Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age
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 w...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 1998-09, Vol.102 (3), p.675-679 |
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| container_title | Plastic and reconstructive surgery (1963) |
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| creator | YSUNZA, A PAMPLONA, M. C MENDOZA, M GARCIA-VELASCO, M PAZ AGUILAR, M GUERRERO, M. E |
| description | 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; p > 0.05). However, phonologic development was significantly better (p < 0.05) 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 (p < 0.05). Maxillofacial assessment showed that there were non-significant differences (p > 0.05) in maxillofacial growth in both groups of patients. All patients showed similar degrees of maxillary collapse (p > 0.05). 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. |
| doi_str_mv | 10.1097/00006534-199809010-00009 |
| format | Article |
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C ; MENDOZA, M ; GARCIA-VELASCO, M ; PAZ AGUILAR, M ; GUERRERO, M. E</creator><creatorcontrib>YSUNZA, A ; PAMPLONA, M. C ; MENDOZA, M ; GARCIA-VELASCO, M ; PAZ AGUILAR, M ; GUERRERO, M. E</creatorcontrib><description>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; p > 0.05). However, phonologic development was significantly better (p < 0.05) 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 (p < 0.05). Maxillofacial assessment showed that there were non-significant differences (p > 0.05) in maxillofacial growth in both groups of patients. All patients showed similar degrees of maxillary collapse (p > 0.05). 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.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/00006534-199809010-00009</identifier><identifier>PMID: 9727430</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Articulation Disorders - etiology ; Articulation Disorders - physiopathology ; Biological and medical sciences ; Cephalometry ; Child, Preschool ; Cleft Lip - physiopathology ; Cleft Lip - surgery ; Cleft Palate - physiopathology ; Cleft Palate - surgery ; Endoscopy ; Female ; Follow-Up Studies ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Infant ; Male ; Maxillofacial Development - physiology ; Medical sciences ; Pharynx - physiopathology ; Pharynx - surgery ; Phonation - physiology ; Postoperative Complications - etiology ; Postoperative Complications - physiopathology ; Speech Articulation Tests ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Velopharyngeal Insufficiency - physiopathology ; Velopharyngeal Insufficiency - surgery</subject><ispartof>Plastic and reconstructive surgery (1963), 1998-09, Vol.102 (3), p.675-679</ispartof><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c254t-f053cb0754295ad74dc33488f90a6efe9b810b1a9d01d5608a6a9b98657f430b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2363628$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9727430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YSUNZA, A</creatorcontrib><creatorcontrib>PAMPLONA, M. C</creatorcontrib><creatorcontrib>MENDOZA, M</creatorcontrib><creatorcontrib>GARCIA-VELASCO, M</creatorcontrib><creatorcontrib>PAZ AGUILAR, M</creatorcontrib><creatorcontrib>GUERRERO, M. E</creatorcontrib><title>Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>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; p > 0.05). However, phonologic development was significantly better (p < 0.05) 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 (p < 0.05). Maxillofacial assessment showed that there were non-significant differences (p > 0.05) in maxillofacial growth in both groups of patients. All patients showed similar degrees of maxillary collapse (p > 0.05). 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.