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Biomedical subjects

D R Fox

Publications and source records attributed to D R Fox.

11 recordsLinked to original sources
PubMed1988

Change in nasal resonance over time: a clinical study.

Fifteen of the 20 patients who had been judged by a speech pathologist and two surgeons to have had poor resonance following surgical treatment were recalled in order to review factors that may have been related to this poor result. In the present study, the poor-resonance patients were reanalyzed for present status given that they had received no further surgical intervention. The results indicate that over one-half of those patients now have normal resonance; this gives the patients who were repaired by the Cronin technique an 89 percent probability of achieving normal resonance. The age of the patient at the time of evaluation appears to be an important factor. Patients judged as "poor-resonance results" were more likely to be less than 5 years of age, but as they matured, judgment of "resonance" indicated improvement.

Articulation Disorders↗
PubMed1985

The Cronin push-back palate repair with nasal mucosal flaps: a speech evaluation.

This is a retrospective study of 92 cleft palate patients who had been repaired with the Cronin push-back palate repair with nasal mucosal flaps. The patients were evaluated by a speech pathologist for intelligibility, articulation, and resonance and rated using a 5-point scale devised for this study. Readily intelligible speech was present in 78 percent. Normal articulation was present in 66 percent. Normal resonance was present in 78 percent of the total subject group. Secondary procedures were performed in 14 percent of the group. Repaired clefts of the soft palate achieved a high rate of normal intelligibility, articulation, and resonance. Repaired submucous clefts and short palates achieved the lowest percent of normal articulation and resonance. Educational placement, hearing, and type of structural deformity all appear to influence the ultimate communication outcome.

Child↗
PubMed1983

Phonological proficiency of two cleft palate toddlers with school-age follow-up.

This study provides a comprehensive analysis of the speech-sound production of two children with repaired bilateral cleft lip and palate. Speech samples were obtained during videotaping of spontaneous interactions between the children and their parent(s) when the subjects were between 29 and 37 months of age. Re-evaluation of both language and phonological abilities was accomplished when the children were between 5 and 7 years of age. Based on phonemic transcription of these data, error matrices were prepared illustrating word-initial and word-final consonants produced. Place and manner of consonant production were analyzed and the individual phonological processes employed by each child were discussed. Results indicated individual differences between the subjects in that one subject's emerging phonological system was more characteristic of developmental delay while the other was more characteristic of structural inadequacy. These differences have implication for the management of preschool cleft palate children.

Child↗