Late Primary Palatoplasty in Skeletally Mature Patients: Obstacles and Outcomes
| Autor: | Cassio Eduardo Raposo-Amaral, Anelise Sabbag, Pedro Henrique Vieira, Rafael Denadai, Thais Miguel do Monte, Cesar Augusto Raposo-Amaral |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Fistula Primary palate medicine.medical_treatment Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Palate repair Nose Diseases otorhinolaryngologic diseases medicine Humans Speech Young adult 030223 otorhinolaryngology Retrospective Studies Nasal air emission business.industry Retrospective cohort study 030206 dentistry General Medicine Middle Aged Plastic Surgery Procedures medicine.disease Surgery Cleft Palate Treatment Outcome Palatoplasty Otorhinolaryngology Female business Postoperative fistula |
| Zdroj: | Journal of Craniofacial Surgery. 31:1544-1546 |
| ISSN: | 1536-3732 1049-2275 |
| DOI: | 10.1097/scs.0000000000006390 |
| Popis: | BACKGROUND As the performance of late primary palatoplasty for skeletally mature patients remains controversial, there is little data available regarding speech outcomes for this patient population. The purpose of this study therefore is to identify and evaluate the impact of speech outcomes following late palate repair on skeletally mature patients. METHODS A retrospective study was performed on 19 consecutive skeletally mature patients who underwent late primary palate repair between 2010 and 2018. Speech assessment was performed preoperatively, between 3 and 6 months postoperatively, and then after 6 months postoperatively. Levels for hypernasality, oral pressure, and audible nasal air emission were scored and recorded.Patients were stratified by age, gender, presence of postoperative fistula, and Veau cleft type, in order to determine the impact of each variable on final speech outcomes. The Kruskal-Wallis test was used to compare the preoperative speech assessment with the postoperative speech outcomes, and the Mann-Whitney test was used to analyze the impact of the above variables on final speech outcomes. RESULTS Our data showed overall postoperative speech improvement for all tested variables. Patients without postoperative fistula presented better results in oral pressure than those patients with postoperative fistula (P |
| Databáze: | OpenAIRE |
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