Comparison of speech outcomes using type 2b intravelar veloplasty or furlow double-opposing Z plasty for soft palate repair of patients with unilateral cleft lip and palate
Autor: | Figen Özgür, Mavis Emel Kulak Kayikci, Rıza Önder Günaydın, Ilkem Kara, Mert Calis, Murat Kara |
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Rok vydání: | 2020 |
Předmět: |
Velopharyngeal Insufficiency
Fistula medicine.medical_treatment Cleft Lip Dentistry 03 medical and health sciences 0302 clinical medicine Furlow palatoplasty otorhinolaryngologic diseases medicine Humans Speech Retrospective Studies Soft palate business.industry Significant difference 030206 dentistry Perioperative Plastic Surgery Procedures medicine.disease Cleft Palate Palatoplasty medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Z-plasty 030220 oncology & carcinogenesis Surgery Oral Surgery Nasalance Palate Soft business |
Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 49(3) |
ISSN: | 1878-4119 |
Popis: | Background The aim of this study is to compare speech outcomes, fistula rates, and rates of secondary speech surgeries after palatoplasty using Furlow palatoplasty or type 2b intravelar veloplasty for soft palate repair. Patients and methods Patients with unilateral cleft lip and palate who had either Furlow palatoplasty or intravelar veloplasty for soft palate repair were retrospectively evaluated for demographic and perioperative variables and speech outcomes. Fistula rate, secondary surgical intervention for improved speech results, and findings of speech assessment were further reviewed for the patients who met the inclusion criteria. Results A total of 76 patients, 36 in the Furlow palatoplasty group and 40 in the intravelar veloplasty group, were included in the study. In the speech assessment, nasalance values were statistically similar between the two groups. Also, there was no statistically significant difference between the groups in velopharyngeal motility (p = 0.103). The total rates of secondary surgeries and fistula were statistically similar between the groups (p = 0.347 and 0.105, respectively). Conclusion The similar outcomes of speech and surgical evaluation between the two groups make the surgeon's preference determinant in the selection of the surgical technique for soft palate repair. |
Databáze: | OpenAIRE |
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