Speech outcome after intravelar veloplasty

Moreau, Audrey; Charpuis-Vandenbogaerde, C.; Neiva-Vaz, C.; Sanquer, Estelle; Soupre, V.; Vazquez, Marie‐Paule; Picard, A.; Kadlub, Natacha

doi:10.1016/j.jormas.2020.05.015

Cited by 6 publications

(1 citation statement)

References 24 publications

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“…Furthermore, even if isolated, extension to the alveolus ± the palate makes the surgical repair program more complex with, in addition to lip repair, the need for two or three surgical steps including gingivo-periosteoplasty at the age of 4-6 years ± preceded by intravelar veloplasty and closure of the hard palate in case of palate defect. Moreover, if the palate is involved, the couple should be informed of potential postnatal swallowing, sucking, speech and maxillary growth disorders, and increased risk of otitis, hypoacusia, and oronasal fistula [31].…”

Section: Discussionmentioning

confidence: 99%

Imaging Factors Affecting Prenatal Counseling in Orofacial Clefts

et al. 2023

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Introduction: we aim to correlate pre-and postnatal data regarding the cleft type and surgical prognostic factors associated to orofacial clefts. Methods: retrospective study concerning all cases of orofacial cleft evaluated prenatally (US+/-MRI) between 2015 and 2020 with available postnatal outcome. We compared prenatal imaging (cleft type and surgical prognostic factors) with postnatal findings. Results: 48 fetuses were included. Median gestational age at first US/MRI examination: 29WG+2D and 31WG+6D respectively. The prenatal diagnosis was in accordance with postnatal findings with regard to the cleft type in 88% of the cases (n=42/48) for US and/or MRI, 84% (n=38/45) for US only and 90% (n=37/41) for MRI only. The nasal septum deviation and nostril collapse were underestimated by prenatal US in 48% (n=12/25) and 44% (n=11/25) of cases respectively (Cohen’s kappa of 0.22 and 0.32 respectively). Pre-and postnatal examinations were in accordance in 75% of cases (n=8) regarding evaluation of anteroposterior maxillary shift in case of unilateral alveolar cleft and in 90% and 80% of cases (n=10) regarding the degree of protrusion/deviation of the premaxillary protrusion in case of bilateral cleft respectively. Conclusion: Prenatal imaging can accurately assess the type of orofacial cleft and evaluate maxillary shift and deviation of the premaxilla. It underestimates the nose deformity.

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Section: Discussionmentioning

confidence: 99%