Oral and Maxillofacial Surgery - Conference Papers

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Browsing Oral and Maxillofacial Surgery - Conference Papers by Author "Ayelomi, O.I."

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    Evaluation of speech therapy outcome on patients with cleft lip and palate after surgical repair at LUTH
    (FDS, CMUL, 2019-10-09) Ayelomi, O.I.; Adamson, O.O.; Babatunde, A.A.; James, O.; Adeyemo, W.L.; Ladeinde, A.L.; Ogunlewe, M.O.
    Backgroud: Some patients have persisting speech deficiencies after cleft surgery. Speech therapy is often carried out in order to correct this problem. Aim: To evaluate the outcome of speech therapy in patients following cleft lip and palate surgery. Materials and methods: A retrospective review of medical records of post cleft surgery patients who had speech therapy from July 2018 - July 2019, at the Lagos University Teaching Hospital. The following information was obtained: demographics, type of cleft, speech defects, treatment objectives and strategies. Clefts were classified into cleft lip and palate, cleft palate, isolated cleft of soft palate and submucous cleft. A modified Accordi s speech assessment protocol was utilized. Statistical analysis was performed using Pearson s correlation coefficient to evaluate associations and outcomes. Result: Eighteen patients (13 female, 5 male) out of twenty-two were consistent with therapy, aged 4 to 21years, mean age was 8.0 ± 4.4 S.D. Two (11%) fall into Class I, nine (50%) into Class II and seven (39%) into Class III. Most patients above the age of 10years have a class of II or III, there was mild correlation between the age of patients and the Class obtained (correlation coefficient=0.2). Conclusion: Speech therapy improves speech intelligibility in cleft patients after surgery. Better response observed in adult patients may be due to better understanding of placement and techniques.