Abstract
The Alvarez Speech Score is presented as a measurement tool to evaluate the quality of speech in patients of cleft lip and palate, before and after surgical treatments and speech and language therapy.
This Scoring system was broadly applied in Ecuador, Peru, Paraguay, and Nicaragua, by 27 specialists (who were first trained in the score application); audio recordings of the corresponding words at each level of Speech articulation were submitted for analysis.
The numerical scale for each patient has a total score of 15 points. Each surgeon will listen to the patient’s voice and assign the score. If two or three surgeons differ in their score assessment, then their scores are added and an average is calculated for each individual patient.
The Alvarez Score system has proved to be an easily applicable tool, which is reproducible, provides useful parameters for the evaluation of surgical results, and gauges the competency level and technical skills of the cleft surgeons. It can detect failures and most importantly guide for a solution toward technical improvement.
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References
Bzoch KR (2004) Communicative disorders related to cleft palate. Little Brown & Co, Boston
Gallego Ortega JL, RodrÃguez Fuentes A (2005) Atención logopédica al alumnado con dificultades en el lenguaje oral. Granada, Ediciones Aljibe. Colección Escuela y Necesidades Educativas Especiales
Kuehn DP, Moller KT (2000) Speech and language issues in the cleft palate population: the state of the art. Cleft Pal Craniofac J 37:348-1–348-35
Millard DR (1964) Refinements in rotation advancement cleft lip technique. Plast Reconstr Surg 33:26–38
Noordhoff MS (1984) Reconstruction of vermillion in unilateral and bilateral cleft lips. Plast Reconstr Surg 73(1):52–61
Pamplona M, Ysunza A, Patiño C (2005) Speech summer camp for treating articulation disorders in cleft palate patients. Int J Pediatr Otorhinolaryngol 69:351–359
Randall P (1959) A triangular flap operation for the primary repair of unilateral clefts of the lip. Plast Reconstr Surg 23(4):331–347
Reddy GS, Webb RM, Reddy RR, Reddy LV, Thomas P, Markus AF (2008) Choice of incision for primary repair of unilateral complete cleft lip: a comparative study of outcomes in 796 patients. Plast Reconstr Surg 121(3):932–940
Rose W (1891) Harelip and cleft palate. HK Lewis, London. CID:629CD4B6-71AB-49B4-9E99- 8106BAE63DC0
Tennison CW (1952) The repair of the unilateral cleft lip by the stencil method. Plast Reconstr Surg 9(2):115–120
Trigos MI, Ysunza A, GarcÃa VM (1993) Selección del procedimiento quirúrgico para corregir la IVF basados en la actividad motora del esfÃnter velofarÃngeo. Rev Cir Plast Iberolatinoam 19:149–157
Vázquez Ruiz de Larrea MC (2004) Trastornos del Lenguaje Oral. Universidad del PaÃs Vasco, Bilbao
Ysunza A, Pamplona M (2000) Diagnóstico y tratamiento de los trastornos de articulación en el niño con paladar hendido, vol 132. Porrúa, México
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Alvarez, E., Alvarez, D., Iñiguez, A., Pereira, C. (2022). The Speech Score: A New Concept for Evaluation of Functional Result after Cleft Patient. In: Fayyaz, G.Q. (eds) Surgical Atlas of Cleft Palate and Palatal Fistulae. Springer, Singapore. https://doi.org/10.1007/978-981-15-3889-6_88-1
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DOI: https://doi.org/10.1007/978-981-15-3889-6_88-1
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