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CC BY 4.0 · Arch Plast Surg 2024; 51(03): 275-283
DOI: 10.1055/s-0043-1776738
Pediatric/Craniomaxillofacial/Head & Neck
Original Article

Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals

Benjamas Prathanee 
1   Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
,
Panida Thanawirattananit 
1   Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
,
Phrutthinun Surit 
2   Department of Biochemistry, Faculty of Medical Sciences, Naresuan University, Mueang, Phitsanulok, Thailand
,
Ratchanee Mitkitti 
3   Department of Community Nursing, School of Nursing, Mae Fah Luang University, Chiang Rai, Thailand
,
Kalyanee Makarabhirom 
4   Department of Communication Sciences and Disorders, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
› Author Affiliations Funding This project was supported by Naresuan Cleft and Craniofacial Center, Faculty of Medicine, Naresuan University, and the Khon Kaen Ear, Hearing and Balance Research Group. Thailand.
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Abstract

Background Shortage of speech and language therapists results in lack of speech services. The aims of this study were to find the effectiveness of a combination speech therapy model at Level IV: General speech and language pathologist (GSLP) and Level V: Specific speech and language pathologist (SSLP) in reduction of the number of articulation errors and promotion the quality of life (QoL) for children with cleft palate with or without cleft lip (CP ± L).

Methods Fifteen children with CP ± L, aged 4 years 1 month to 10 years 9 months (median = 76 months; minimum:maximum = 49:129 months) were enrolled in this study. Pre- and post-assessment included oral peripheral examination; articulation tests via Articulation Screening Test, Thai Universal Parameters of Speech Outcomes for People with Cleft Palate, Hearing Evaluation, The World Health Organization Quality of Life Brief_Thai (WHOQOL-BRIEF-THAI) version questionnaire for QoL were performed. Speech therapy included a 3-day intensive speech camp by SSLP, five 30-minute speech therapy sessions by a GSLP, and five 1-day follow-up speech camps by SSLP that provided four 45-minute speech therapy sessions for each child.

Results Post-articulation revealed statistically significant reduction of the numbers of articulation errors at word, sentence, and screening levels (median difference [MD] = 3, 95% confidence interval [CI] = 2–5; MD = 6, 95% CI = 4.5–8; MD = 2.25, 95% CI = 1.5–3, respectively) and improvement of QoL.

Conclusion A speech task force consisting of a combination of Level IV: GSLP and Level V: SSLP could significantly reduce the number of articulation errors and promote QoL.

Keywords

speech task force - quality of life - speech therapy - limited resources - lack professional

Ethical Approval

The study was approved by the Ethics Committee for Human Research, Khon Kaen University reviewed and approved (April 23, 2019; HE 621116) and all subjects signed informed consent.


Patient Consent

Written patient consent was obtained for publication and academic purposes.


Authors' Contributions

B.P. was involved in conceptualization, project administration, supervision, formal analysis in speech therapy, and writing the original draft. P.T. performed hearing assessment and reviewing the manuscript. K.M. was involved in assessment speech and language skills, speech therapy, and reviewed the manuscript. P.S. was involved in assessment, collecting data for QoL and development, stimulation, formal analysis in QoL, as well as reviewing the manuscript. R.M. was involved in assessment, collecting data of QoL and development, stimulation as well as reviewing the manuscript.




Publication History

Received: 15 March 2023

Accepted: 07 October 2023

Article published online:
04 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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