Speech outcome after intravelar veloplasty

Cleft lip and palate is the main craniofacial malformation in France. Many surgical techniques had been described to restore cleft palate. In this study, we evaluate phonation in a homogeneous series of patient with isolated unilateral non-syndromic cleft lip and palate before (and after) alveolar c...

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Bibliographic Details
Published in:Journal of stomatology, oral and maxillofacial surgery oral and maxillofacial surgery, 2021-04, Vol.122 (2), p.147-150
Main Authors: Moreau, A., Charpuis-Vandenbogaerde, C., Neiva-Vaz, C., Sanquer, E., Soupre, V., Vazquez, M.P., Picard, A., Kadlub, N.
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Cleft Lip - diagnosis
Cleft Lip - epidemiology
Cleft Lip - surgery
Cleft palate
Cleft Palate - diagnosis
Cleft Palate - epidemiology
Cleft Palate - surgery
Dentistry
France
Humans
Infant
Intravelar veloplasty
Palatal repair
Retrospective Studies
Speech
Speech evaluation
Treatment Outcome
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Summary:Cleft lip and palate is the main craniofacial malformation in France. Many surgical techniques had been described to restore cleft palate. In this study, we evaluate phonation in a homogeneous series of patient with isolated unilateral non-syndromic cleft lip and palate before (and after) alveolar cleft closure, operated according to our surgical protocol. We included retrospectively 71 patients with isolated non-syndromic unilateral cleft lip and palate (UCLP), operated in our department from 2009 to 2013. All patients underwent the same surgical protocol: modified Millard cheilorhinoplasty (from 5 to 9-month-old); direct hard palatal closure (from 12 to 20-month-old); alveolar cleft closure with cancellous iliac bone graft (from 4 to 6-year-old). The phonation and clinical statute were evaluated before and after alveolar cleft closure. Fistula rate and speech evaluation were recorded. The rate of oronasal fistula was 12.7%. About phonation, 76% and 86% of patients were competent or borderline competent respectively before and after gingivoperiostoplasty. This surgical protocol provided speech results in patients with isolated unilateral non-syndromic cleft lip and palate. The gingivoperiostoplasty improved the speech intelligibility.
ISSN:2468-7855
2468-7855
DOI:10.1016/j.jormas.2020.05.015