Academic Journal
Systematic Screening of Communication Outcomes at Age 5 in Children Treated for Nonsyndromic Craniosynostosis.
| Τίτλος: | Systematic Screening of Communication Outcomes at Age 5 in Children Treated for Nonsyndromic Craniosynostosis. |
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| Συγγραφείς: | Weinfeld J; Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Speech and Language Pathology Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Department of Otorhinolaryngology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden., Havstam C; Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Speech and Language Pathology Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Department of Otorhinolaryngology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden., Kljajić M; Department of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.; Institute of Clinical Sciences, Department of Plastic Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Psychol C; Department of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.; Institute of Clinical Sciences, Department of Plastic Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Kölby L; Department of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.; Institute of Clinical Sciences, Department of Plastic Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Tarnow P; Department of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.; Institute of Clinical Sciences, Department of Plastic Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Persson C; Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Speech and Language Pathology Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Department of Otorhinolaryngology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden. |
| Πηγή: | International journal of language & communication disorders [Int J Lang Commun Disord] 2026 Sep-Oct; Vol. 61 (5), pp. e70305. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley Country of Publication: United States NLM ID: 9803709 Publication Model: Print Cited Medium: Internet ISSN: 1460-6984 (Electronic) Linking ISSN: 13682822 NLM ISO Abbreviation: Int J Lang Commun Disord Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2011- : Malden, MA : Wiley Original Publication: London : Taylor & Francis for the Royal College of Speech & Language Therapists, c1998- |
| Ιατρικοί όροι (MeSH): | Craniosynostoses*/surgery , Craniosynostoses*/complications , Language Development Disorders*/diagnosis , Language Development Disorders*/etiology , Communication Disorders*/diagnosis , Communication Disorders*/etiology, Mass Screening/methods ; Humans ; Child, Preschool ; Female ; Male ; Cross-Sectional Studies ; Sweden ; Treatment Outcome |
| Περίληψη: | Background: Previous research on communicative outcomes in children treated for nonsyndromic craniosynostosis (NSC) has yielded inconsistent findings, with reported prevalence rates of communicative difficulties varying widely. These discrepancies are attributable to small samples, heterogeneous age groups, and reliance on indirect or non-domain-specific outcome measures. There remains a need for systematic, age-specific screening using validated tools to clarify the nature and prevalence of communicative vulnerabilities in this population. Aims: The primary aim was to assess guardian-reported communicative abilities in a consecutive cohort of 5-year-old children treated for NSC and compare outcomes with normative data. Secondary aims were to examine whether reported difficulties were predominantly speech-language based or pragmatic, and to explore differences related to NSC subtype and timing of surgery. Methods and Procedures: This cross-sectional study included 157 children treated for NSC at a national craniofacial centre in Sweden. Guardians completed the Children's Communication Checklist-2 (CCC-2) as part of routine 5-year follow-up. General Communication Composite (GCC) scores and subscale profiles were analysed and compared with published normative data. Group differences across synostosis type and surgical timing were examined using parametric and non-parametric statistical methods. Outcomes and Results: Eighty-five percent of children scored within the normative range on the GCC. Fifteen percent scored below the clinical cut-off, a proportion not significantly different from the normative sample. Group-level differences were primarily observed in the domains of speech and language, with significantly lower scores in speech and syntax, while pragmatic difficulties were uncommon. No significant differences were found between craniosynostosis subtypes. Earlier surgery was associated with higher GCC scores in children with metopic NSC only. Conclusion and Implications: Most children treated for NSC demonstrate age-appropriate communicative abilities at 5 years of age. However, subtle vulnerabilities in speech and syntax were present in a subset of children. These findings support the use of screening in routine follow-up to identify children who may benefit from further assessment, while suggesting that broad language disorder-like profiles are uncommon in this population. What This Paper Adds: What is already known on this subject Previous studies report highly variable rates of speech and language difficulties in children treated for nonsyndromic craniosynostosis (NSC), ranging from low to markedly elevated prevalence. What this study adds to the existing knowledge In a large consecutive cohort of 5-year-old children treated for NSC, 85% showed age-appropriate communicative abilities as rated by their guardians and did not differ significantly from normative data. Group-level differences were confined to speech- and language domains (speech and syntax), while pragmatic difficulties were uncommon. Earlier surgery was associated with higher communication scores in children with metopic NSC only. What are the potential or actual clinical implications of this study? Routine screening at follow-up is supported to identify speech- and language vulnerabilities in a minority of children treated for NSC. Broad language disorder-like profiles appear uncommon, suggesting that monitoring of speech and syntax may be more clinically relevant than global language screening alone. (© 2026 The Author(s). International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists.) |
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| Contributed Indexing: | Keywords: communication; non‐syndromic craniosynostosis; screening Local Abstract: [Publisher, Spanish; Castilian] Most 5‐year‐old children treated for nonsyndromic craniosynostosis had guardian‐reported communication abilities within the normative range, and the proportion scoring below the CCC‐2 clinical cut‐off did not differ significantly from normative data. Communication vulnerabilities were mainly observed in speech and syntax, whereas pragmatic difficulties and broad language disorder–like profiles were uncommon. Systematic communication screening can support routine craniofacial follow‐up by identifying children who require comprehensive speech and language assessment, without subjecting all children to extensive assessment solely on the basis of their craniosynostosis diagnosis. |
| Entry Date(s): | Date Created: 20260803 Date Completed: 20260803 Latest Revision: 20260813 |
| Update Code: | 20260814 |
| PubMed Central ID: | PMC13430678 |
| DOI: | 10.1111/1460-6984.70305 |
| PMID: | 42544878 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1460-6984 |
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| DOI: | 10.1111/1460-6984.70305 |