Frequency of pharyngoplasty after primary repair of cleft palate in northern Finland

Lithovius, Riitta H.; Ylikontiola, Leena P.; Sándor, George K.B.

doi:10.1016/j.oooo.2013.12.409

Cited by 25 publications

(28 citation statements)

References 26 publications

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“…Similar results have been reported in another study encompassing only cleft of the isolated palate (Andersson et al, 2010). Some studies have shown significant variation in speech outcome (Bicknell et al, 2002;Lithovius et al, 2014); the diversity might be explained by the wide spectrum of cleft types in the analyzed populations.…”

Section: Discussionsupporting

confidence: 86%

Incidence of Speech-Correcting Surgery in Children With Isolated Cleft Palate

Gustafsson

Heliövaara

Leikola

et al. 2018

The Cleft Palate-Craniofacial Journal

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Section: Discussionsupporting

confidence: 86%

Incidence of Speech-Correcting Surgery in Children With Isolated Cleft Palate

Gustafsson

Heliövaara

Leikola

et al. 2018

The Cleft Palate-Craniofacial Journal

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“…Concerning the outcome of primary palatoplasty, the success rate of 76% considering the speech outcomes is similar to findings reported in the international literature (19,20) and lower than others (21,22) , which reported proportions of 90% and 95%. Despite the relevant prevalence, the 24% of individuals with residual VPI will need additional treatment, which is a challenge for clinicians and surgeons.…”

Section: Discussionsupporting

confidence: 86%

Inteligibilidade de fala após palatoplastia primária: percepção do ouvinte

Andreoli

Yamashita

Trindade‐Suedam

et al. 2016

Audiol., Commun. Res.

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Purpose: To verify the results of speech intelligibility in individuals submitted to primary palatoplasty, according to perceptual analysis by five examiners, experienced or not with the treatment of cleft lip and palate. Methods: Analysis of spontaneous speech records, registered in audiovisual system, of 78 individuals with repaired cleft lip and palate, of both genders, aged more than 4 years old, submitted to primary palatoplasty. The speech samples were analyzed by five different examiners, who scored the speech intelligibility using a three-point scale (1=good, 2=regu-lar, and 3=bad). The interexaminer agreement was assessed by the Kappa coefficient. The treatment success was analyzed descriptively regarding the proportion of patients according to the postoperative speech intelligibility, as determined by the examiners. Significance between differences was verified by the chi-square test (p<0.05). Results: The interexaminer agreement ranged from fair to substantial. Full agreement between the five examiners was observed in more than half of cases. Based on the mean values assigned by the examiners, a significant proportion of cases showed good speech intelligibility after palatoplasty. Conclusion: The present outcomes evidenced adequate speech intelligibility after primary palatoplasty in the majority of cases, suggesting that these individuals are well understood in their social environment. The examiner experience presented to be an important variable in the analysis.Keywords: Cleft palate; Speech intelligibility; Speech perception; Velopharyngeal insufficiency; Reconstructive surgical procedures RESUMO Objetivo: Verificar os resultados de inteligibilidade da fala de pacientes submetidos à palatoplastia primária, de acordo com o julgamento perceptivo de cinco examinadores, experientes ou não, no tratamento de fissuras labiopalatinas. Métodos: Foram analisados os registros de fala espontânea, armazenados em sistema audiovisual, de 78 pacientes com fissura labiopalatina previamente reparada, de ambos os gêneros, a partir de 4 anos de idade, submetidos à palatoplastia primária. As amostras de fala foram analisadas por cinco diferentes examinadores, que classificaram a inteligibilidade de fala utilizando uma escala de 3 pontos (1=boa, 2=regular e 3=ruim). A concordância interexaminadores foi verificada por meio do coeficiente de Kappa. O sucesso da reabilitação foi analisado descritivamente quanto às proporções de pacientes, de acordo com o grau de inteligibilidade pós-operatória, determinada pelos examinadores. A significância entre as diferenças das proporções obtidas para cada categoria foi verificada pelo teste Qui-quadrado (p<0,05). Resultados: A concordância entre os examinadores variou de discreta a substancial. Em mais da metade das amostras os examinadores obtiveram concordância plena. Com base nos valores médios dos julgamentos dos avaliadores, uma proporção significativa dos casos apresentou boa inteligibilidade de fala. Conclusão: Verificou-se adequação da inteligibilidade de fala após a ...

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“…Material for this retrospective data‐based follow‐up study was collected from the Oulu University Hospital patient registry, comprehensively covering a period of 15 yr (1997–2013) during the time that cleft patients were treated, and monitored in Oulu. The practice in Oulu University Hospital is to examine all cleft patients at the time of their referral and to provide follow‐up according to the Eurocleft protocol . Data on patients who had received treatment in other centres, such as Helsinki, or outside Finland, were not available.…”

Section: Methodsmentioning

confidence: 99%

“…The overall incidence of clefts in Finland is 2.56/1,000 live births and abortions. The incidence of isolated cleft palate in Finland is amongst the highest on the globe, at 1.36/1,000 . The respective figure is about 1/2,000 births among Black people, 1/800 births among White people, and 1/500 births in Indian or Japanese people.…”

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confidence: 98%

Dental treatment need and dental general anesthetics among preschool‐age children with cleft lip and palate in northern Finland

Lehtonen

Sándor

Ylikontiola

et al. 2015

European J Oral Sciences

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Cleft lip and palate incidence is high in northern Finland. This study aimed to investigate the proportion of children in need of restorative dental treatment among cleft lip and palate patients in northern Finland, as well as their need for dental treatment under general anesthesia. The records of 183 cleft lip and palate patients, treated in Oulu University Hospital from 1997 to 2013, were reviewed. Data on dental caries were analyzed in association with cleft type, considering also the presence of syndromes. The frequency of dental general anesthetic (DGA) use, and of treatments, were also analyzed. Dental treatment need was most frequently observed, in this rather limited study population, in patients with the most severe deformities, namely bilateral cleft lip and palate, of whom 60% had caries. Among the study population, 11.5% (n = 21) had a syndrome. Of those, 57.1% had dental caries at the age of 3 or 6 yr, and only four could be treated without a DGA. Dental treatment under general anesthesia was performed in 14.8% of cleft patients without a syndrome, but in 38.1% of those with a syndrome. General anaesthesia is required for the provision of dental care more often in cleft (17.5%) than in non-cleft (0.2%) patients, and especially for those with a syndrome.

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Frequency of pharyngoplasty after primary repair of cleft palate in northern Finland

Cited by 25 publications

References 26 publications

Incidence of Speech-Correcting Surgery in Children With Isolated Cleft Palate

Incidence of Speech-Correcting Surgery in Children With Isolated Cleft Palate

Inteligibilidade de fala após palatoplastia primária: percepção do ouvinte

Dental treatment need and dental general anesthetics among preschool‐age children with cleft lip and palate in northern Finland

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