. Influence of the home linguistic environment on early language development. Policy Insights from the Behavioral and Brain Sciences. 2017; 4(2):155-62. [DOI:10.1177/2372732217720699]
36. Pushpavathi M, Kavya V, Akshatha V. Maternal linguistic measures of toddlers with repaired cleft palate following early intervention program. Global Journal of Otolaryngology. 2017; 9(2):555759. [DOI:10.19080/GJO.2017.09.555759]
37. Hardin-Jones M, Chapman KL. Cognitive and language issues associated with cleft lip and palate. Seminars in Speech and Language. 2011; 32(2):127-40. [DOI:10.1055/s-0031-1277715] [PMID]
2. Hoff E. Language experience and language milestones during early childhood. In: McCartney K, Phillips D, editors. Handbook of early childhood development. New Jersey: Blackwell; 2006. [DOI:10.1002/9780470757703.ch12]
3. Hoff E, Shatz M. Language development. New York: Wiley; 2009. https://www.google.com/books/edi_Developme/PCy6c9hIL5YC?hl=en&gbpv=0
4. Rosenbaum S, Simon P. Speech and language disorders in children: implications for the social security administration’s supplemental security income program. Washington, D.C: National Academies. [PMID]
5. Sunderajan T, Kenhere SV. Speech and language delay in children: Prevalence and risk factors. Journal of Family Medicine and Primary Care. 2019; 8(5):1642-6. [DOI:10.4103/jfmpc.jfmpc_162_19] [PMID] [PMCID]
6. Cooper ME, Ratay JS, Marazita ML. Asian oral-facial cleft birth prevalence. The Cleft Palate-Craniofacial Journal. 2006; 43(5):580-9. [DOI:10.1597/05-167] [PMID]
7. Haseli A, Hajimirzaie S, Bagheri L, Sadeghian A, Ahmadnia E. [Prevalence of cleft lip and cleft palate in Iran: A systematic review and meta-analysis (Persian)]. Journal of Mazandaran University of Medical Sciences. 2019; 28(168):185-97. http://jmums.mazums.ac.ir/article-1-11920-en.html
8. Scherer NJ, D’Antonio LL, McGahey H. Early intervention for speech impairment in children with cleft palate. The Cleft Palate-Craniofacial Journal. 2008; 45(1):18-31. [DOI:10.1597/06-085.1] [PMID]
9. Nagarajan R, Savitha VH, Subramaniyan B. Communication disorders in individuals with cleft lip and palate: An overview. Indian Journal of Plastic Surgery. 2009; 42(S 01):S137-43. [DOI:10.1055/s-0039-1699387]
10. Shaffer AD, Ford MD, Losee JE, Goldstein J, Costello BJ, Grunwaldt LJ, Jabbour N. The association between age at palatoplasty and speech and language outcomes in children with cleft palate: An observational chart review study. The Cleft palate-craniofacial journal. 2020; 57(2):148-60. [DOI:10.1177/1055665619882566] [PMID]
11. Chapman KL. Vocalizations of toddlers with cleft lip and palate. The Cleft Palate-Craniofacial Journal. 1991; 28(2):172-8. [DOI:10.1597/1545-1569_1991_028_0172_votwcl_2.3.co_2] [PMID]
12. Chapman KL, Hardin-Jones M, Schulte J, Halter KA. Vocal development of 9-month-old babies with cleft palate. Journal of Speech, Language, and Hearing Research. 2001; 44(6):1268-83. [PMID]
13. Scherer NJ, Boyce S, Martin G. Pre-linguistic children with cleft palate: Growth of gesture, vocalization, and word use. International Journal of Speech-Language Pathology. 2013; 15(6):586-92. [PMID]
14. Kapp-Simon KA, Krueckeberg S. Mental development in infants with cleft lip and/or palate. The Cleft Palate-Craniofacial Journal. 2000; 37(1):65-70. [PMID]
15. Speltz ML, Endriga MC, Hill S, Maris CL, Jones K, Omnell ML. Cognitive and psychomotor development of infants with orofacial clefts. Journal of Pediatric Psychology. 2000; 25(3):185-90. [DOI:10.1093/jpepsy/25.3.185] [PMID]
16. Broen PA, Devers MC, Doyle SS, Prouty JM, Moller KT. Acquisition of linguistic and cognitive skills by children with cleft palate. Journal of Speech, Language, and Hearing Research. 1998; 41(3):676-87. [PMID]
17. Hardin-Jones M, Chapman KL. Early lexical characteristics of toddlers with cleft lip and palate. The Cleft Palate-Craniofacial Journal. 2014; 51(6):622-31. [DOI:10.1597/13-076] [PMID]
18. D’Antonio LL, Scherer NJ. Communication disorders associated with cleft palate. In: Losee JE, Kirschner RE, editors. Comprehensive cleft care. New York: McGraw-Hill Education; 2008. https://www.google.com/books/edition/Comprehensive_Cleft_Care/8QnUAAAACAAJ?hl=en
