Purpose: The purpose of this investigation is to describe the communication
profile of children with the 22q11.2 deletion syndrome from infancy throug
h school age and to examine the influence of other medical aspects, such as
palate anomalies. learning disorders, and cardiac defects of the syndrome
to communication. Methods: Seventy-nine children were examined using standa
rdized tests of speech and language and perceptual measures of resonance an
d voice. Results: Results show significant delay in emergence of speech and
language milestones with delay/disorder in speech-language processes persi
sting into the school aged years, including those children diagnosed with n
onverbal learning disabilities. Persistent articulation and resonance disor
ders were also present, presumed to be related in part to palatal anomalies
. No correlation was found between cardiac status, learning disorders, pala
te anomalies and communication disorders. Conclusion: The need for early id
entification and management of communication skills is crucial in the care
of children with the 22q11.2 deletion.