Debbie Sell|Sue Mildinhall|Liz Albery|Andrew K Wills|Jonathan Sandy|Andy Ness
The Cleft Care <scp>UK</scp> study. Part 4: perceptual speech outcomes
Great Ormond Street Hospital for Children NHS Foundation Trust|Guy's and St Thomas' NHS Foundation Trust|University Of Bristol Dental Hospital|University of Bristol|University Of Bristol Dental Hospital|University of Bristol|At Bristol|University Of Bristol Dental Hospital|University of Bristol|University Hospitals Bristol NHS Foundation Trust|National Institute for Health Research
structured abstract objectives describe perceptual speech outcomes cleft care uk ccuk study compare 1998 clinical standards advisory group csag audit setting sample population crosssectional study 248 children born complete unilateral cleft lip palate 1 april 2005 31 march 2007 underwent speech assessment materials methods centrebased specialist speech language therapists slt took speech audiovideo recordings according nationally agreed guidelines two independent listeners undertook perceptual analysis using caps audit tool intra interrater reliability tested results speech parameter intelligibilitydistinctiveness hypernasality palatalpalatalization backed velaruvular glottal weak nasalized consonants nasal realizations strong evidence speech outcomes better ccuk children compared csag children parameters show improvement nasal emission nasal turbulence hyponasality laterallateralization conclusion results suggest centralization cleft care high volume centres resulted improvements uk speech outcomes fiveyearolds unilateral cleft lip palate may associated development specialized workforce nevertheless still remains group children significant difficulties school entry