19. Kuehn DP, Moller KT. Speech and language issues in the cleft palate population: The state of the art. The Cleft Palate-Craniofacial Journal. 2000; 37(4):1-35. [DOI:10.1597/1545-1569_2000_037_0348_saliit_2.3.co_2]
20. Bzoch KR. Communicative disorders related to cleft lip and palate. Texas: PRO-ED, Incorporated; 2004. https://www.google.com/books/_Related_to_Cleft/3qceAQAAMAAJ?hl=en
21. Long NV, Dalston RM. Comprehension abilities of one-year-old infants with cleft lip and palate. The Cleft Palate Journal. 1983; 20(4):303-6. [PMID]
22. Lamônica DA, Silva-Mori MJ, Ribeiro Cda C, Maximino LP. [Receptive and expressive language performance in children with and without Cleft Lip and Palate (Portuguese)]. Codas. 2016; 28(4):369-72. [PMID]
23. Rescorla L, Dahlsgaard K, Roberts J. Late-talking toddlers: MLU and IPSyn outcomes at 3;0 and 4;0. Journal of Child Language. 2000; 27(3):643-64. [DOI:10.1017/S0305000900004232] [PMID]
24. Roulstone S, Peters TJ, Glogowska M, Enderby P. A 12-month follow-up of preschool children investigating the natural history of speech and language delay. Child: Care, Health and Development. 2003; 29(4):245-55. [DOI:10.1046/j.1365-2214.2003.00339.x] [PMID]
25. Morris H, Ozanne A. Phonetic, phonological, and language skills of children with a cleft palate. The Cleft Palate-Craniofacial Journal. 2003; 40(5):460-70. [PMID]
26. Priester GH, Goorhuis-Brouwer SM. Speech and language development in toddlers with and without cleft palate. International Journal of Pediatric Otorhinolaryngology. 2008; 72(6):801-6. [DOI:10.1016/j.ijporl.2008.02.004] [PMID]
27. Ghayoumi Anaraki Z, Faham M, Derakhshandeh F, Hashemi Hosseinabad H, Haresabadi F. Language parameters of 4- to 7-year-old Persian-speaking children with cleft lip and palate. Folia Phoniatrica et Logopaedica. 2016; 68(3):119-23. [DOI:10.1159/000450639] [PMID]
28. Safariyan N, Jalilevand N, Kamali M, Ebrahimipour M, Mehri A. The verbal & non-verbal communication screening checklist for Persian speaking children from 12 to 24 months and its validity and reliability. Iranian Rehabilitation Journal. 2017; 15(1):71-6. [DOI:10.18869/nrip.irj.15.1.71]
29. Vameghi R, Sajedi F, Kraskian Mojembari A, Habiollahi A, Lornezhad HR, Delavar B. Cross-cultural adaptation, validation and standardization of Ages and Stages Questionnaire (ASQ) in Iranian children. Iranian Journal of Public Health. 2013; 42(5):522-8. [PMID]
30. Agbenorku P. Orofacial clefts: A worldwide review of the problem. International Scholarly Research Notices. 2013; 1-7. [DOI:10.5402/2013/348465]
31. Rossetti LM. Communication intervention birth to three. New York: Singular Thomson Learning; 2001. https://www.google.com/books/edition/Communication_Intervention/_esIzgEACAAJ?hl=en
32. Lalsa SP. Early intervention of cleft lip and palate: Current issues practices and protocol. Journal of Head Neck & Spine Surgery. 2017; 1(2):555556. [DOI:10.19080/jhnss.2017.01.555556]
33. Witzel MA. Speech evaluation and treatment. Oral and Maxillofacial Surgery Clinics of North America. 1991; 3(3):501-16. [DOI:10.1016/S1042-3699(20)30522-7]
34. Miller CK. Feeding issues and interventions in infants and children with clefts and craniofacial syndromes. Seminars in Speech and Language. 2011; 32(2):115-26. [DOI:10.1055/s-0031-1277714] [PMID]
35. Brito NH. Influence of the home linguistic environment on early language development. Policy Insights from the Behavioral and Brain Sciences. 2017; 4(2):155-62. [DOI:10.1177/2372732217720699]
36. Pushpavathi M, Kavya V, Akshatha V. Maternal linguistic measures of toddlers with repaired cleft palate following early intervention program. Global Journal of Otolaryngology. 2017; 9(2):555759. [DOI:10.19080/GJO.2017.09.555759]
37. Hardin-Jones M, Chapman KL. Cognitive and language issues associated with cleft lip and palate. Seminars in Speech and Language. 2011; 32(2):127-40. [DOI:10.1055/s-0031-1277715] [PMID]
| Files | ||
| Issue | Vol 16 No 2 (2022) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v16i2.9302 | |
| Keywords | ||
| Language abilities Children Cleft lip Cleft palate | ||
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How to Cite
1.
Jalilevand N, Tarameshlu M, Moein N, Bordbar A. Language Screening in Toddlers with Cleft Lips and or Palates: A Pilot Study. jmr. 2022;16(2):154-160.
