Surgical indication of Furlow palatoplasty to treat submucous cleft palate

Speech and language characteristics in individuals with nonsyndromic submucous cleft palate—A systematic review

“…Level 1 or 2 studies that reported rater agreement and/or quantitative speech measures were assigned a “+” quality rating. Rater reliability or agreement was addressed in four studies (Baek et al, ; Brandao et al, ; Park et al, ; Swanson et al, ) and quantitative speech outcomes in six studies (Baek et al, ; Bezuhly et al, ; Brandao et al, ; Calis et al, ; Kwon et al, ; Ng et al, ). Studies with less than half of the checklist criteria fulfilled were assigned a “−” quality rating.…”

“…A child's age at surgery had a significant impact on postoperative speech (Baek et al, ; Bezuhly et al, ; Kwon et al, ; Oji et al, ; Swanson et al, ). A lower age at surgery consistently resulted in better speech outcomes.…”

“…In two of these four studies, the nonsyndromic population acted as controls to the syndromic group (Bezuhly et al, 2012;Brandao et al, 2011). Remaining studies compared outcomes based on surgery (Afrooz et al, 2015;Ezzat et al, 2016;Park et al, 2000), cleft type (Park, Bae, Nam, Kang, & Sung, 2016;Schönweiler et al, 1999;Seagle et al, 2016) and age at surgery (Kwon et al, 2018;Swanson et al, 2017). Nine studies examined only nonsyndromic SMCP groups (Baek et al, 2017;Calis et al, 2018;Calnan, 1954;Isotalo et al, 2007;Kwon et al, 2018;Oji et al, 2013;Seagle, Patti, Williams, & Wood, 1999;Swanson et al, 2017; ten Dam et al, 2013).…”

“…Evidence supporting the impact of surgery type on postoperative speech outcomes was mixed (Afrooz et al, 2015;Calis et al, 2018;Ezzat et al, 2016;Park et al, 2000). Afrooz et al (2015) A child's age at surgery had a significant impact on postoperative speech (Baek et al, 2017;Bezuhly et al, 2012;Kwon et al, 2018;Oji et al, 2013;Swanson et al, 2017). A lower age at surgery consistently resulted in better speech outcomes.…”

Prognostic Factors for Speech Outcome among Patients with Submucous Cleft Palate Managed by Furlow Palatoplasty or Posterior Pharyngeal flap

“…7,18,19 Because the essential abnormality of SMCP is muscle diastasis within the velum, palate-based reconstruction, including pushback palatoplasty, intravelar veloplasty, and Furlow double-opposing Z-plasty, is the first-line technique in most cleft centers. 15,27,55 The pharyngeal flap, with potential risk of airway obstruction, is usually reserved as a procedure for secondary correction. 35,56 In our center, both FP and PPF have been used as the primary procedure, providing a unique opportunity to compare the two procedures.…”