Hearing, Language, and General School Performance in Children with Cleft Lip/Palate Waiting for Alveolar and Hard Palate Reconstruction at the Age of Mixed Dentition

Abstract

<b><i>Objective:</i></b> The aim of this study was to assess hearing, language, and school performance in children with cleft lip/palate waiting for alveolar and hard palate reconstruction at the age of mixed dentition, compared to age-matched children with no birth anomalies. <b><i>Methods:</i></b> Forty-four children aged 8–12 years participated in the study (22 with/22 without cleft). After tympanometry and audiometry, a short in-house questionnaire was administered to their guardians to record data on school performance. Then, assessments were performed on velopharyngeal competency, intelligibility, language, and reading/writing skills. Bivariate and multivariate analyses were performed with <i>p</i> value set at 0.05. <b><i>Results:</i></b> Middle ear function, language, and school performance of children with cleft lip/palate were worse than that of children without cleft, particularly on spelling and phoneme-grapheme correspondence. Among children with cleft lip/palate, about half of the variability on the average school notes was related to their results on phonemic synthesis and spelling tests (ANCoVA, <i>R</i>² = 0.52, <i>p</i> = 0.003), while the spelling results were related to the hearing thresholds (ANCoVA, <i>R</i>² = 0.39, <i>p</i> = 0.01), regardless if the cleft was unilateral or bilateral. <b><i>Conclusion:</i></b> In children with cleft lip/palate, late alveolar and hard palate reconstruction may have an impact on hearing, language development, and performance at school.