50 -3 (89) 2026 - Makhkamov A.M., Makhkamov M.E. - SPECIFICITY OF FORMATION OF THE PHONETIC ASPECT OF SPEECH IN CHILDREN WITH A CONGENITAL DEFECT OF THE PALATE IN THE CONTEXT OF AGE-RELATED CHANGES

SPECIFICITY OF FORMATION OF THE PHONETIC ASPECT OF SPEECH IN CHILDREN WITH A CONGENITAL DEFECT OF THE PALATE IN THE CONTEXT OF AGE-RELATED CHANGES

Makhkamov A.M. - Tashkent International University of Chemistry Uzbekistan

Makhkamov M.E. - Tashkent State Medical University

Аrtikov М.B. - Republican Children's Multidisciplinary Center, Nukus, Karakalpakstan

Makhkamova M.M. - Tashkent State Medical University

Resume

As part of our research, we focused on studying the phonetic features of speech in children suffering from congenital cleft lip and palate. These children often face difficulties related to the timbre of their voice and pronunciation, which makes their speech less understandable to others. Our task was to analyze the phonetic design of speech in children with cleft palate, regardless of their age. By phonetic design, we mean clarity and clarity of sound, which ensure the ease of perception of speech by the interlocutor. The study was conducted at the medical center of the Republican Children's Multidisciplinary Hospital located in the city of Nukus. We worked with children between the ages of seven months and eighteen years old who were diagnosed with congenital cleft palate. All children underwent surgery to restore the soft and hard palate, which is performed simultaneously. A unified system has been developed to evaluate the phonetic design of the speech of children of different age groups. Phonetic material was collected both offline and online. Then an expert audit analysis was conducted, during which various aspects were taken into account, such as: - resonator imbalance (hyper- or hyponasality); - nasal emission; - turbulence; - grimace; - phoneme pronunciation disorders caused by resonant imbalance or other causes. The results of the study showed that children under the age of three have the greatest potential for successful rehabilitation. The speech of 50-70% of them can be easily perceived by others and correspond to the pronunciation of the majority of people in the general population. From the age of six, the effectiveness of speech rehabilitation decreases by two to three times. This may be due to various factors such as: - concomitant speech disorders; - late or ineffective restoration of palatopharyngeal ring structures. Disorders related to the development of the maxillofacial region and occlusion, as well as combined developmental disorders, including mental abnormalities, hearing loss, autistic disorders and syndromes, can significantly complicate the process of speech rehabilitation. In the most difficult cases, speech may not recover completely, which requires repeated surgical intervention.

Keywords: cleft palate, phonetic design of speech, speech therapy, rhinolalia, children's speech, speech development, nasality.

First page

305

Last page

317

For citation:Makhkamov A.M., Makhkamov M.E., Аrtikov М.B., Makhkamova M.M. - SPECIFICITY OF FORMATION OF THE PHONETIC ASPECT OF SPEECH IN CHILDREN WITH A CONGENITAL DEFECT OF THE PALATE IN THE CONTEXT OF AGE-RELATED CHANGES//New Day in Medicine 3(89)2026 305-317 https://newdayworldmedicine.com/en/new_day_medicine/3-89-2026

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