Cleft palate repair at 3 to 7 months of age
| Autor: | Marilyn Cohen, Richard E. Kirschner, Michael Duran, Don LaRossa, Peter Wang, Peter Randall, Abbas F. Jawad, Kathy Huang, Cynthia Solot |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Velopharyngeal Insufficiency Voice Quality medicine.medical_treatment Cleft Lip Dentistry Speech outcome Postoperative Complications otorhinolaryngologic diseases medicine Humans Phonation Child Nasal air emission Soft palate business.industry Palate Age Factors Infant Surgery Cleft Palate medicine.anatomical_structure Palatoplasty Treatment Outcome Child Preschool Cleft palate repair Palate Soft Articulation (phonetics) business Cohort study Follow-Up Studies |
| Zdroj: | Plastic and reconstructive surgery. 105(6) |
| ISSN: | 0032-1052 |
| Popis: | We report the speech outcome in 90 children with complete unilateral cleft lip and palate who underwent soft palate repair either between 3 and 7 months of age (n = 40) or later than 7 months of age (n = 50). In all patients, palatoplasty was performed by one of two experienced surgeons using a modification of the Furlow technique, and speech evaluations were conducted using the Pittsburgh Weighted Values for Speech Symptoms Associated with Velopharyngeal Incompetence by two speech pathologists with high inter-rater reliability. There were no differences between the groups with respect to resonance, nasal air emission, and articulation. Velopharyngeal function, as measured by the total speech score, was similar between the two groups of patients, as were the rates of secondary pharyngoplasty. These results suggest that very early closure of the soft palate may not offer significant benefit over repair later in infancy with respect to speech outcome. |
| Databáze: | OpenAIRE |
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