Question
How can Noonan syndrome affect a person's speech?
Answer
My experience with patients with Noonan's syndrome has been for feeding problems. However, according to Shprintzen's Syndrome Identification for Speech-Language Pathology (2000), an individual with Noonan's may have many obligatory articulation errors related to malocclusion. Persons with Noonan's may have class II malocclusion, anterior skeletal open-bite, and a constricted maxillary arch. There is a low frequency of cleft, but if present may be submucous and result in compensatory articulation patterns secondary to velopharyngeal insufficiency. Individuals with Noonan's may have cognitive impairment which may affect expressive language more than receptive language.
Mary E. Warburton, M.A., CCC-SLP has been a speech-language pathologist for 9 years. She is the Lead Speech-Language Pathologist at St. Louis Children's Hospital, specializing in Pediatric Feeding and Swallowing, NICU, and Lung Transplant patients. She resides in St. Louis, with her husband and 2 young sons. She can be reached at maryew@bjc.org.
Mary Warburton, M.A.,CCC-SLP
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