Int J Stomatol

Int J Stomatol ›› 2025, Vol. 52 ›› Issue (5): 627-633.doi: 10.7518/gjkq.2025079

• Original Articles • Previous Articles     Next Articles

Effectiveness of cleft lip and palate speech therapy and related factors

Xiaomeng Wang(),Hai Kuang(),Haoyu He,Hongyi Li,Jieling Lin,Feiyan Li   

  1. Dept. of Oral and Maxillofacial Surgery, College & Hospital of Stomatology, Guangxi Medical University, Nanning 530021, China
  • Received:2024-09-24 Revised:2024-12-02 Online:2025-09-01 Published:2025-08-27
  • Contact: Hai Kuang E-mail:xiaomeng603@sina.com;kuanghai@hotmail.com
  • Supported by:
    Youth Scientific Research Fund Project of Guangxi Medical University(GXMUYSF202365)

RichHTML

0

PDF (PC)

19

Abstract:

Objective To investigate and analyze the effectiveness and factors of speech therapy for cleft lip and pa-late and thus improve treatment outcomes. Methods A retrospective analysis was conducted on the case data of 107 patients who underwent speech therapy for cleft lip and palate at the Affiliated Stomatology Hospital of Guangxi Medical University from January 2015 to August 2021. A binary logistic regression model was used to analyze the treatment outcomes and influencing factors of treatment effectiveness. Results A statistically significant difference in treatment outcomes exists because of initial speech clarity (χ2 =58.142, P<0.001). The results of influencing factors indicate that the treatment effect for those with poor initial speech clarity is 0.010 times that of those with less than satisfactory initial speech clarity (odds ratio: 0.010, 95% confidence interval: 0.001-0.100). The number of treatment sessions completed was 11.38±3.66 for the markedly effective group and 6.45±2.92 for the improved group, with the markedly effective group having a higher number of treatments (t=6.684, P<0.001). Both speech clarity (t=18.224, P=0.000) and velopharyngeal function (t=12.925, P=0.000) showed significant changes before and after speech therapy, with statistically significant differences. Conclusion The factors that affect the effectiveness of speech therapy include initial clarity of speech. Speech therapy for cleft lip and palate significantly improves speech clarity and enhances velopharyngeal function. Moreover, a reasonable number of treatment sessions is a prerequisite for ensuring treatment effectiveness.

Key words: cleft lip and palate, speech therapy, initial speech clarity, influencing factor

CLC Number: 

  • R782.2

TrendMD: 

Tab 1

Single factor analysis of speech therapy effect"

检测项目总人数n/%治疗效果n/%χ2/t值P值
显效（≥50）好转（<50）
性别a2.5000.114
男61/57.0147/77.0514/22.95
女46/42.9929/63.0417/36.96
就诊年龄/岁4.9330.085
≤648/44.8635/72.9213/27.08
6~1841/38.3232/78.059/21.95
>1818/16.829/50.009/50.00
手术年龄/月3.5950.166
≤1819/17.7611/57.898/42.11
18~7256/52.3444/78.5712/21.43
>7232/29.9121/65.6311/34.38
距离/km0.2730.601
≤13051/47.6635/68.6316/31.37
>13056/52.3441/73.2115/26.79
城乡差异3.2490.071
城镇51/47.6632/62.7519/37.25
农村56/52.3444/78.5712/21.43
文化程度2.3070.316
小学及以下24/22.4317/70.837/29.17
初中52/48.6040/76.9212/23.08
高中及以上31/28.9719/61.2912/38.71
家庭年收入/万元1.4470.485
≤530/28.0423/76.677/23.33
5~1041/38.3230/73.1711/26.83
>1036/33.6423/63.8913/36.11
初始语音清晰度58.142<0.001
欠佳43/40.1913/30.2330/69.77
差64/59.8163/98.441/1.56
治疗前腭咽功能0.5800.446
较差26/24.3020/76.926/23.08
尚可81/75.7056/69.1425/30.86
治疗次数b9.95±4.1111.38±3.666.45±2.926.684<0.001

Tab 2

Analysis of influential factors of speech therapy effect"

自变量βWald χ2值OR（95% CI）P值
手术年龄/月
≤181
18~72-1.3861.7470.250（0.032~1.953）0.186
>720.3490.0761.418（0.118~17.007）0.783
初始语音清晰度
欠佳1
差-4.63715.1390.010（0.001~0.100）<0.001
治疗前腭咽功能
较差1
尚可0.4030.1811.496（0.234~9.555）0.670

