A comparative study of three palatoplasty techniques in wide cleft palates

Sakran, Karim Ahmed; Liu, R.; Yu, Tokihide; Al-Rokhami, Remsh Khaled; He, Da

doi:10.1016/j.ijom.2020.07.016

Cited by 25 publications

(20 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These congenital anomalies happen 1 in every 500 to 1000 births at the various ethnic groups and geographic regions (Dixon et al, 2011; Alfwaress et al, 2017; Sharif et al, 2019). These defects are one of the most common congenital anomalies with the multifactorial inheritance of threshold character (Abdollahi Fakhim et al, 2019; Alswairki et al, 2019; Sakran et al, 2020). It is suggested that the multiple genes and environmental factors are associated with the formation of this anomaly (Alswairki et al, 2019; Abdollahi Fakhim et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Clinical and Demographical Characteristics of Cleft Lip and/or Palate in the Northwest of Iran: An Analysis of 1500 Patients

Galeh

Nouri‐Vaskeh

Alipour

et al. 2020

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Objective: Orofacial clefts (OFCs) can occur as an isolated defect or as a manifestation of other syndromes. The current study aimed to evaluate demographic characteristics and distribution of different types of accompanying anomalies for OFCs in the northwest of Iran. Design: A retrospective cohort study. Setting: Tertiary pediatric hospital. Patients and Participants: This study was conducted on 1500 cleft lip and/or palate patients born between July 2010 and June 2020 in the northwest of Iran. Main Outcome Measures: Demographic and clinical characteristics of the children with OFCs including familial history, accompanying anomalies and syndromes, maternal passive smoking, mothers’ and fathers’ age, consanguineous marriage, and birth order. Results: Among 1500 patients, 441 had cleft lip, 615 had cleft palate, and 444 had cleft lip and palate. The positive family history of OFCs was found to be 20.9% to 25.4% depending on the cleft type. Accompanying anomalies were identified in 29.8% of cases. Cardiac, facial, and ear abnormalities were the most common types. Also, 2.9% were identified with syndromes and sequences. These included Pierre Robin Sequence, Velo-cardio-facial syndrome, and Down syndrome most frequently. Conclusion: These findings may provide references for appropriate resources to establish and direct counseling and primary preventive projects in the northwest of Iran.

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical and Demographical Characteristics of Cleft Lip and/or Palate in the Northwest of Iran: An Analysis of 1500 Patients

Galeh

Nouri‐Vaskeh

Alipour

et al. 2020

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…There was an extended soft palate, replacement of divergenic palatal muscle to the right position, and avoidance of median scar on the velum that could reduce anteroposterior shrinkage post surgery. 6 In this study, two flaps push back palatoplasty were chosen because it was a commonly used technique in Cleft Centre Unit of Dental Hospital of Padjadjaran University and this may be considered a limitations in our study. Thus, it is recommended to have further research with other palatoplasty technique such as Furlow Z-plasty.…”

Section: Discussionmentioning

confidence: 99%

“…The study by Sakran, et al stated that children's cooperation and validity of the perceptual assessment result can be achieved if the child is older than three years old, because during this age, a child is able to follow instructions better. 6 Research sampling was done using purposive sampling method. Patients with oronasal fistula, post-recurrent palatoplasty, having a mental retardation history, hearing disorder or was having flu was excluded in this study.…”

Section: Methodsmentioning

confidence: 99%

Speech outcome evaluation in post-cleft palate closure patients with two flaps pushback technique

