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Compensatory Articulation Errors in Patients With Velopharyngeal Dysfunction and Palatal Anomalies.

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Title: Compensatory Articulation Errors in Patients With Velopharyngeal Dysfunction and Palatal Anomalies.
Authors: Nachmani, Ariela1,2 ariela50@bezeqint.net, Biadsee, Ameen3,4,5, Masalha, Muhamed6,7, Kassem, Firas3,4
Source: Journal of Speech, Language & Hearing Research. Jul2022, Vol. 65 Issue 7, p2518-2539. 22p.
Subject Terms: *Classification, *Retrospective studies, *Articulation disorders, *Data analysis, Palate surgery, Palate abnormalities, Statistics, Analysis of variance, Fistula, Velopharyngeal insufficiency, Cleft palate, Patients, Cleft lip, Nasopharynx, T-test (Statistics), Sex distribution, Phonetics, Chi-squared test, Descriptive statistics, Electronic health records, Palate, Data analysis software, Disease complications
Abstract: Purpose: The aim of this study was to assess the frequency and types of compensatory articulations (CAs) in nonsyndromic patients with velopharyngeal dysfunction (VPD) and various palatal anomalies and to determine the relationship between the frequency of CAs, type of palatal anomaly, and phonological errors. Method: A total of 783 nonsyndromic, Hebrew-speaking patients with VPD and various palatal anomalies (cleft lip and palate [CLP], cleft palate [CP], submucous CP [SMCP], occult submucous CP [OSMCP], or non-CP) were studied retrospectively. Perceptual VPD tests, including articulation and phonological assessment, were conducted. CAs were described as below the level of the defect in the vocal tract (abnormal backing of oral targets to post-uvular place) or in front of it within the oral cavity (palatalization) and at the velopharyngeal port. Results: Among 783 patients, 213 (27.2%) had CAs. Most CAs (18.4%) occurred below the level of the defect, followed by CAs at the velopharyngeal port (12.0%) or in front of it (4.9%). No differences were found in the frequency of CAs between patients with CP (47.8%) or CLP (52.6%) and between those with non-CP (13.6%) or OSMCP (14.7%). SMCP patients had lower frequency of CAs (29.8%) than CP (p = .003) and CLP (p = .002) patients but higher frequency than OSMCP (p = .002) and non-CP (p = .002) patients did. Among the 783 patients, 247 (31.5%) had phonological errors. A higher frequency of phonological errors was found in patients with CAs (55.4%) compared to those without (22.6%) and in all palatal anomaly groups except CLP (31.4% vs. 23.9%). Conclusions: CAs in nonsyndromic patients with VPD remained relatively high in all age groups, up to adulthood. CAs are influenced by inadequate velar length following palatal repair, as well as by oral structural abnormalities, whereas poor muscle function due to OSMCP and/or abnormal size and/or shape of nasopharynx has less influence. Errors produced in front of the velopharyngeal port are influenced by the structural anomaly of CLP. This information may contribute to general phonetic and phonological theories and genetic investigations about CP anomalies. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Compensatory Articulation Errors in Patients With Velopharyngeal Dysfunction and Palatal Anomalies.
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  Data: <searchLink fieldCode="AR" term="%22Nachmani%2C+Ariela%22">Nachmani, Ariela</searchLink><relatesTo>1,2</relatesTo><i> ariela50@bezeqint.net</i><br /><searchLink fieldCode="AR" term="%22Biadsee%2C+Ameen%22">Biadsee, Ameen</searchLink><relatesTo>3,4,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Masalha%2C+Muhamed%22">Masalha, Muhamed</searchLink><relatesTo>6,7</relatesTo><br /><searchLink fieldCode="AR" term="%22Kassem%2C+Firas%22">Kassem, Firas</searchLink><relatesTo>3,4</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Jul2022, Vol. 65 Issue 7, p2518-2539. 22p.
