Case Studies in Cleft Palate Speech: Data analysis and principled intervention

SKU: J037
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Anne Harding-Bell (Editor)

ISBN: 978-1-907826-17-7

Released: September 2019

This book presents cleft palate case studies with phonological interpretation of phonetic transcription supported by video footage. Uncomplicated cases are compared with complex cases which warrant detailed differential diagnosis. The case studies include infants, young children and older children progressing through to teenagers who are considering the possible "speech effects" of orthognathic surgery, and to adults returning to the cleft team with "life-limiting" speech problems.

Intervention approaches at different stages of care include:

  • preventative infant intervention
  • remedial strategies as children progress from babble to speech with a restricted phonetic repertoire
  • therapy for active, non-oral/compensatory speech patterns
  • techniques to address speech difficulties associated with hearing loss
  • techniques for adaptive therapy in cases of persisting VPD
  • therapy goals with adults

Over eight hours of video clips demonstrate specific speech characteristics, instrumental assessments, therapy techniques and child responses to different stimuli.


Anne Harding-Bell is a lecturer at the University of Sheffield, and is Lead Specialist Speech and Language Therapist with Cleft Net East, Cambridge University Hospitals NHS Foundation Trust. She pioneered the first postgraduate cleft palate speech course at Homerton College, Cambridge in 2000, and presently is a member of the training team for cleft speech audit protocol training to cleft specialists in the USA. She has published widely in books and in Cleft Palate Craniofacial Journal and the International Journal of Disorders of Language and Communication.