Fentes labio-palatines : guidance orthophonique au sein de l’équipe pluridisciplinaire

Trichet-Zbinden, Chantal; Roessingh, Anthony de Buys; Herzog, Georges; Martínez, Henar Pérez; P, Oger; Delerive-Taieb, M.-F.; Soupre, V.; Picard, A.; Vazquez, M.-P.; Galliani, E.; Hohlfeld, Judith

doi:10.1016/s0929-693x(10)70113-5

Cited by 3 publications

(3 citation statements)

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“…The parents must be made aware of their role in early speech acquisition and help the children to improve breath control and correctly position the tongue and lips. Speech therapy alone is insufficient, and regular daily exercises at home are an integral part of the treatment [62]. In 2002, we introduced speech therapy workshops for parents and their children (two-hour sessions twice a year with four or five patients of the same age and presenting the same cleft type), where the speech therapist shows the parents how to work with their children at home (guidance).…”

Section: Discussionmentioning

confidence: 99%

What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

Al-Dourobi,

Mermod,

Doan

et al. 2024

JCM

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Background: This study reviews the surgical and functional outcomes of children diagnosed with a bilateral cleft lip and palate and treated by the same surgical team following specific surgical protocols 18 years after surgery and during the follow-up. Methods: Based on a single-center retrospective design, demographic and surgical data were gathered by the authors from international institutions. Most of the data were quantitative in nature, and descriptive statistical and non-parametric tests were employed for analysis. All children born with a bilateral cleft from 1982 to 2002 were considered. Children affected by a syndrome were excluded. Complications and speech results were the main items measured. Results: Thirty patients were selected; 73.3% were treated using the inverse Malek procedure, and 26.7% underwent a modified two-stage procedure. Seventy percent developed an oronasal fistula. An alveolar bone graft was performed in 83%, and 53.3% underwent Le Fort osteotomy. Thirty-six percent required a pharyngeal flap, with good speech results. The median number of times general anesthesia was used among all the interventions considered was 5.5 (4.25–6). Conclusions: This study presents the long-term results of using the inverse Malek procedure to treat children with a bilateral cleft lip and palate. It is shown that this is related to a high risk of developing a fistula, but has good long-term speech results.

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Section: Discussionmentioning

confidence: 99%

What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

Al-Dourobi,

Mermod,

Doan

et al. 2024

JCM

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“…Surgery on the soft palate (veloplasty) should be performed before 18 months of age to facilitate language acquisition. 15 , 27 When direct suturing is not possible, it becomes necessary to create a nasal layer using vomerine mucosa, a procedure practiced by Veau and later by Petit. 2 , 12 But we must be aware that scars induce maxillary retrusion due to the devascularization of the bone structure after the detachment of the mucoperiosteum and the creation of fibrotic scar tissue.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of nasal phonation led to automatic classification as a type 2 phonation score. 15 Articulation errors were divided into categories based on anatomical origin and backing, stops and fricative sounds were recorded for each anatomical region, as were compensatory articulations ( Table 2 ).…”

Section: Methodsmentioning

confidence: 99%

Unilateral Cleft lip and Palate: Long-Term Results of the Malek Technique

Roessingh

Robert

Despars

et al. 2022

The Cleft Palate Craniofacial Journal

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To review at 18 years-old the results of surgery and follow-up of children born in our hospital with unilateral cleft lip and palate (uCLP). They were operated at the time by the same surgeon, following the same primary surgical procedure (Malek). Retrospective cohort study. Tertiary Children's Hospital. All children born with uCLP between 1996 and 2001 and operated in our hospital. Syndromic children were excluded. Results of the primary surgery, ear–nose–throat interventions, maxillo-facial surgery and final phonatory results. Seventy-nine files of children born with a cleft were reviewed: 34 were taken into consideration for uCLP: 15 right and 19 left. They were operated in two stages, following the inverse Malek procedure. Sixty per cent had a fistula. Eighty-eight percent had grommets. Ninety-seven percent had an alveolar graft at a median age of nine (5-10) and 22% underwent a Le Fort osteotomy. Seven percent were operated for a pharyngeal flap, 29% for a secondary lip surgery at a mean age of 12.8 and 29% for a late rhinoplasty at a mean age of 14.8 years. A median of 5.7 multidisciplinary consultations was realized with a median number of general anesthesia of 7.1 (4-13). This retrospective study shows that the Malek procedure for children born with uCLP is related to a high risk of fistula but good long-term phonatory results. Twenty percent of children were operated for a Le Fort procedure and one-third for a secondary lip procedure and rhinoplasty.

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