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One-stage palate repair improves speech outcome and early maxillary growth in patients with cleft lip and palate.
J Physiol Pharmacol. 2009 Dec; 60 Suppl 8:37-41.JP

Abstract

There are several types of palatal surgery; each cleft centre chooses its own technique based on experience and treatment philosophy. The aim of this study was to compare speech outcome and maxillary growth in children with cleft lip and palate deformity after palate repair with either a one-stage or a two- stage procedure and to identify the better treatment protocol. In 24 children, speech outcome was assessed regarding resonance, nasal escape, compensatory articulations, facial grimace, and spontaneous speech. In addition, plaster models of 15 children were compared. In 12 children, a two-stage procedure was performed (group A): at the age of 9-12 months, an intravelar veloplasty for repair of the soft palate, and at the age of 24-36 months a bipedicled flap closure of the hard palate. In 12 children, the same techniques were used in a one-stage procedure, at the age of 9-12 months (group B). The children of group B showed less altered resonance and less nasal emission at 4 years of age compared to the children of group A. At 6 years, the children of group A had improved their speech skills, but they did not equal the results of group B. In the study models of group A at age 6 years, the transverse dimension (anterior and posterior width of the dental arch) was smaller than in the models of group B. The one-stage repair of cleft palate at the age of 9-12 months seems to have a more positive influence on speech development and early maxillary growth than the two-stage procedure.

Authors+Show Affiliations

Department of Oral and Maxillofacial Surgery, University Hospital Carl Gustav Carus, Dresden Technical University, Dresden, Germany. winnie.pradel@uniklinikum-dresden.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20400790

Citation

Pradel, W, et al. "One-stage Palate Repair Improves Speech Outcome and Early Maxillary Growth in Patients With Cleft Lip and Palate." Journal of Physiology and Pharmacology : an Official Journal of the Polish Physiological Society, vol. 60 Suppl 8, 2009, pp. 37-41.
Pradel W, Senf D, Mai R, et al. One-stage palate repair improves speech outcome and early maxillary growth in patients with cleft lip and palate. J Physiol Pharmacol. 2009;60 Suppl 8:37-41.
Pradel, W., Senf, D., Mai, R., Ludicke, G., Eckelt, U., & Lauer, G. (2009). One-stage palate repair improves speech outcome and early maxillary growth in patients with cleft lip and palate. Journal of Physiology and Pharmacology : an Official Journal of the Polish Physiological Society, 60 Suppl 8, 37-41.
Pradel W, et al. One-stage Palate Repair Improves Speech Outcome and Early Maxillary Growth in Patients With Cleft Lip and Palate. J Physiol Pharmacol. 2009;60 Suppl 8:37-41. PubMed PMID: 20400790.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - One-stage palate repair improves speech outcome and early maxillary growth in patients with cleft lip and palate. AU - Pradel,W, AU - Senf,D, AU - Mai,R, AU - Ludicke,G, AU - Eckelt,U, AU - Lauer,G, PY - 2009/10/22/received PY - 2009/12/18/accepted PY - 2010/4/20/entrez PY - 2010/4/30/pubmed PY - 2010/12/17/medline SP - 37 EP - 41 JF - Journal of physiology and pharmacology : an official journal of the Polish Physiological Society JO - J Physiol Pharmacol VL - 60 Suppl 8 N2 - There are several types of palatal surgery; each cleft centre chooses its own technique based on experience and treatment philosophy. The aim of this study was to compare speech outcome and maxillary growth in children with cleft lip and palate deformity after palate repair with either a one-stage or a two- stage procedure and to identify the better treatment protocol. In 24 children, speech outcome was assessed regarding resonance, nasal escape, compensatory articulations, facial grimace, and spontaneous speech. In addition, plaster models of 15 children were compared. In 12 children, a two-stage procedure was performed (group A): at the age of 9-12 months, an intravelar veloplasty for repair of the soft palate, and at the age of 24-36 months a bipedicled flap closure of the hard palate. In 12 children, the same techniques were used in a one-stage procedure, at the age of 9-12 months (group B). The children of group B showed less altered resonance and less nasal emission at 4 years of age compared to the children of group A. At 6 years, the children of group A had improved their speech skills, but they did not equal the results of group B. In the study models of group A at age 6 years, the transverse dimension (anterior and posterior width of the dental arch) was smaller than in the models of group B. The one-stage repair of cleft palate at the age of 9-12 months seems to have a more positive influence on speech development and early maxillary growth than the two-stage procedure. SN - 1899-1505 UR - https://www.unboundmedicine.com/medline/citation/20400790/One_stage_palate_repair_improves_speech_outcome_and_early_maxillary_growth_in_patients_with_cleft_lip_and_palate_ L2 - http://www.jpp.krakow.pl/journal/archive/12_09/pdf/37_12_09_article.pdf DB - PRIME DP - Unbound Medicine ER -