| 1. |
|
|
| 2. |
- Flynn, Traci, 1973, et al.
(författare)
-
A longitudinal study of hearing and middle ear status in adolescents with cleft lip and palate
- 2013
-
Ingår i: The Laryngoscope. - : Wiley. - 0023-852X .- 1531-4995. ; 123:6, s. 1374-1380
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES/HYPOTHESIS: To study longitudinal prevalence of otitis media with effusion (OME) in children between 7 and 16 years of age by cleft group, and hearing sensitivity across time and across frequencies. STUDY DESIGN: Retrospective and longitudinal. METHODS: All children with cleft palate born from 1991 to 1993 were included in the study (n = 58). Audiological and otological data were reviewed at 7, 10, 13, and 16 years of age. The group was divided by cleft type (24 unilateral cleft lip and palate, 23 cleft palate only, and 11 bilateral cleft lip and palate). RESULTS: The prevalence of abnormal middle ear status decreased significantly with age. When comparing cleft types, the isolated cleft palate group presented with a significantly lower prevalence of abnormal middle ear status than the other groups at 7 and 16 years of age (21% as compared to 32% in the unilateral group and 38% in the bilateral group). The pure-tone average improved with age, while the high-frequency pure-tone average did not. When cleft types were compared, the bilateral group demonstrated significantly poorer hearing in the high frequencies than the other groups. CONCLUSION: Children with cleft palate need regular audiological and otological follow-up to ensure management is appropriate and timely. The increased hearing thresholds in the high frequencies may be due to the increased episodes of OME.
|
|
| 3. |
- Flynn, Traci, 1973, et al.
(författare)
-
A Longitudinal Study of Hearing and Middle Ear Status in Individuals With UCLP
- 2014
-
Ingår i: Otology & Neurotology. - 1531-7129. ; 35:6, s. 989-996
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To define the age when the higher prevalence of abnormal middle ear dissipates in individuals with cleft lip and palate and to investigate how this may affect hearing sensitivity over time. Patients: Three groups of individuals with unilateral cleft lip and palate from the same cleft center: 1) a group of individuals followed longitudinally from 1 to 5 years of age (n = 22), 2) another group of individuals followed longitudinally from 7 to 16 years of age (n = 24), and 3) a group which encompasses young adults between 20 and 31 years of age (n = 26). Main Outcomes Measure(s): Abnormal middle ear status and hearing sensitivity. Results: The prevalence of abnormal middle ear status decreases as the individuals within the 3 groups age from 89% at age 1 year to 10% in young adulthood. Hearing statistically improved as children became older up to 13 years of age and then worsened in the high frequencies between 16 and 20 to 31 years of age. Conclusion: There is a high prevalence of abnormal middle ear status in individuals with cleft lip and palate. This higher prevalence of abnormal middle ear status may lead to poorer high-frequency hearing, which could potentially lead to challenges in academics and difficulties understanding speech in social situations. Further investigation into these, the prevalence of abnormal middle ear status and hearing in comparison to a control group is warranted.
|
|
| 4. |
- Flynn, Traci, 1973, et al.
(författare)
-
A longitudinal study of hearing and middle ear status of individuals with cleft palate with and without additional malformations/syndromes.
- 2014
-
Ingår i: The Cleft Palate-Craniofacial Journal. - : SAGE Publications. - 1055-6656 .- 1545-1569. ; 51:5
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To describe and compare the middle ear status and hearing sensitivity in adolescence with isolated cleft palate plus additional malformations and/or syndromes with those with only an isolated cleft palate. Design: Retrospective and longitudinal. Two groups of individuals with isolated cleft palate were compared. Participants: A cohort of individuals born over 4 years in the western region of Sweden. The cohort was divided into one group with isolated cleft palate (n = 31; ICP) and one group with isolated cleft palate plus additional malformations and/or syndromes (n = 37; ICP+). Methods: Middle ear status and hearing thresholds were collected from the medical records at 7, 10, 13, and 16 years of age, examined, and compared within and between groups over time. Results: The ICP+ group demonstrated a significantly higher prevalence of abnormal middle ear status and elevated hearing thresholds as compared with the ICP group. As the individuals aged, the prevalence of abnormal middle ear status decreased. The hearing levels in both groups decreased in the low to middle frequencies as individuals aged; however, the hearing in the high frequencies did not. Conclusions: Individuals with cleft palate need to be followed routinely for middle ear status and hearing thresholds to ensure optimal audiological rehabilitation, with particular attention to those with additional malformations and/or syndromes.
|
|
| 5. |
- Flynn, Traci, 1973, et al.
(författare)
-
Hearing and otitis media with effusion in young adults with cleft lip and palate
- 2012
-
Ingår i: Acta Oto-Laryngologica. - Oxfordshire, United Kingdom : Informa UK Limited. - 0001-6489 .- 1651-2251. ; 132:9, s. 959-966
-
Tidskriftsartikel (refereegranskat)abstract
- Conclusion: Speech recognition in noise is affected when otitis media with effusion (OME) is present in young adults with unilateral cleft lip and palate. Objective: The objective of this study was to describe the hearing and performance on auditory tasks of young adults with unilateral cleft lip and palate as compared to young adults without cleft lip and palate. Methods: Twenty-six young adults with unilateral cleft lip and palate and 23 young adults without cleft lip and palate participated in the study. Pure tone audiometry, tympanometry, speech recognition in noise at the word and sentence level, and masking level difference were examined. Results: Results revealed elevated hearing thresholds in the young adults with cleft lip and palate as compared with young adults without cleft lip and palate. No differences concerning speech recognition in noise and binaural processing were observed between the young adults with cleft lip and palate and those without. However, there was poorer speech recognition performance in those adults with unilateral cleft lip and palate and OME on the day of testing as compared with young adults with unilateral cleft lip and palate without OME on the day of testing.
|
|
| 6. |
- Flynn, Traci, 1973, et al.
