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K Bitter

Publications and source records attributed to K Bitter.

60 records · Page 4Linked to original sources
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[Language acquisition in CLP children. 3. Results].

Following part I "Fundamentals" and part II "Procedures", this third part presents the findings about language acquisition and the conditions governing this process in 315 CLP children. It has been shown that early language programs for CLP families leads to the linguistic rehabilitation of these children before they reach school age. Semantically and syntactically complex sentences at the age of 2-3 years results in good articulation at age 5-6. Early precision of articulation is usually associated with an increased risk for psychosomatic complications. The complexity of the cleft at birth is of minor importance for language acquisition, whereas early treatment, parents' compliance and avoidance of corrections and sensitizations are decisive for the successful course of the child's language development at the age of 5-6 years.

Child↗
PubMedDate not supplied

[Language acquisition in cleft lip-palate (CLP) children. 2. Linguistic diagnosis and therapeutic approaches].

The major tests and methods used in language acquisition diagnosis in CLP children of 3 months to 6 years of age are described. Apart from methods for phonetic analysis, such as spectrography, emphasis is being placed on the assessment of listening by hearing and of semantic and meta-linguistic acquisition. Additional information is obtained on the motoric, cognitive and social development (for detecting any possible multiple handicaps in these areas). In this context the major problems covered in cleft palate parent groups are also pointed out. Finally, the speech therapy provided for preschool children with severe speech problems (as compared with the control group) is outlined.

Child↗
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[Speech therapy for children with cleft lips and palates. I. Basic linguistic considerations].

According to several basic principals of hermeneutic theory (theory of understanding natural languages) we describe the major fields of language acquisition in which anomalies of CPL children often can be found. Besides phonation and articulation there are morphological, psychomotoric, onomatopoetic, and isotopic disorders. Also a delay of understanding by listening is often observed. Additionally some cofactors in psychodynamics of the family have to be respected. Defense mechanisms, somatization, and social symptomatization are described. Some examples from statistics and experimental psycholinguistics show, that a diagnosis of early language acquisition can't be found by comparing means (naive model of diagnosis). We show how to find out the multiple covariance of early language acquisition tests with the control groups. A final case study shows a typical process of CLP children's language acquisition.

Child↗
PubMedDate not supplied

[Surgical expansion of midpalatal suture by means of modified Le Fort I osteotomy].

From 1984 to 1987 thirty-nine adult patients suffering from a transverse maxillary deficiency were operated by a modified Le-Fort-I-osteotomy to facilitate the following rapid orthopedic expansion. A horizontal osteotomy was made through the lateral wall of the maxilla from the interior lateral aspect of the piriform aperture to the pterygomaxillary suture, which was also sectioned. After the operation the palatal expansion appliance (Biedermann-Hyrax-screw) was normally activated one one-quarter turn twice a day until the desired expansion was achieved. In each case this surgical orthodontic procedure showed to be an excellent method to correct transverse maxillary deficiencies. This procedure is especially indicated in patients with bilateral crossbite. Unilateral crossbites can also be treated this way, if a later Le-Fort-I-osteotomy is necessary to correct sagittal or vertical discrepancies.

Adult↗