%0 Journal Article
%T Language and Speech Intervention for a Case of Cleft Lip-Palate With Partial Trisomy 8q: Report of a Rare Case
%A Emrah Cangi
%J -
%D 2018
%X Introduction: Partial trisomy 8q and 21p cooccurrences are quite rare structural chromosomal disorders. Partial 8q duplications usually include mental retardation, hypertelorism, a flattened nasal root and cleft palate. This study, aimed presents findings on the speech and language evaluation of a 5 year 7 months-old male with a previously reported maternal transitional trisomy 8q and monosomy 21p. The article presents the child¡¯s mental, developmental, language, speech, behavioral and psychological features and explains possible strategies of speech and language intervention. Method: In the evaluation of the subject, Ankara Developmental Screening Inventory (AGTE), Developmental Screening Test (Denver II), Turkish Articulation and Phonology Test (SST), Kay PENTAX Nasometer II, Turkish version of Test of Early Language Development (TELD-3) (TEDIL), SALT Windows Clinical V9 (Turkish) and audiological evaluation standard techniques were used. In addition, oral-motor evaluation and language sample analysis were informally performed. Results and discussion: All of the standardized and informal assessment tools used revealed that the subject had significant impairments in all areas of development, in oral structure and function and in all components of language and speech and behavior. Oral evaluation showed that the child had repaired bilateral complete cleft, 2-5 mm fistula at the incisive foramen and a bifid uvula, limited movement of the velum which explained the nasality (Table 1). The child could chew, swallow and had no drooling. According to Denver II Developmental Screening Test-Turkish (Yalaz, Anlar ve Bayo£¿lu, 2010), the subject showed delay in all areas of development except for fine motor skills. Ankara Developmental Inventory (Sava£¿£¿r, Sezgin ve Erol, 1998), however, revealed delay in all areas of development, ranging from 22-23 months in gross motor skills to 3 years 3-5 months in social skills and language. Based on the spontaneous conversation sample taken, the subject was found to have, in his phonetic inventory, /b, d, h, m, £¿, j/ sounds in initial position, /b, m, n, £¿, j/ in medial position and /l, s, t, j/ in final position. On the picture-naming subtest of The Articulation and Phonology Test (SST) (Topba£¿, 2005), the subject had an age equivalent of <2.0 and on the auditory discrimination subtest, an age equivalent of >3, which indicated that sound discrimination was not the reason for his articulatory and/or phonological problems. The subject was found to use a number of phonological processes which included metathesis in word-final
%K trizomi 8q
%K monozomi 21p
%K dudak damak yar£¿klar£¿
%K dil
%K konu£¿ma
%U http://dergipark.org.tr/dkyad/issue/44793/557198