+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Surgery for speech in cleft palate patients

, : Surgery for speech in cleft palate patients. International Journal of Pediatric Otorhinolaryngology 68(12): 1499-1505

Introduction: Superiorly based pharyngeal flaps and sphincter pharyngoplasties are the two main possibilities for the surgical tratment. of hypernasality in vetopharynggeal dysfunction. Videonaspharyngoscopy and multi-view videofluoroscopy can provide anatomical and physiological data for planning these surgical procedures for correcting hypernasality. Aim: This study was undertaken to assess the planning and outcome of pharyngeal flaps and sphincter pharyngoplasties for correcting velopharyngeal insufficiency. The surgical techniques were customized according to the findings of videonasopharyngoscopy and multiview videofluoroscopy. Materials and methods: Seventy patients with repaired palate clefts and residual velopharyngeal dysfunction were studied. The patients were randomly divided into two groups. The first group received a pharyngeal flap. The second group received a sphincter pharyngoplasty. Both procedures were individually customized according to the findings of videonasopharyngoscopy and multi-view videofluoroscopy. Results: There was a non-significant difference (P > 0.05) between the mean size of preoperative velopharyngeal. closure gap between the two groups of patients (mean = 27.5%; S.D. = 7.7% versus mean = 28.3%; S.D. = 5.9%). Postoperatively, velopharyngeal dysfunction was completely corrected in 89% of the cases from group 1, and in 85% of the cases from group 2. There was a non-significant difference (P > 0.05) between the success rate for correcting VPI in both groups of patients. Conclusions: Pharyngeal flap and sphincter pharyngoplasty seem to be safe and reliable procedures for treating residual velopharyngeal dysfunction. Although not all the patients studied for this paper achieved complete closure after the surgical procedures, all of them showed a reduction of the size of the velopharyngeal. closure defect. The planning of the surgical. procedure, in order to match the postoperative structure to the preoperative velopharyngeal dimensions and movements visualized through Videonasopharyngoscopy and videofluoroscopy, seems to be the most important aspect of the surgery for correcting residual velopharyngeal. dysfunction. Copyright 2004 Elsevier Ireland Ltd. All rights reserved.


PMID: 15533561

DOI: 10.1016/j.ijporl.2004.06.010

Other references

Meiden, H.A Van Der Kolster, H.W., 1961: The susceptibility of a number of Poplar clones to infection by M. larici-populina.. Tabulated data are given for tests in 1959-60 of susceptibility and height growth of some 25 commercial clones and new selections. P. 'Robusta' Best 03 was used as the standard clone. A few of the commercial clones, notably I 214, are le...

Kato, S., 2013: Resonant Excitation of Disk Oscillations in Deformed Disks VI Stability Criterion Revisited. We re-examine excitation of a set of disk oscillations in a deformed disk bya resonant process. We assume that the disk is deformed from an axisymmetricsteady state by an oscillatory deformation with frequency $\omega_{\rm D}$ andazimuthal wavenum...

Zoi, K.; Liarmakopoulou, M.; Kollia, P.; Stavroyianni, N.; Stamatopoulos, K.; Loukopoulos, D., 2000: Differential stability of transferrin receptor mRNA transcripts in human myeloid cells is dependent upon their distinct developmental potential. Analyses of TfR mRNA expression and the relevant regulatory mechanisms have so far been inconclusive; however, TfR expression in erythroid cells is generally thought to be regulated mainly at the transcriptional level. We have previously reported...

Morae, Max., 1906: Notes on the behavior of Gonionemus. Journal of Comparative Neurology and Psychology Granville, 16 450-456

Dubost, C., 1963: Prospects Of Cardiac Surgery Thanks To Extracorporeal Circulation. Transfusion 6: 405-411

Davies, M.J.; Day, J.L.; Grenfell, A.; Hales, C.N.; Gray, I., 1993: Effect of sulphonylurea therapy on plasma insulin, intact and 32/33 split proinsulin in subjects with non-insulin-dependent diabetes mellitus. Diabetologia 36(SUPPL 1): A67

Hanna, Wilson C., 1926: Destruction of golden eagle in California. The alarming decrease in numbers of Aquila chrysaetos in southern California is being noticed even by casual observers. Most of the birds are accidentally caught in traps set for fox, etc. A few are shot by hunters.

Gnecco, G.; Bezante, G.P.; Pastorini, C.; Caponnetto, S., 1990: Echocardiographic findings in interatrial septal aneurysm, Chiari's network and tricuspid valve prolapse. An unusual association. In this report we discuss the case of a 55-year-old female who underwent echocardiographic and Doppler studies for the presence of systolic murmur at physical examination, in which echocardiography showed the concomitant presence of an atrial sept...

Belen, F.Burcu.; Kocak, U.; Albayrak, M.; Kaya, Z.; Gursel, T., 2012: Diagnostic value of neopterin during neutropenic fever and determination of disease activity in childhood leukemias. Neopterin, a pteridine group compound that is secreted from macrophages is shown to be increased in adult leukemia; however there are few studies in childhood leukemia. This study aimed to investigate neopterin levels during childhood leukemia tre...

Joseph, C.Jane.; Khoo, T.Beng.; Lee, K.Yee., 2017: Flaccid paralysis in an infant associated with a dirty wound and application of honey. An infant, who was born preterm at 36 weeks, presented with fever and ulcer at umbilical region which progressed to necrotising fasciitis of anterior abdominal wall. He was treated with intravenous penicillin, intravenous cloxacillin and local a...