A Methodology Report of a Randomized Prospective Clinical Trial to Assess Velopharyngeal Function for Speech Following Palatal Surgery

Williams, William N.; Seagle, M. Brent; Nackashi, A.John; Marks, Ronald G.; Boggs, Stephen R.; Kemker, Joseph; Wharton, William; Bzoch, Kenneth R.; Dixon-Wood, Virginia; Pegoraro‐Krook, Maria Inês; Freitas, José Alberto de Souza; Garla, Luis; Souza, Thelma Vidotto de; Silva, Marcos Lupércio Nova; Neto, José Sérgio Machado; Montagnoli, Luis Carlos; Martinelli, Angela Patrícia Menezes Cardoso; Marques, Inara; Zimmerman, Maria Cristina; Feniman, Mariza Ribeiro; Gonçalves, Cristina Guedes de Azevedo Bento; Piazentin, Silvia Helena Alvarez; Graciano, Maria Inês Gândara; Chinellato, Maria Cecília Muniz Pimentel; Lauris, José Roberto Pereira; Filho, Leopoldino Capelozza; Jorge, José Carlos Moura

doi:10.1016/s0197-2456(98)00002-6

Cited by 26 publications

(24 citation statements)

References 7 publications

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“…Lower occurrence of articulatory distortions. The absence of speech disorders in part of this population after surgery is scheduled for literature [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Phonetic and Phonological Aspects in Children with Operated Cleft Lip and Palate

Cavalheiro¹,

Corrêa²,

Andrade³

et al. 2017

Int Arch Commun Disord

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“…Lower occurrence of articulatory distortions. The absence of speech disorders in part of this population after surgery is scheduled for literature [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Phonetic and Phonological Aspects in Children with Operated Cleft Lip and Palate

Cavalheiro¹,

Corrêa²,

Andrade³

et al. 2017

Int Arch Commun Disord

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“…In fact, this effect needs a more detailed study. Williams et al (1998) studied the velo-pharyngeal function after palatal surgery.…”

Section: Timing Of Surgerymentioning

confidence: 99%

Complete Cleft Palate: A New Scheme Of Treatment

Rahoma¹

2007

IJPS

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“…Based on the theory that the abnormal position and structure of the levator veli palatini muscle must be corrected, Leonard Furlow designed the double-opposing Z-plasties in 1986. 12,13 Two opposing Z-plasties are performed on the oral and nasal mucosa. The Z-plasties lead to palatal lengthening without pushback.…”

mentioning

confidence: 99%

Effect of Cleft Palate Closure Technique on Speech and Middle Ear Outcome: A Systematic Review

Téblick

Ruymaekers

Casteele

et al. 2019

Journal of Oral and Maxillofacial Surgery

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Otitis media with effusion and disturbed speech are highly prevalent in children after cleft palate repair. Although many techniques for palatal closure have been described, no consensus has been reached on the most effective technique for these issues. The aim of this systematic review was to provide evidence-based information related to the effectiveness of different palatal closure techniques on middle ear and speech outcomes. Materials and Methods: A literature search in multiple electronic databases was performed: National Guidelines Clearinghouse, Trip Database, Cochrane Library, and Medline (PubMed). Potentially relevant articles were selected according to title and abstract and full-text eligibility. Then, quality control on the included articles was executed. Results: Twenty-three retrospective and prospective cohort studies were included in this systematic review. These studies compared at least 2 of the following techniques: von Langenbeck palatoplasty, 2-flap palatoplasty, Veau-Wardill-Kilner V-toY pushback technique, Kriens intravelar veloplasty, Sommerlad technique, Furlow double-opposing Z-plasties, and the Nadjmi modification of the Furlow palatoplasty. Their outcomes on the prevalence of otitis media with effusion, number of tympanostomy tubes placed, rates of hearing loss, and speech development were compared. Conclusions: The Sommerlad and Furlow palatoplasties were associated with the lowest prevalence of otitis media with effusion and the smallest number tympanostomy tubes needed. For hearing outcomes, the Furlow palatoplasty generated the best audiometric outcome. For speech outcomes, the Sommerlad and Furlow palatoplasties were more beneficial than the 2-flap palatoplasty, the Veau-Wardill-Kilner V-toY pushback technique, and the von Langenbeck palatoplasty. Additional randomized controlled trials are recommended to obtain evidence that can support these findings.

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A Methodology Report of a Randomized Prospective Clinical Trial to Assess Velopharyngeal Function for Speech Following Palatal Surgery

Cited by 26 publications

References 7 publications

Phonetic and Phonological Aspects in Children with Operated Cleft Lip and Palate

Phonetic and Phonological Aspects in Children with Operated Cleft Lip and Palate

Complete Cleft Palate: A New Scheme Of Treatment

Effect of Cleft Palate Closure Technique on Speech and Middle Ear Outcome: A Systematic Review

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