治疗次数

R2

-0.2282.8160.796（0.611~1.039）

0.093

0.701

Tab 3

Changes of articulation and palatopharyngeal function before and after speech therapy"

检测项目治疗前治疗后t值P值
语音清晰度/%34.20±19.5593.37±5.9918.2240.000
腭咽闭合程度1.11±0.720.28±0.4712.9250.000
[1] Bennun RD. Cleft palate repair: predictive factors of difficulty and planned strategies to solve it[J]. J Craniofac Surg, 2020, 31(6): 1664-1667.
[2] Dubey AK, Mahadeva Prasanna SRM, Dandapat S. Detection and assessment of hypernasality in repaired cleft palate speech using vocal tract and resi-dual features[J]. J Acoust Soc Am, 2019, 146(6): 4211.
[3] Lou Q, Wang XD, Chen Y. Speech outcomes comparison between adult velopharyngeal insufficiency and patients with unrepaired cleft palate[J]. J Craniofac Surg, 2021, 32(2): 655-659.
[4] 陈仁吉. 中国腭裂语音治疗的现状与思考[J]. 国际口腔医学杂志, 2012, 39(1): 1-5.
Chen RJ. The state and consider about speech therapy of cleft palate in China[J]. Int J Stomatol, 2012, 39(1): 1-5.
[5] Pedersen HM, Goodie PA, Braden MN, et al. Comparing quality of life and perceptual speech ratings in children with cleft palate[J]. Cleft Palate Craniofac J, 2021, 58(2): 139-145.
[6] 齐鸿亮, 王思明, 范亚伟, 等. 腭裂术后语音障碍的分类治疗[J]. 山西医科大学学报, 2006, 37(7): 756-757.
Qi HL, Wang SM, Fan YW, et al. Classification and treatment of speech disorders post-cleft palate surgery[J]. J Shanxi Med Univ, 2006, 37(7): 756-757.
[7] 石冰, 李承浩. 唇腭裂序列治疗与团队建设[J]. 实用医院临床杂志, 2014, 11(3): 1-3.
Shi B, Li CH. Sequential treatment and team buil-ding for cleft lip and palate[J]. J Pract Hospit Clin Pract, 2014, 11(3): 1-3.
[8] 刘瑞红. 腭裂语音治疗的临床研究[D]. 郑州: 郑州大学, 2011.
Liu RH. Clinical study on speech therapy of cleft palate[D]. Zhengzhou: Zhengzhou University, 2011.
[9] Kummer AW. Cleft palate and craniofacial anomalies: effects on speech and resonance[M]. 4th ed. Boston: Cengage Learning, 2020: 235-268.
[10] 陈仁吉, 王光和, 孙勇刚, 等. 腭裂术后语音训练治疗方法的研究[J]. 中华口腔医学杂志, 1996, 31(4): 220-223.
Chen RJ, Wang GH, Sun YG, et al. Study on speech therapy methods after cleft palate surgery[J]. Chin J Stomatol, 1996, 31(4): 220-223.
[11] 叶海春, 李丽. 唇腭裂患者常见心理问题及心理干预研究[J]. 当代护士(上旬刊), 2018, 25(8): 9-11.
Ye HC, Li L. Common psychological issues and psychological interventions in patients with cleft lip and palate[J]. Contemporary Nurses (First Monthly Issue), 2018, 25(8): 9-11.
[12] 石冰, 傅豫川, 尹宁北, 等. 唇腭裂序列治疗与关键技术的应用[J]. 华西口腔医学杂志, 2017, 35(1): 8-17.
Shi B, Fu YC, Yin NB, et al. Application of team approach and key techniques of cleft lip and palate[J]. West China J Stomatol, 2017, 35(1): 8-17.
[13] 陈晓璇, 李国宏. 影响初期腭裂手术后语音效果的因素分析[J]. 临床口腔医学杂志, 2022, 38(1): 59-62.
Chen XX, Li GH. Analysis of factors affecting speech outcomes after primary palatoplasty[J]. J Clin Stomatol, 2022, 38(1): 59-62.
[14] Johns DF, Rohrich RJ, Awada M. Velopharyngeal incompetence: a guide for clinical evaluation[J]. Plast Reconstr Surg, 2003, 112(7): 1890-1897.
[15] 翟瑛. 腭裂术后语音矫治方法的探讨及影响语音训练因素的调查分析[D]. 郑州: 郑州大学, 2013.
Zhai Y. Discussion on speech correction methods after cleft palate surgery and investigation and analysis of factors affecting speech training[D]. Zhengzhou: Zhengzhou University, 2013.
[16] Alighieri C, van Lierde K, De Caesemaeker AS, et al. Is high-intensity speech intervention better? A comparison of high-intensity intervention versus low-intensity intervention in children with a cleft palate[J]. J Speech Lang Hear Res, 2021, 64(9): 3398-3415.
