Cognitive linguistic abilities in school-aged children with repaired cleft lip and palate: A systematic review

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-02-06 DOI:10.1016/j.ijporl.2025.112246

Pushpavathi Mariswamy , Sreeraj Konadath , Prashanth Prabhu , Kavassery Venkateswaran Nisha , Yashaswini Channabasavegowda , Meghana Ningaraju

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引用次数: 0

Abstract

Aim & objective

The present review aimed to investigate cognitive-linguistic abilities in children with cleft lip and palate (CLP) with a mean age less than 18 years, using PRISMA framework. The objective is to synthesize and provide insights into how these cognitive processes may differ between children with CLP and typically developing children.

Method

A comprehensive literature search was conducted across electronic databases covering studies published between January 2000 and December 2023. Seven eligible studies were included with comparison groups and were selected based on the Population, Intervention, Comparison, Outcome, and Study Design criteria outlined by Methley et al. [38]. Data extraction was performed using the Rayyan QCRI system to develop a customized form, and study quality was assessed using the Appraisal Tool for Cross-Sectional Studies. The selected studies explored various subdomains of cognitive-linguistic, such as Attention, Memory, Executive Function, and Reading comprehension, in children with Repaired CLP.

Results

Children with CLP demonstrated comparable or superior performance to their typically developing peers in some attention measures, such as the continuous performance test (CPT-II), suggesting potential compensatory mechanisms. Contrasting findings regarding memory performance, including strengths in verbal memory for familiar stimuli, suggest that children with CLP may develop alternative neurological strategies for language learning. These findings emphasize that children with CLP often achieve developmental milestones comparable to their peers despite facing specific cognitive-linguistic challenges.

Conclusion

This review highlights the importance of understanding the Cognitive-Linguistic challenges faced by children with CLP, emphasizing the need for targeted interventions to support their academic and developmental outcomes. Early identification and tailored interventions remain pivotal to mitigating academic and developmental difficulties while supporting long-term outcomes.

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学龄唇腭裂患儿的认知语言能力：系统回顾

的目标,目的应用PRISMA框架研究平均年龄小于18岁的唇腭裂儿童的认知语言能力。目的是综合并提供关于这些认知过程在CLP儿童和正常发育儿童之间可能有何不同的见解。方法对2000年1月至2023年12月期间发表的电子数据库进行综合文献检索。7项符合条件的研究被纳入对照组，并根据Methley等人提出的人群、干预、比较、结果和研究设计标准进行选择。使用Rayyan QCRI系统进行数据提取，以开发定制表格，并使用横截面研究评估工具评估研究质量。所选的研究探讨了修复CLP儿童的认知语言的各个子领域，如注意、记忆、执行功能和阅读理解。结果CLP儿童在连续表现测试（CPT-II）等多项注意测量指标上的表现与正常发育儿童相当或优于正常发育儿童，提示存在潜在的代偿机制。关于记忆表现的对比研究结果，包括对熟悉刺激的言语记忆的优势，表明患有CLP的儿童可能会发展出语言学习的替代神经学策略。这些研究结果强调，尽管面临特定的认知语言挑战，患有CLP的儿童通常会达到与同龄人相当的发展里程碑。结论本综述强调了理解CLP儿童所面临的认知语言挑战的重要性，强调了有针对性的干预措施以支持他们的学业和发展结果的必要性。早期识别和量身定制的干预措施对于减轻学业和发展困难，同时支持长期成果仍然至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.