Impedance audiometry in infants with a cleft palate: the standard 226-Hz probe tone has no predictive value for the middle ear condition.

Objective: Infants with a cleft palate and microscopical evidence for middle ear effusion attracted our attention because of normal tympanometry results and negative otoacoustic emissions. These contradictory findings initiated us to study to what extent high frequency tampynometry is able to supply us with more reliable results.

Methods: Eighty-three ears of 46 cleft palate babies aged between 2 and 7 months were examined within the pedaudiological screening procedure via tympanometry before their surgical cleft closure.

Hoarseness due to bamboo nodes in patients with autoimmune diseases: a review of literature.

This is a retrospective report on clinical features, laryngoscopic examinations, and follow-up markers of laryngeal manifestation described as bamboo nodes in three female patients with transverse cystic lesions of the vocal folds, treated with logopedic therapy. This study examines logopedic and phoniatric aspects in patients with submucosal "bamboo joint-like nodes" of both vocal folds, and reveals an improvement of different voice quality features after conservative traditional voice therapy. There still exists no standard treatment regimen in patients with rheumatoid disease of the larynx; a lack of consensus is most evident in the role of voice therapy.

[Diagnosis and therapy of audiogenic communication development].

The diagnosis and therapy of audiogenic communication development require close interdisciplinary cooperation between physicians, specialist teachers, psychologists, psycholinguists, speech-language pathologists and logopedists. With regard to the treatment of speech problems, initial emphasis is on the development of an understanding of speech, enlargement of vocabulary, promotion of auditive discrimination and the development of syntax. In the case of deaf children too, promotion of speech communication by means of sounds is to the fore.

A modification of the Sanvenero-Rosselli velopharyngoplasty.

A modification of the cranially-pedicled velopharyngoplasty is described. It consists of the preparation of two mucosal flaps on the dorsal side of the soft palate. They are pedicled on the velar rim and sutured to the free part of the pharyngeal flap between its origin and the recipient bed.