Kusumawati

Hardianto²,

Nurwiadh³

2022

Majalah Kedokteran Gigi Indonesia

View full text Add to dashboard Cite

Speech quality is an essential output in assessing the success of a palatoplasty. The goal of a palatoplasty is not merely to create a simple anatomical closure of the palate, but also to create an adequate velopharyngeal mechanism for a normal speech outcome and to prevent abnormal maxillofacial development after surgery. The aim of this study is to find out the difference in speech outcome between post-cleft palate closure patients and patients without cleft palate. An analytical retrospective study was conducted on 22 children (n = 22) with complete unilateral cleft palate, who had been treated using two flap push back technic of palatoplasty during 2014-2017 by purposive sampling method, and 22 children without cleft palate as the control group. The evaluation of speech outcome was done using an assessment of perception by doing a speech pathologist and instrumental examination by taking a lateral cephalometry radiograph. The perception was assessed by the articulation pattern, hypernasality, and speech intelligibility. The lateral cephalometry radiograph was taken at /i/ phonation to measure the distance velum to the posterior pharynx wall. Data were analyzed using Mann Whitney test. The velopharyngeal competence in post-palatoplasty group consisted of 22.8% adequate result, 0.1% marginal result, and 68.1% inadequate result. Meanwhile, in the control group, there were 72.7% adequate and 27.3% inadequate competence. According to the result of the statistical test, this study concluded that there was a significant difference in speech outcome based on articulation pattern, hypernasality, speech intelligibility, and velopharyngeal distance between post-cleft palate closure patients and patients without cleft palate (p < 0.05). Majority of patients after cleft palate closure with two flaps pushback technique had inadequate velopharyngeal competence with moderate-severe hypernasality, severe nasal emission, abnormal speech intelligibility, and velopharyngeal distance ≥ 5.0 mm, whereas the majority of control group had an adequate velopharyngeal competence.

show abstract

“…Thus, avoiding relaxing incision on the hard palate during palatoplasty started to be emphasized in a functional cleft palate repair, but in return, the indication for repairing wide clefts was limited owing to the absence of relaxing incision. Hence, controversies are still going on regarding the most effective procedure for various cleft palate patterns 6,7 …”

Section: Introductionmentioning

confidence: 99%

The Sommerlad–Furlow Modified Palatoplasty Technique: Postoperative Complications and Implicating Factors

Sakran

Alkebsi

et al. 2022

The Laryngoscope

View full text Add to dashboard Cite

Objective To explore the incidence of postoperative complications and investigate the impact of preselected factors on functional and quality of life outcomes following the Sommerlad–Furlow modified palatoplasty technique. Study Design Retrospective cohort. Methods A total of 429 patients with cleft palate, who received Sommerlad–Furlow modified technique between 2011–2017 were enrolled. The postoperative complications including oronasal fistula (ONF), velopharyngeal insufficiency (VPI), and inadequate quality of life (QOL) were collected. Data of preselected factors including gender, age at palatoplasty, cleft type, cleft width, palatal width, pharyngeal cavity depth, and operation duration were also collected. Results Among 429 patients, 40.1% were males whereas 59.9% were females. The mean age at palatoplasty was 1.23 ± 0.69 (0.42–4) years, and the average cleft width was 10.15 ± 2.95 (4–27) mm. The cleft types had recorded rates of about 6.8%, 69.5%, 17.7%, and 6.1% of Veau I, II, III, and IV, respectively. The overall incidence rates of ONF, VPI, and inadequate QOL were 2.3%, 19.4%, and 31.3%, respectively. In both the univariate and multivariate analyses, the cleft type was significantly implicated in ONF formation (p = 0.023 and 0.032, respectively) whereas the velopharyngeal function was impacted by the palatoplasty age (p ˂ 0.001). The receiver operating characteristic curve indicated that age of palatoplasty ≥1.3 years (area under the curve = 0.611, p = 0.002) was the cutoff value for predicting the incidence of VPI. Conclusions The Sommerlad–Furlow modified technique appears to have appropriate postoperative outcomes, even in the wide cleft palate. The older age at palatoplasty has a major impact on the overall postoperative outcomes. Level of Evidence 4 Laryngoscope, 133:822–829, 2023

show abstract

A comparative study of three palatoplasty techniques in wide cleft palates

Cited by 25 publications

References 21 publications

Clinical and Demographical Characteristics of Cleft Lip and/or Palate in the Northwest of Iran: An Analysis of 1500 Patients

Clinical and Demographical Characteristics of Cleft Lip and/or Palate in the Northwest of Iran: An Analysis of 1500 Patients

Speech outcome evaluation in post-cleft palate closure patients with two flaps pushback technique

The Sommerlad–Furlow Modified Palatoplasty Technique: Postoperative Complications and Implicating Factors

Contact Info

Product

Resources

About