| Autor: |
A, Ysunza, M C, Pamplona, M, Mendoza, M, García-Velasco, M P, Aguilar, M E, Guerrero |
| Rok vydání: |
1998 |
| Předmět: |
|
| Zdroj: |
Plastic and reconstructive surgery. 102(3) |
| ISSN: |
0032-1052 |
| Popis: |
A prospective study of speech outcome and maxillofacial growth was carried out in cleft palate patients. Seventy-six cleft palate patients were randomly selected for the study group; 41 patients were operated on at 12 months of age, and 35 patients were operated on at 6 months of age. All patients were followed until they were 4 years of age. All patients underwent a complete speech evaluation, videonasopharyngoscopy, videofluoroscopy, and maxillofacial assessment. The rate of velopharyngeal insufficiency did not differ between the two groups (17 to 19 percent; p0.05). However, phonologic development was significantly better (p0.05) in the patients operated on at 6 months of age. Furthermore, none of the patients operated on at 6 months of age showed compensatory articulation disorder. In contrast, 62 percent of the patients with postoperative velopharyngeal insufficiency operated on at 12 months of age showed compensatory articulation disorder (p0.05). Maxillofacial assessment showed that there were non-significant differences (p0.05) in maxillofacial growth in both groups of patients. All patients showed similar degrees of maxillary collapse (p0.05). The results of this study suggest that cleft palate repair performed at 6 months of age significantly enhances speech outcome and prevents compensatory articulation disorder. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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