To describe the results of two reliability studies and to assess effect training on interrater scores.

Background: Pierre Robin sequence is characterized by mandibular retrognathia and glossoptosis resulting in airway obstruction feeding difficulties. When conservative management fails, distraction osteogenesis or tongue-lip adhesion may be required to avoid tracheostomy. The authors’ goal was prospectively evaluate the outcomes of their comprehensive approach sequence, which includes management, osteogenesis, adhesion. Methods: A longitudinal study newborns with treated at a pediatric...

To investigate the validity and reliability of multiple listener judgments hypernasality audible nasal emission, in children with repaired cleft palate, using visual analog scaling (VAS) equal-appearing interval (EAI) scaling.Prospective comparative study ratings emission.Multisite institutional.Five trained experienced speech-language pathologist listeners from Americleft Speech Project.Average VAS EAI emission/turbulence for 12 video-recorded speech samples Project. Intrarater interrater...

To describe the frequency and types of hearing loss in children with syndromic non-syndromic craniosynostosis. Retrospective cohort study. Large tertiary pediatric hospital. Children craniosynostosis that underwent at least one audiological evaluation between years 2010 2021 a single institution. Hearing was defined as conductive or permanent (sensorineural mixed). Of 130 total examined, 107 (82.3%) had 23 (17.7%) Within cohort, 77 (72%) normal 30 (28%) loss, which 21/30 (70%) 9/30 (30%)...

Objective: To examine trends in breast milk provision and to characterize the feeding practices experienced by mother–infant dyads with cleft lip and/or palate (CL/P) a large US sample. Design: Cross-sectional study. Methods: An online survey was distributed through cleft-related social media sites United States single clinic. Statistical analyses included Kruskal-Wallis H tests post hoc Mann-Whitney group differences based on type prenatal versus postnatal diagnosis. Linear regression used...

Objective Audible nasal emission is a common speech distortion observed in persons with cleft palate. This study examined the validity and reliability of perceptual judgments audible using interval scaling magnitude estimation techniques. Participants Speech samples were collected from six adolescents repaired palate, all whom demonstrated emission. A total 31 adults performed rating tasks which they judged severity samples. Measures Occurrences identified visual auditory inspection. Using...

Objective: The purpose of this quality improvement initiative was to improve feeding and growth outcomes in infants with cleft lip and/or palate (CL/P). Design: Institute for Healthcare Improvement model. Setting: Large pediatric academic medical center the Midwestern United States. Participants: One hundred forty-five nonsyndromic CL/P ages 0 12 months. Interventions: Key drivers included (1) caregiver education resources, (2) care coordination flow, (3) provider training. Interventions...

Objective: The 22q11.2 deletion syndrome (22q11.2DS) is the most common genetic cause of velopharyngeal dysfunction; however, limited information exists regarding variations in anatomy this clinically challenging population. purpose study was to examine characteristics among young children with 22q11.2DS comparison a normative cohort using an innovative, nonsedated magnetic resonance imaging (MRI) scanning protocol. Methods: Fifteen and 15 age- gender-matched controls normal (ages 4-12)...

Traditional imaging modalities used to assess velopharyngeal insufficiency (VPI) do not allow for direct visualization of underlying (VP) structures and musculature which could impact surgical planning. This limitation can be overcome via structural magnetic resonance (MRI), the only current tool that provides salient VP structures. MRI has been extensively in research; however, it had limited clinical use. Factors restrict use include access optimized protocols uncertainty regarding how...

Purpose Speech sound disorders and velopharyngeal dysfunction are frequent features of 22q11.2 deletion syndrome (22q). We report the first estimate prevalence motor speech (MSDs) in youth with 22q. Method Seventeen children adolescents 22q completed an assessment protocol that included a conversational sample. Data reduction phonetic transcription, perceptual ratings, prosody-voice coding, acoustic analyses. analyses 3 measures cross-classification analytic. Prevalence estimates MSDs were...

Objective: To examine the influence of speech perception, cognition, and implicit phonological learning on articulation skills children with velocardiofacial syndrome (VCFS) cleft palate or velopharyngeal dysfunction (VPD). Design: Cross-sectional group experimental design. Participants: Eight VCFS five nonsyndromic VPD. Methods Measures: All participated in a phonetic inventory task, perception priming nonword repetition conversational sample, nonverbal intelligence test, hearing screening....

Hypernasality in velocardiofacial syndrome (VCFS) is more severe, persistent, and difficult to manage compared other populations with cleft palate or velopharyngeal (VP) dysfunction. This pilot study investigated why children VCFS have severe hypernasality.Pressure-flow methodology indirectly measured VP orifice size closure timing during speech a group of 5 VCFS, palate, 6 normal children.Children demonstrated significant differences hypernasality. There were no size. Duration nasal airflow...

To examine relationships between early feeding and growth maternal distress in infants with without cleft lip and/or palate (CL/P).Cross-sectional.Pediatric academic medical center the Midwestern United States.Mothers of 1 to 12 weeks old CL/P (n = 30) (control group, n were recruited at craniofacial clinic or pediatrician appointments.Maternal responses on Feeding/Swallowing Impact Survey (FS-IS), Parenting Stress Index, Fourth Edition, Short Form (PSI-4-SF), Edinburgh Postnatal Depression...

Objective: To examine feeding skills of infants with cleft palate or without lip (CP±L) using infant-driven systems compared to healthy controls on standard bottles. Design: Cross-sectional cohort. Setting: Large pediatric academic medical center in the Midwestern United States. Participants: Infants CP±L (n = 15) Dr. Brown’s Specialty Feeding System and typically developing Natural Flow Original Options Main Outcome Measure(s): Bottle-feeding proficiency, duration, milk transfer, signs...

Purpose The objective was to determine velopharyngeal (VP) status of stop consonants and vowels produced by young children with repaired cleft palate (CP) typically developing (TD) from 12 18 months age. Method Nasal ram pressure (NRP) monitored in 9 (5 boys, 4 girls) CP or without lip TD at 12, 14, VP categorized as open closed for oral stops three contexts—consonant–vowel syllables, vowel–consonant–vowel isolated vowels—on the basis presence absence positive nasal pressure. Results At age,...

Objective To present the design and methodology for an actively enrolling comparative effectiveness study of revision palatoplasty versus pharyngoplasty treatment velopharyngeal insufficiency (VPI) Design Prospective observational multicenter Setting Twelve hospitals across United States Canada Participants Individuals who are 3–23 years age with a history repaired cleft palate diagnosis VPI, total enrollment target 528 participants Interventions Revision (either pharyngeal flap or sphincter...

Aims To provide an overview of the Cleft Outcomes Research NETwork (CORNET) and CORNET Speech Surgery study. The study is (1) comparing speech outcomes fistula rate between two common palate repair techniques, straight-line closure with intra-velar veloplasty (IVVP) Furlow Double-Opposing Z-palatoplasty (Furlow Z-plasty); (2) summarizing practice variation in utilization early intervention speech-language (EI-SL) services; (3) exploring association EI-SL services outcomes. Design...

To examine ear and hearing clinical practices across American Cleft Palate-Craniofacial Association (ACPA) approved teams in the United States.

Objective: To evaluate disease-specific guideline adherence among children with 22q11.2 deletion syndrome receiving multidisciplinary team care through a 22q specialty clinic compared to not care. Design: Retrospective chart review; quality improvement project. Setting: Tertiary pediatric hospital. Patients: One hundred eighty-nine patients were categorized into those and Guideline was between the 2 groups. Main Outcome Measure(s): Percent across 8 guidelines. Results: A Welch t test...