[17] 郭春丽, 尹恒, 李承浩, 等. 影响腭裂患者复诊的因素及提高复诊率的措施探讨[J]. 国际口腔医学杂志, 2016, 43(4): 380-382.
Guo CL, Yin H, Li CH, et al. Investigation of the factors about re-examination rate of the patients with cleft palate[J]. Int J Stomatol, 2016, 43(4): 380-382.
[1] Mei Wu, Yanjing Liang, Xuepei Peng, Weihong Chen, Xingtong Guo, Lili Hou. Current status of speech function after oral cancer surgery and analysis of influencing factors [J]. Int J Stomatol, 2025, 52(1): 42-49.
[2] Jiazhen Jiang,Xiaoge Jiang,Song Chen. Influencing factors of the success rate of mini-implants in the infrazygomatic crest [J]. Int J Stomatol, 2024, 51(6): 677-686.
[3] Wanqiong Zhang,Qian Zheng,Zhonglin Jia. Research progress on the mechanism of ribosomal protein L5 in Diamond-Blackfan anemia associated with cleft lip and palate [J]. Int J Stomatol, 2024, 51(6): 749-755.
[4] Mao Qirong,Yin Heng,Li Jingtao. Progress in the management of marginal velopharyngeal incompetence [J]. Int J Stomatol, 2024, 51(1): 116-124.
[5] Chen Zhuo,Shi Bing,Li Jingtao.. Characterizing the nasal growth among patients with cleft lip and palate [J]. Int J Stomatol, 2023, 50(3): 279-286.
[6] Wang Taiping,Shi Xinglian,Li Zhezhen,Liu Mei,Jiang Jianhong. Analysis of psychological factors and intervention in patients with oral cancer [J]. Int J Stomatol, 2023, 50(2): 203-209.
[7] Pei Ling,Zeng Ni,Yang Chao,Wang Yan,He Miao,Luo Qiang,Shi Bing. Analgesic effects of local anesthesia after cleft lip and palate repair [J]. Int J Stomatol, 2022, 49(6): 657-662.
[8] Yin Maoyun,Zhang Yi,Hu Min.. Research progress on the effect of orthodontic extraction on upper airway [J]. Int J Stomatol, 2022, 49(5): 607-613.
[9] Huang Yixuan,Shi Bing,Li Jingtao.. Research progress on nasal airway among patients with cleft lip and palate [J]. Int J Stomatol, 2022, 49(4): 453-461.
[10] Zhang Qi,Fan Cunhui,Yang Qian,Li Ran,Xu Xiaolin,Ding Wei,Wang Wenhui,Yang Caixiu. Dental arch morphology between patients with unilateral complete cleft lip and palate and patients with non-cleft lip and palate with a class Ⅲ skeletal relationship in mixed dentition stage: a comparative study [J]. Int J Stomatol, 2022, 49(2): 144-152.
[11] Sun Jialin,Lin Yansong,Shi Bing,Jia Zhonglin. Research progress on genetics of five common syndromic subtypes of cleft lip and palate [J]. Int J Stomatol, 2021, 48(6): 718-724.
[12] Wu Min,Shi Bing. Research progress on breastfeeding infants with cleft lip and palate [J]. Int J Stomatol, 2021, 48(3): 269-273.
[13] Song Shaohua,Mo Shuixue. Orthodontic treatment in sequential treatment of cleft lip and palate [J]. Int J Stomatol, 2019, 46(6): 740-744.
[14] Deng Chengdan,Shi Bing,Li Yang. Research progress on the brain structure and function of patients with cleft lip and palate [J]. Int J Stomatol, 2019, 46(5): 617-620.
[15] Dan Liu,Bochun Mao,Ruyan Luo,Ke Cui,Bing Shi,Caixia Gong. Family resilience for families of children with cleft lip and palate and discussion on its influencing factors [J]. Int J Stomatol, 2019, 46(3): 297-301.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] HAN Shu-juan, LIN Jun. Change of corrosion on nickel-titanium arch wires in oral environment[J]. Inter J Stomatol, 2010, 37(01): 85 -85～88 .