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Voice quality in adults treated for unilateral cleft lip and palate : Long-Term Follow-Up After One- or Two-Stage Palate Repair
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- Morén, Staffan (author)
- Uppsala universitet,Öron-, näs- och halssjukdomar,Otorhinolaryngology, Uppsala University Hospital
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- Lindestad, Per Åke (author)
- Division of Ear, Nose and Throat Diseases, Department of Clinical Science, Intervention and Technology, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
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- Holmström, Mats (author)
- Karolinska Institutet
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- (creator_code:org_t)
- 2018-03-21
- 2018
- English.
- In: The Cleft Palate-Craniofacial Journal. - : SAGE Publications. - 1055-6656 .- 1545-1569. ; 55:8, s. 1103-1114
- Journal article (peer-reviewed)
Abstract
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- Objectives: The aim of the current study was to assess voice quality among adults treated for unilateral cleft lip and palate (UCLP), after 1- or 2-stage palate closure, and compare it to a noncleft control group.Study Design: Cross-sectional study in UCLP patients with long-term follow-up and noncleft controls.Participants: UCLP patients born 1960-1987, treated at Uppsala University Hospital, Sweden, were examined (n = 73) at a mean of 35 years after primary surgery. Forty-seven patients (64%) had been treated with 1-stage palate closure and 26 with 2-stage closure (36%). The noncleft control group consisted of 63 age-matched volunteers.Main Outcome Measure(s): Ratings of perceptual voice characteristics from blinded voice recordings with Swedish Voice Evaluation Approach (SVEA) method. Acoustic voice analysis including pitch and spectral measures.Results: Among the patients, the mean values for the 12 evaluated variables on a VAS scale (0 = no abnormality, 100 = maximal abnormality) ranged between 1 and 22 and the mean for all was 6 mm. Voice variables were similar between patients and controls except the total mean of all the perceptual voice variables, as well as “vocal fry”—both slightly lower among patients (P = .018 and P = .009). There was no difference in any variable between patients treated with 1-stage and 2-stage palate closure. No clear relationship was found between VPI and dysphonia.Conclusion: The voice characteristics among adults treated for UCLP in childhood are not different from those of individuals without cleft.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- unilateral cleft lip and palate
- adult
- long-term
- voice
- palate repair
- Oto-Rhino-Laryngology
- Oto-rhino-laryngologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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