The focus of this book is on speech production and speech processing associated with cleft palate, covering phonetic (perceptual and instrumental), phonological and psycholinguistic perspectives, and including coverage of implications for literacy and education, as well as cross-linguistic differences. It draws together a group of international experts in the fields of cleft lip and palate and speech science to provide an up-to-date and in-depth account of the nature of speech production, and the processes and current evidence base of assessment and intervention for speech associated with cleft palate. The consequences of speech disorders associated with cleft on intelligibility and communicative participation are also covered. This book will provide a solid theoretical foundation and a valuable clinical resource for students of speech-language pathology, for practising speech-language pathologists, and for others interested in speech production in cleft palate, including researchers and members of multi-disciplinary cleft teams who wish to know more about the nature of speech difficulties associated with a cleft palate.
List of Contributors xi Preface xvii
Part One Speech Production and Development 1
Sara Howard and Anette Lohmander
1 Physical Structure and Function and Speech Production Associated with Cleft Palate 5
Martin Atkinson and Sara Howard
1.1 Introduction 5
1.2 The Hard and Soft Palates and the Velopharynx 6
1.3 The Tonsils and Adenoids 9
1.4 The Larynx 11
1.5 The Jaws, Dentition and Occlusion 12
1.6 Symmetry: Structure and Function 15
1.7 The Tongue 16
1.8 The Lips 18
1.9 Summary: Compensations Across Syl3