</description><subject>Articulation Disorders - etiology</subject><subject>Articulation Disorders - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cephalometry</subject><subject>Child, Preschool</subject><subject>Cleft Lip - physiopathology</subject><subject>Cleft Lip - surgery</subject><subject>Cleft Palate - physiopathology</subject><subject>Cleft Palate - surgery</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Maxillofacial Development - physiology</subject><subject>Medical sciences</subject><subject>Pharynx - physiopathology</subject><subject>Pharynx - surgery</subject><subject>Phonation - physiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Speech Articulation Tests</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Velopharyngeal Insufficiency - physiopathology</subject><subject>Velopharyngeal Insufficiency - surgery</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtv1DAQxy0EKtvHR0CaA-IWOn4l9hFV0CJV4gCcI8eZdIOSONgOhSufHC_d7lws_R9jzY8x4Pieo22usUytpaq4tQYtcqwOkn3BdlwLWymhxEu2Q5Si4qjFa3ae0g9E3shan7Ez24hGSdyxv19XIr-HsGUfZgK39DC73-M0ufgHHmJ4zHsYF1hdHmnJCR7HImzLOLlM0U1QWutEmcBPNGSYxvV6dQcTwloCmXoIC7gMNfyimLYEXMAclrxPEAZwD3TJXg1uSnR1fC_Y908fv93cVfdfbj_ffLivvNAqVwNq6TtstBJWu75RvZdSGTNYdDUNZDvDsePO9sh7XaNxtbOdNbVuhnJqJy_Yu6e9aww_N0q5ncfkqVy6UNhS20hjrFS8BM1T0MeQUqShXeM4Fx4tx_aAv33G357w_5dsqb45_rF1M_Wn4pF38d8efZe8m4boFj-mU0zIWtbCyH8b_Y3F</recordid><startdate>199809</startdate><enddate>199809</enddate><creator>YSUNZA, A</creator><creator>PAMPLONA, M. C</creator><creator>MENDOZA, M</creator><creator>GARCIA-VELASCO, M</creator><creator>PAZ AGUILAR, M</creator><creator>GUERRERO, M. E</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199809</creationdate><title>Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age</title><author>YSUNZA, A ; PAMPLONA, M. C ; MENDOZA, M ; GARCIA-VELASCO, M ; PAZ AGUILAR, M ; GUERRERO, M. E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c254t-f053cb0754295ad74dc33488f90a6efe9b810b1a9d01d5608a6a9b98657f430b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Articulation Disorders - etiology</topic><topic>Articulation Disorders - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Cephalometry</topic><topic>Child, Preschool</topic><topic>Cleft Lip - physiopathology</topic><topic>Cleft Lip - surgery</topic><topic>Cleft Palate - physiopathology</topic><topic>Cleft Palate - surgery</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Maxillofacial Development - physiology</topic><topic>Medical sciences</topic><topic>Pharynx - physiopathology</topic><topic>Pharynx - surgery</topic><topic>Phonation - physiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Speech Articulation Tests</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Velopharyngeal Insufficiency - physiopathology</topic><topic>Velopharyngeal Insufficiency - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YSUNZA, A</creatorcontrib><creatorcontrib>PAMPLONA, M. C</creatorcontrib><creatorcontrib>MENDOZA, M</creatorcontrib><creatorcontrib>GARCIA-VELASCO, M</creatorcontrib><creatorcontrib>PAZ AGUILAR, M</creatorcontrib><creatorcontrib>GUERRERO, M. E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YSUNZA, A</au><au>PAMPLONA, M. C</au><au>MENDOZA, M</au><au>GARCIA-VELASCO, M</au><au>PAZ AGUILAR, M</au><au>GUERRERO, M. E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>1998-09</date><risdate>1998</risdate><volume>102</volume><issue>3</issue><spage>675</spage><epage>679</epage><pages>675-679</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>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; p > 0.05). However, phonologic development was significantly better (p < 0.05) 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 (p < 0.05). Maxillofacial assessment showed that there were non-significant differences (p > 0.05) in maxillofacial growth in both groups of patients. All patients showed similar degrees of maxillary collapse (p > 0.05). 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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>9727430</pmid><doi>10.1097/00006534-199809010-00009</doi><tpages>5</tpages></addata></record> |
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| subjects | Articulation Disorders - etiology Articulation Disorders - physiopathology Biological and medical sciences Cephalometry Child, Preschool Cleft Lip - physiopathology Cleft Lip - surgery Cleft Palate - physiopathology Cleft Palate - surgery Endoscopy Female Follow-Up Studies Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Infant Male Maxillofacial Development - physiology Medical sciences Pharynx - physiopathology Pharynx - surgery Phonation - physiology Postoperative Complications - etiology Postoperative Complications - physiopathology Speech Articulation Tests Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Velopharyngeal Insufficiency - physiopathology Velopharyngeal Insufficiency - surgery |
| title | Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age |
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