The speech of 18 Sinhala speaking patients over 11 years of age with previously unrepaired palatal clefts is presented preoperatively, 8 months postoperatively, and after two brief courses of speech therapy (8 and 12 months postoperatively). Speech was usually severely disordered in the unoperated patient. The postoperative results show that speech often remains disordered following surgery, but there is the potential for change in some patients when supported by intensive goal directed therapy.
Boo-ChaiK. (1971). The unoperated adult bilateral cleft of the lip and palate.Br J Plast Surg24: 250–257.
2.
CoatesW.A., De SilvaM.W.S. (1960). The segmental phonemes of Sinhalese.University of Ceylon Review18, 3-4: 163–175.
3.
DavisA.D. (1951). Unoperated bilateral complete cleft lip and palate in the adult: case report and comments.Plast Reconstr Surg19: 389–400.
4.
DisanayakeJ.B. (undated). National Languages of Sri Lanka — 1 Sinhala.Dept of Cultural Affairs, Sri Lanka.
5.
DorfD.S., CurtinJ.W. (1982). Early cleft palate repair and speech outcome.Plast Reconstr Surg70: 74–79.
6.
GrunwellP. (1987). Clinical assessment of speech: analysing errors in pronunciation. In: Clinical phonology.2nd ed.London: Croom Helm.
7.
InnisC.O. (1962). Some preliminary observations on unrepaired hare-lips and cleft palates in adult members of the Dusan Tribes of North Borneo.Br J Plast Surg15: 173–181.
8.
KeunenH.F. (1966). Plastic surgical safari with A.M.R.F. in E. Africa.Plast Reconstr Surg37: 72–80.
9.
LandisP., CucT. (1975). Articulation patterns and speech intelligibility of 54 Vietnamese children with unoperated oral clefts: clinical observations and impressions.Cleft Palate J12: 234–243.
McWilliamsB.J., MorrisH.L., SheltonR.L. (1990). Cleft palate speech.Toronto: BC Decker.
12.
MollK.L. (1968). Speech characteristics of individuals with cleft lip and palate. In: SpriestersbachD.C., ShermanD., eds. Cleft palate and communication.New York: Academic Press. 61–118.
13.
MorrisH.L. (1979). Evaluation of abnormal articulation patterns. In: BzochK.R., ed. Communicative disorders related to cleft lip and palate.2nd ed.Boston: Little, Brown, 192–201.
14.
Ortiz-MonasterioF., SerranoR.A., BarreraG.P., Rodriguez-HoffmanH., VinagerasE. (1966). A study of untreated adult cleft palate patients.Plast Reconstr Surg38: 36–41.
15.
Ortiz-MonasterioF., SerranoR.A. (1971). Cultural aspects of cleft lip and palate treatment. In: GrabbW., RosensteinS.W., BzochK.R. eds. Cleft lip and palate.Boston: Little, Brown, 130–141.
16.
Ortiz-MonasterioF., OlmedoA., TrigosI., YudovichM., VelazquezM., Fuente del CampoA. (1974). Final results from the delayed treatment of patients with clefts of the lip and palate.Scand J Plast Surg8: 109–115.
