Palatovélopharyngoplastie en un temps. Notre expérience aux Philippines

Saboye, J.; Chancholle, A.-R.; Tournier, Jean‐Nicolas; Maurette, I.

doi:10.1016/s0294-1260(04)00059-7

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, conflicting results can be found in the literature regarding speech outcomes after late palate repairs. 4,5,14,15 In the current study, the patients' own perception of speech as well as other cleft-related QOL parameters, were surveyed before and after late plate repair.…”

Section: Discussionmentioning

confidence: 99%

Speech and Speech-Related Quality of Life After Late Palate Repair

Schönmeyr

Wendby²,

Sharma³

et al. 2015

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Many patients with cleft palate deformities worldwide receive treatment at a later age than is recommended for normal speech to develop. The outcomes after late palate repairs in terms of speech and quality of life (QOL) still remain largely unstudied. In the current study, questionnaires were used to assess the patients' perception of speech and QOL before and after primary palate repair. All of the patients were operated at a cleft center in northeast India and had a cleft palate with a normal lip or with a cleft lip that had been previously repaired. A total of 134 patients (7-35 years) were interviewed preoperatively and 46 patients (7-32 years) were assessed in the postoperative survey. The survey showed that scores based on the speech handicap index, concerning speech and speech-related QOL, did not improve postoperatively. In fact, the questionnaires indicated that the speech became more unpredictable (P < 0.01) and that nasal regurgitation became worse (P < 0.01) for some patients after surgery. A total of 78% of the patients were still satisfied with the surgery and all of the patients reported that their self-confidence had improved after the operation. Thus, the majority of interviewed patients who underwent late primary palate repair were satisfied with the surgery. At the same time, speech and speech-related QOL did not improve according to the speech handicap index-based survey. Speech predictability may even become worse and nasal regurgitation may increase after late palate repair, according to these results.

show abstract

Section: Discussionmentioning

confidence: 99%

Speech and Speech-Related Quality of Life After Late Palate Repair

Schönmeyr

Wendby²,

Sharma³

et al. 2015

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

Séquelles des fentes labioalvéolopalatovélaires en mission humanitaire. Analyse et prise en charge

Saboye¹,

Chancholle²

2007

Revue de Stomatologie et de Chirurgie Maxillo-faciale

View full text Add to dashboard Cite

Limited Chances of Speech Improvement After Late Cleft Palate Repair

Schönmeyr

Wendby²,

Sharma³

et al. 2015

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Late primary palatal repair is a common phenomenon, and many patients across the world will be operated on at a far later age than is suggested for normal speech development. Nevertheless, little is known about the speech outcomes after these procedures and conflicting results exist among the few studies performed. In this study, blinded preoperative and postoperative speech recordings from 31 patients operated on at Guwahati Comprehensive Cleft Care Center in Assam, India, older than 7 years were evaluated. Six non-Indian speech and language pathologists evaluated hypernasal resonance and articulation, and 4 local laymen evaluated the speech intelligibility/acceptability of the samples. In 25 of 31 cases, the evaluators could not detect any speech improvement in the postoperative recordings. A clear trend of postoperative improvement was only found in 6 of the 31 patients. Among these 6 patients, lesser clefts were overrepresented. Our findings together with previous studies suggest that late palate repairs have the potential to improve speech, but the probability for improvement and degree of improvement is low, especially in older adolescents and adults with complete clefts.

show abstract

Palatovélopharyngoplastie en un temps. Notre expérience aux Philippines

Cited by 3 publications

References 0 publications

Speech and Speech-Related Quality of Life After Late Palate Repair

Speech and Speech-Related Quality of Life After Late Palate Repair

Séquelles des fentes labioalvéolopalatovélaires en mission humanitaire. Analyse et prise en charge

Limited Chances of Speech Improvement After Late Cleft Palate Repair

Contact Info

Product

Resources

About