Perceptual-Speech, Nasometric, and Cephalometric Results after Modified V-Y Palatoplasties with or without Mucosal Graft

Oyama, Kentaro; Nishihara, Kazuhide; Matsunaga, Kazuhide; Miura, Naoko; Kibe, Toshiro; Nakamura, Norifumi

doi:10.1597/14-141

Cited by 6 publications

(6 citation statements)

References 33 publications

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“…A minimal incision palatoplasty to minimise scarring and the risk for midface disturbance was described by Mendoza et al (1994) and later by Kriens (1997). A technique with more radical muscle reconstruction of the soft palate is often recommended today, where studies have claimed better speech results (Sommerlad, 2003;Andrades et al, 2008;Oyama et al, 2016). In children born with UCLP the residual cleft in the alveolar ridge is closed by a bone graft from the iliac crest at approximately 7-12 years of age, before the permanent teeth erupt.…”

Section: Surgical Protocols For Palatal Surgerymentioning

confidence: 99%

Speech in 10-Year-Olds Born with Cleft Lip and Palate: What Do Peers Say?

Nyberg

Havstam

2016

The Cleft Palate-Craniofacial Journal

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Section: Surgical Protocols For Palatal Surgerymentioning

confidence: 99%

Speech in 10-Year-Olds Born with Cleft Lip and Palate: What Do Peers Say?

Nyberg

Havstam

2016

The Cleft Palate-Craniofacial Journal

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“…The concept of our strategy for CP repair was to approach each anatomical and pathological abnormality that may cause postoperative velopharyngeal incompetence (VPI): short palate, asymmetric palate, insufficient velar elevation, and a midline defect of the velum, to establish CP repair that can ensure VP closure ( Table 1) [2]. The above factors were identified based on our experiences during the treatment of persistent VPI after CP repair.…”

Section: Surgical Strategy Of Palate Repair Approaching Each Anatomicmentioning

confidence: 99%

Surgical Strategy of Cleft Palate Repair and Nasometric Results

Nakamura¹,

Tezuka²

2017

Designing Strategies for Cleft Lip and Palate Care

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The goal of cleft palate (CP) repair is to achieve normal speech. Despite the recent development of surgical repair of cleft palate, there is no standard procedure that ensures patients' speech to the same level as that in noncleft children. In this chapter, we describe our surgical strategy of cleft palate repair that approaches each anatomical and pathological abnormality of cleft palate and the postoperative speech outcomes using the subjective and objective manners. After palate repair based on our surgical strategy, patients' speech was significantly improved, and the nasalance scores were recovered to almost the same levels as those of Japanese children without cleft palate.

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“…1 ) and a protocol of palate repair using a modified pushback technique (Fig. 2 ) ( 25 - 27 ). The modified pushback palate repair was performed with a partial split lateral periosteal incision to preserve the periosteum at the anterior and lateral positions of the hard palate.…”

Section: Introductionmentioning

confidence: 99%

“…Cleft palate repair using a partial split flap technique in which less denudation of the palatal bone exists can result in better transverse development of the maxillary dental arch compared to the full-thickness flap technique (Fig. 2 ) ( 27 - 30 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluating Dental Arch Relationships in Indonesian Patients with Operated Bilateral Cleft Lip and Palate Using Modified Huddart/Bodenham Index and Bauru-bilateral cleft lip and palate (BCLP) Yardstick

Ariawan,

Rachman,

Aini

et al. 2024

J Clin Exp Dent

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Background Patients with complete bilateral cleft lip and palate (CBCLP) have the most complex orofacial abnormalities despite its lowest incidence among cleft lip and palate (CLP) types. Impaired maxillary growth can result from surgical procedures in patients with CBCLP. This study evaluates dental arch relationships in Indonesian patients with CBCLP after undergoing CLP repair at Harapan Kita Children and Mother Hospital in Jakarta. Material and Methods Using the modified Huddart and Bodenham (MHB) index and Bauru bilateral cleft lip and palate (BCLP) yardstick, three examiners assessed 17 study models in the 9-year age group and 13 study models in the 12-year age group, as well as two intraoral clinical photographs of two patients with CBCLP. The assessments were repeated three times within two weeks of each assessment time. Results Patients with operated CBCLP (aged 9 and 12 years) had edge-to-edge tooth relations, which were categorized as a mild crossbite or mild deviation, and only required orthodontic treatment according to the two specified indicators. Conclusions The CLP repair protocol used at the Harapan Kita Hospital effectively manages CBCLP cases with satisfactory results, suggesting the effectiveness of the MHB index and Bauru-BCLP yardstick in assessing dental arch relationships in patients with operated CBCLP. Key words: Bilateral, cleft lip and palate, dental arch relationship, lip repair, palate repair.

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Perceptual-Speech, Nasometric, and Cephalometric Results after Modified V-Y Palatoplasties with or without Mucosal Graft

Abstract: Modified V-Y palatoplasty combined with a mucosal graft on the nasal side of the velum for symmetrical muscular reconstruction facilitates speech outcomes for children with cleft palate that are comparable with those for peers without CP.

Cited by 6 publications

References 33 publications

Speech in 10-Year-Olds Born with Cleft Lip and Palate: What Do Peers Say?

Speech in 10-Year-Olds Born with Cleft Lip and Palate: What Do Peers Say?

Surgical Strategy of Cleft Palate Repair and Nasometric Results

Evaluating Dental Arch Relationships in Indonesian Patients with Operated Bilateral Cleft Lip and Palate Using Modified Huddart/Bodenham Index and Bauru-bilateral cleft lip and palate (BCLP) Yardstick

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