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Informationen zum Autor Sara Howard is Reader in Clinical Phonetics,?University of Sheffield, UK. Anette Lohmander is Professor and Head of Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technique, Karolinska Institutet, Sweden. Klappentext The focus of this book is on speech production and speech processing associated with cleft palate, covering phonetic (perceptual and instrumental), phonological and psycholinguistic perspectives, and including coverage of implications for literacy and education, as well as cross-linguistic differences. It draws together a group of international experts in the fields of cleft lip and palate and speech science to provide an up-to-date and in-depth account of the nature of speech production, and the processes and current evidence base of assessment and intervention for speech associated with cleft palate. The consequences of speech disorders associated with cleft on intelligibility and communicative participation are also covered. This book will provide a solid theoretical foundation and a valuable clinical resource for students of speech-language pathology, for practising speech-language pathologists, and for others interested in speech production in cleft palate, including researchers and members of multi-disciplinary cleft teams who wish to know more about the nature of speech difficulties associated with a cleft palate. Zusammenfassung The focus of this book is on speech production and speech processing associated with cleft palate, covering phonetic (perceptual and instrumental), phonological and psycholinguistic perspectives, and including coverage of implications for literacy and education, as well as cross-linguistic differences. Inhaltsverzeichnis List of Contributors xi Preface xvii Part One Speech Production and Development 1 Sara Howard and Anette Lohmander 1 Physical Structure and Function and Speech Production Associated with Cleft Palate 5 Martin Atkinson and Sara Howard 1.1 Introduction 5 1.2 The Hard and Soft Palates and the Velopharynx 6 1.3 The Tonsils and Adenoids 9 1.4 The Larynx 11 1.5 The Jaws, Dentition and Occlusion 12 1.6 Symmetry: Structure and Function 15 1.7 The Tongue 16 1.8 The Lips 18 1.9 Summary: Compensations Across Systems 19 References 19 2 The Development of Speech in Children with Cleft Palate 23 Kathy L. Chapman and Elisabeth Willadsen 2.1 Overview 23 2.2 The Impact of Clefting on Speech Production 24 2.3 Variables Impacting Speech Development for Young Children with Cleft Palate 25 2.4 Speech Development: Birth to Age Five 26 2.5 Conclusion 35 References 36 3 The Influence of Related Conditions on Speech and Communication 41 Christina Persson and Lotta Sjögreen 3.1 Introduction 41 3.2 Conditions Related to Structural Etiologies 42 3.3 Conditions Related to Neurological Aetiology 47 3.4 Conditions Related to a Combination of Structural and Neurological Aetiology 49 3.5 Clinical Implications 50 References 50 4 Surgical Intervention and Speech Outcomes in Cleft Lip and Palate 55 Anette Lohmander 4.1 Introduction 55 4.2 Basics of Surgery on Cleft Palate 57 4.3 Basics of Outcomes 64 4.4 Speech Outcomes 65 4.5 Conclusion 69 Appendix 4.A Review of Evidence and Methodology in Studies of Speech Outcome in Individuals Born with Cleft Lip and Palate 70 References 82 5 Secondary Management and Speech Outcome 87 John E. Riski 5.1 Introduction 87 5.2 Secondary Surgical Management of Velopharyngeal Incompetence 88 5.3 Secondary Pharyngeal Flap 88 5.4 Posterior Pharyngeal Wall Augmentation b...
