Speech, Language, Hearing, and Otopathology Results From the International Smith--Magenis Syndrome Patient Registry.

Purpose: Smith--Magenis syndrome (SMS), a rare, genetically linked complex developmental disorder caused by a deletion or mutation within chromosome 17p11.2, is associated with delays in speech-language development, otopathology, and hearing loss, yet previous studies lack comprehensive descriptions...

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Published in:Journal of Speech, Language & Hearing Research Vol. 67; no. 3; pp. 917 - 939
Main Authors: Brennan, Christine, Smith, Mara Louise, Baiduc, Rachael R., O'Connor, Liam
Format: Article
Published: American Speech-Language-Hearing Association Mar2024
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      dt: Mar2024
      vid: 67
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-23-00179
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        atl: Speech, Language, Hearing, and Otopathology Results From the International Smith--Magenis Syndrome Patient Registry.
      aug:
        au:
          Brennan, Christine
          Smith, Mara Louise
          Baiduc, Rachael R.
          O'Connor, Liam
        affil: University of Colorado Boulder b Northwestern University, Evanston, IL
      su:
        Language disorders
        Communication
        Speech disorders
        Otitis media
        Pearson correlation (Statistics)
        Questionnaires
        Smith-Magenis syndrome
        Reporting of diseases
        Descriptive statistics
        Chi-squared test
        Acquisition of data
        Inferential statistics
        Middle ear ventilation
        Hearing disorders
        Text messages
        Human voice
        Disease complications
      sug:
        subj:
          Language disorders
          Communication
          Speech disorders
          Wireless Telecommunications Carriers (except Satellite)
          Otitis media
          Pearson correlation (Statistics)
          Questionnaires
          Smith-Magenis syndrome
          Reporting of diseases
          Descriptive statistics
          Chi-squared test
          Acquisition of data
          Inferential statistics
          Middle ear ventilation
          Hearing disorders
          Text messages
          Human voice
          Disease complications
      ab: Purpose: Smith--Magenis syndrome (SMS), a rare, genetically linked complex developmental disorder caused by a deletion or mutation within chromosome 17p11.2, is associated with delays in speech-language development, otopathology, and hearing loss, yet previous studies lack comprehensive descriptions of hearing and communication profiles. Here, analyses of patient registry data expand what is known about speech, language, hearing, and otopathology in SMS. Method: International speech-language and hearing registry survey data for 82 individuals with SMS were analyzed using descriptive and inferential statistics. Hearing loss, history of otitis media and pressure equalization (PE) tubes, communication mode, expressive/receptive language, and vocal quality were analyzed for all subjects and subjects grouped by age. Statistical methods included descriptive statistics and Pearson's chi-square tests of independence to test for differences between age groups for each variable of interest. Association analyses included Pearson's correlations. Results: Hearing and otological analyses revealed that 35% of subjects had hearing loss, 66% had a history of otitis media, and 62% had received PE tubes. Speech-language analyses revealed that 60% of subjects communicated using speech, 79% began speaking words at/after 24 months of age, 92% combined words at/after 36 months, and 41% used sign language before speech. There was a significant association between the age that first words were spoken and the age that PE tubes were first placed. Communication strengths noted in more than 40% of subjects included social interest, humor, and memory for people, past events, and/or facts. Conclusions: Significant delays and impairment in speech-language were common, but the majority of those with SMS communicated using speech by age 6 years. Age was a significant factor for some aspects of hearing loss and communication. Neither hearing loss nor otitis media exacerbated language impairment. These results confirm and extend previous findings about the nature of speech, language, hearing, and otopathology in those with SMS.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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