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  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Classification%22">Classification</searchLink><br />*<searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Articulation+disorders%22">Articulation disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Palate+surgery%22">Palate surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Palate+abnormalities%22">Palate abnormalities</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Fistula%22">Fistula</searchLink><br /><searchLink fieldCode="DE" term="%22Velopharyngeal+insufficiency%22">Velopharyngeal insufficiency</searchLink><br /><searchLink fieldCode="DE" term="%22Cleft+palate%22">Cleft palate</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Cleft+lip%22">Cleft lip</searchLink><br /><searchLink fieldCode="DE" term="%22Nasopharynx%22">Nasopharynx</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Phonetics%22">Phonetics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+health+records%22">Electronic health records</searchLink><br /><searchLink fieldCode="DE" term="%22Palate%22">Palate</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The aim of this study was to assess the frequency and types of compensatory articulations (CAs) in nonsyndromic patients with velopharyngeal dysfunction (VPD) and various palatal anomalies and to determine the relationship between the frequency of CAs, type of palatal anomaly, and phonological errors. Method: A total of 783 nonsyndromic, Hebrew-speaking patients with VPD and various palatal anomalies (cleft lip and palate [CLP], cleft palate [CP], submucous CP [SMCP], occult submucous CP [OSMCP], or non-CP) were studied retrospectively. Perceptual VPD tests, including articulation and phonological assessment, were conducted. CAs were described as below the level of the defect in the vocal tract (abnormal backing of oral targets to post-uvular place) or in front of it within the oral cavity (palatalization) and at the velopharyngeal port. Results: Among 783 patients, 213 (27.2%) had CAs. Most CAs (18.4%) occurred below the level of the defect, followed by CAs at the velopharyngeal port (12.0%) or in front of it (4.9%). No differences were found in the frequency of CAs between patients with CP (47.8%) or CLP (52.6%) and between those with non-CP (13.6%) or OSMCP (14.7%). SMCP patients had lower frequency of CAs (29.8%) than CP (p = .003) and CLP (p = .002) patients but higher frequency than OSMCP (p = .002) and non-CP (p = .002) patients did. Among the 783 patients, 247 (31.5%) had phonological errors. A higher frequency of phonological errors was found in patients with CAs (55.4%) compared to those without (22.6%) and in all palatal anomaly groups except CLP (31.4% vs. 23.9%). Conclusions: CAs in nonsyndromic patients with VPD remained relatively high in all age groups, up to adulthood. CAs are influenced by inadequate velar length following palatal repair, as well as by oral structural abnormalities, whereas poor muscle function due to OSMCP and/or abnormal size and/or shape of nasopharynx has less influence. Errors produced in front of the velopharyngeal port are influenced by the structural anomaly of CLP. This information may contribute to general phonetic and phonological theories and genetic investigations about CP anomalies. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2022_JSLHR-21-00679
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 22
        StartPage: 2518
    Subjects:
      – SubjectFull: Classification
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Articulation disorders
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Palate surgery
        Type: general
      – SubjectFull: Palate abnormalities
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Fistula
        Type: general
      – SubjectFull: Velopharyngeal insufficiency
        Type: general
      – SubjectFull: Cleft palate
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Cleft lip
        Type: general
      – SubjectFull: Nasopharynx
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Phonetics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Electronic health records
        Type: general
      – SubjectFull: Palate
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Disease complications
        Type: general
    Titles:
      – TitleFull: Compensatory Articulation Errors in Patients With Velopharyngeal Dysfunction and Palatal Anomalies.
        Type: main
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            NameFull: Nachmani, Ariela
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            NameFull: Biadsee, Ameen
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            NameFull: Masalha, Muhamed
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            NameFull: Kassem, Firas
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          Dates:
            – D: 01
              M: 07
              Text: Jul2022
              Type: published
              Y: 2022
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              Value: 10924388
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              Value: 65
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            – TitleFull: Journal of Speech, Language & Hearing Research
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