Comparison of Sanvenero-Rosselli and modified Honig velopharyngoplasties in the secondary treatment of cleft palate speech stigmata in cleft patients

Self Cite

We present 18 children with velocardiofacial syndrome. A palatal or a submucous cleft was observed in 10 patients, while 8 had no cleft. Seven patients had minor anomalies in the CT scan, but their significance is unclear. These anomalies as well as structural cardiac malformations occurred more often in the non cleft patients. Cleft palate and velopharyngeal insufficiency were not the only causes of speech problems in these children. In the velocardiofacial syndrome speech disorder should be recognized and carefully analyzed with phoniatric and neuropsychological methods.

Section: Discussionmentioning

confidence: 58%

Velocardiof acial Syndrome: Analysis of Phoniatric and Other Clinical Findings

Haapanen

Somer²

1993

Self Cite

“…The subject population was comprised of 28 CLP and 50 CP children who had undergone only primary' palatal repair (a Veau-Wardill-Kilncr operation or a Cronin modification) [6] and of 2 CLP and 5 CP chil dren who had undergone secondary surgery (a modi fied Honig velopharyngeal flap) [7], Patients with a syndromic cleft, intelligence deficiency, a specific lan guage disorder due to intelligence deficiency, cognitive disabilities or neuromotor dysfunctions, persistent hearing threshold below 26 dB in the better ear, poor cooperation, or an uncovered residual hard palatal fis tula or recurrent palatal cleft during speech follow-up were excluded. These factors are considered as con founding factors, since they are likely to affect the speech results and bias the conclusions [8],…”

Section: Methodsmentioning

confidence: 99%

Cleft Type and Speech Proficiency

Ml¹

1994

This study compares 30 cleft lip and palate (CLP), 55 cleft palate (CP) and 28 cleft lip (CL) children in terms of descriptive speech data, nasalance data and the frequency of secondary surgery performed on patients. The CLP children had less hypernasality and audible nasal air emissions than CP children. The groups were equal with respect to articulation proficiency. The CLP and CL children generated similar nasalance scores, which were significantly lower than those of the CP children. Secondary surgery was equally common in the CLP and CP children.

“…In 1963 Honig [3,4] invented a modification, which combined many of the ideas of these methods. The Honig modifica tion is further slightly modified in the Finnish Cleft Centre [5]. Patients with modified Honig (MH) velopharyngeal flap demonstrate more frequently normal nasality than patients with the Sanvenero-Rosselli (SR) flap [5].…”

mentioning

confidence: 99%

Sound Spectra in Cleft Palate Patients with a Sanvenero-Rosselli and Modified Honig Secondary Velopharyngeal Flap

Haapanen

Iivonen²

1992

The averaged sound spectra produced by cleft patients with a Sanvenero-Rosselli (SR, n = 4) and modified Honig (MH, n = 4) velopharyngeal flap were compared with each other and with the spectra produced by 4 healthy controls. Each subject produced 16 sound spectra; the total number of spectra was 432. The results indicated that the averaged sound spectra produced by MH patients resembled more closely the spectra produced by healthy controls, while the spectra by SR patients differed from those of MH patients and controls. It was concluded that the differences in the averaged spectra of SR and MH patients reflected differences in the region of the oral cavity, particularly the oropharynx rather than the region of the nasopharynx. The results of this preliminary study indicate that this topic is worth further studies.