Objective: There are several risk factors including hearing difficulties, lack of language stimulation, and parents' low level of expectation leading to language disorders in children with cleft palate. Therefore, formal language assessments of children with cleft palate are of great importance in order to prevent further disabilities. The purpose of the present study is to evaluate language parameters in 4- to 7-year old Persian-speaking children with cleft palate. Patients and Methods: 16 children with unilateral and bilateral cleft lip and palate aged between 4 and 7 years participated in the experiment. The Test of Language Development-Primary, third edition (TOLD-P3) was performed to evaluate the language parameters. The results were scored according to the test manual and compared to normative data published with the TOLD-P3. Results:t test analysis showed a significant difference between language parameters in children with cleft lip and palate and the normative data (p < 0.0001). Furthermore, there was a positive correlation between different aspects of language performance. Conclusion: The findings emphasize that speech-language pathologists should also concentrate on early language assessment and treatment for children with cleft lip and palate.

1.
Kummer AW: Cleft Palate and Craniofacial Anomalies: Effects on Speech and Resonance, ed 3. Clifton Park, Delmar Publishing, 2013.
2.
Khazaei S, et al: Incidence of cleft lip and palate in Iran. A meta-analysis. Saudi Med J 2011;32:390-393.
3.
Rashid A, et al: Congenital malformations associated with cleft lip and palate. Pakistan Oral Den J 2014;34:605-608.
4.
D'Antonio LL, Nagarajan R: Use of a consensus building approach to plan speech services for children with cleft palate in India. Folia Phoniatr Logop 2003;55:306-313.
5.
Peterson-Falzone SJ, Hardin-Jones MA, Karnell MP: Cleft Palate Speech, ed 4. St. Louis, Mosby, 2001.
6.
Berwick RC, et al: Evolution, brain, and the nature of language. Trends Cogn Sci 2013;17:89-98.
7.
Scherer NJ, D'Antonio L: Language and play development in toddlers with cleft lip and/or palate. Am J Speech Lang Pathol 1997;6:48.
8.
Morris H, Ozanne A: Phonetic, phonological, and language skills of children with a cleft palate. Cleft Palate Craniofac J 2003;40:460-470.
9.
Pamplona C, et al: Speech summer camp for treating articulation disorders in cleft palate patients. Int J Pediatr Otorhinolaryngol 2005;69:351-359.
10.
Peterson-Falzone S, et al: The Clinician's Guide to Treating Cleft Palate Speech. St. Louis, Mosby, 2006.
11.
Pamplona MC, et al: Linguistic development in cleft palate patients with and without compensatory articulation disorder. Int J Pediatr Otorhinolaryngol 2000;54:81-91.
12.
Pamplona MC, Ysunza A, Espinosa J: A comparative trial of two modalities of speech intervention for compensatory articulation in cleft palate children, phonologic approach versus articulatory approach. Int J Pediatr Otorhinolaryngol 1999;49:21-26.
13.
Groenewald H, Kritzinger A, Viviers M: Age-specific communication functioning of young children with cleft lip and palate in a South African Database. Cleft Palate Craniofac J 2013;50:717-729.
14.
Chapman KL: The relationship between early reading skills and speech and language performance in young children with cleft lip and palate. Cleft Palate Craniofac J 2011;48:301-311.
15.
Newcomer PL, Hammill DD: Test of Language Development-Primary, Third Edition (TOLD-P: 3). Oxford, The Psychological Corporation, 1997.
16.
Hasanzade S, Minaei A: Adjustment and standardization of TOLD-P3 for Persian-speaking children in Tehran (in Persian). J Res Excep Children 2001;1:119-134.
17.
Priester G, Goorhuis-Brouwer S: Speech and language development in toddlers with and without cleft palate. Int J Pediatr Otorhinolaryngol 2008;72:801.
18.
Kuehn DP, Moller KT: Speech and language issues in the cleft palate population: the state of the art. Cleft Palate Craniofac J 2000;37:348-348.
19.
Schönweiler R, et al: A retrospective study of hearing, speech and language function in children with clefts following palatoplasty and veloplasty procedures at 18-24 months of age. Int J Pediatr Otorhinolaryngol 1999;50:205-217.
20.
Riski JE: Speech, language, and velopharyngeal dysfunction: management throughout the life of an individual with cleft palate; in Berkowitz S: Cleft Lip and Palate. Berlin-Heidelberg, Springer, 2013, pp 803-820.
21.
D'Antonio L, Scherer NJ: Communication Disorders Associated with Cleft Palate. Comprehensive Cleft Care. New York, Mc Graw Hill Professional, 2008.
22.
Hardin-Jones M, Chapman KL: Cognitive and language issues associated with cleft lip and palate. Semin Speech Lan 2011;32:127-140.
23.
Pamplona MC, et al: Metacognitive strategies for enhancing language development in children with cleft palate. Eur J Plast Surg 2015;38:377-384.
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