(författare)
-
The high prevalence of otitis media with effusion in children with cleft lip and palate as compared to children without clefts
- 2009
-
Ingår i: International Journal of Pediatric Otorhinolaryngology. - Amsterdam : Elsevier Biomedical. - 0165-5876 .- 1872-8464. ; 73:10, s. 1441-1446
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: Children with cleft lip and palate universally present with otitis media with effusion. This prevalence has not been systematically studied. The purpose of the present study was to examine and compare the prevalence of otitis media with effusion, hearing sensitivity, and audiometry method utilised for assessment in children with and without clefts. METHODS: Two groups of children (children with unilateral cleft lip and palate, N=22, and children without clefts, N=20) were followed prospectively and longitudinally from 1 to 5 years of age. Data were collected at four points (1, 1.5, 3, and 5 years of age). Assessments at each of the four points included: (1) otomicroscopy, (2) tympanometry, and (3) hearing assessment. RESULTS: Overall the children with unilateral cleft lip and palate demonstrated a significantly higher prevalence of otitis media with effusion (121 ears, 74.7%) than children without clefts (31 ears, 19.4%) (p<0.001). This higher prevalence was also significant at 1, 1.5, 3, and 5 years of age (p<0.001). Of those ears with otitis media with effusion, 83.1% of the ears exhibited a hearing loss (PTA >20dB), with this loss more prevalent in the cleft group (89.7% UCLP and 70.0% non-cleft). The hearing loss was significantly more pronounced in the cleft (group 35.71dB HL UCLP and 26.41dB HL non-cleft group). Children with unilateral cleft lip and palate utilised a lower age-appropriate audiometry testing method than age-matched children with no cleft at 1, 1.5, and 3 years of age. CONCLUSIONS: Children with unilateral cleft lip and palate present with a significantly higher prevalence of otitis media with effusion than children without cleft. Also, the hearing loss associated with otitis media with effusion is demonstrated in this study. Furthermore, the method of audiometry has been examined and children with unilateral cleft lip and palate had to be assessed with a lower level of method than children without cleft.
|
|
| 7. |
- Garvis, Susanne, 1981, et al.
(författare)
-
A Descriptive Study of Early Childhood Education Steering Documents in Finland, Sweden and Australia around Language Immersion Programmes
- 2018
-
Ingår i: Asia-Pacific Journal of research in early childhood education. - : Pacific Early Childhood Education Research Association. - 1976-1961. ; 12:3, s. 1-22
-
Tidskriftsartikel (refereegranskat)abstract
- Being able to speak different languages is important in today’s global world to allow communication and understanding. Countries may vary in how they support early language learning with immersion programmes. This paper specifically explores the steering documents in Finland, Sweden, and Australia for children attending early childhood education settings (children aged birth to five years). A content analysis was used to explore patterns. The descriptive comparison allows similarities and differences across the countries to emerge. As a result, a table describing the different immersion and monolingual approaches in respective country is presented. The paper concludes with a broader discussion on steering documents in early childhood education in regards to young children’s rights to learning languages and attending different immersion programmes within early childhood.
|
|
| 8. |
- Lohmander, Anette, 1956, et al.
(författare)
-
Early Consonant Production in Swedish Infants with and without Unilateral Cleft Lip and Palate and Two-stage Palatal Repair.
- 2010
-
Ingår i: The Cleft palate-craniofacial journal. - : SAGE Publications. - 1545-1569 .- 1055-6656. ; 48:3, s. 271-285
-
Tidskriftsartikel (refereegranskat)abstract
- Abstract OBJECTIVE: to investigate the consonant production at 12 and 18 months of age following early soft palate repair in infants with unilateral cleft lip and palate (UCLP), and compared with typically developing children without clefts. DESIGN: randomized study with comparison group. PARTICIPANTS: 20 Swedish infants born with UCLP included in a randomized trial of palatal surgery (Scandcleft project) and 21 without clefts (COMP). Soft palate closure was completed at age 5 months, hard palate closure in 11 of the infants with UCLP at 1 year of age (HPC) and left open in nine (HPO). METHOD: Audio recordings at 12 months (UCLP=9, COMP=21) and 18 months (UCLP=18, COMP=21) were phonetically transcribed. Consonant inventory, frequency of manner and place of articulation, true canonical babbling (TCB), and impact of hearing status were analyzed. RESULTS: At 12 months of age all children had reached the stage of TCB. Mild hearing impairment was significantly correlated with fewer consonant types. A lower frequency of dentals and oral stops was found in the UCLP group than in the COMP group. However, the number of oral stops was high compared to what has been previously reported. CONCLUSIONS: Early soft palate closure seems to give a relatively high number of oral stops even with the hard palate unrepaired, although with significantly fewer dentals/alveolars than peers without clefts. Differences in consonant inventory were correlated to hearing function. KEY WORDS: babbling, consonants, unilateral cleft lip and palate, two-stage palatal repair, early velar closure, hearing impairment.
|
|
