Postoperative Speech Outcomes and Complications in Submucous Cleft Palate Patients

Park, Tae Seo; Bae, Yong Chan; Nam, Su Bong; Kang, Kyung Dong; Sung, Ji Yoon

doi:10.5999/aps.2016.43.3.254

Cited by 19 publications

(19 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hyponasality was also measured in two studies on a 10‐degree scale (Seagle et al, ; Seagle et al, ). Where reported, perceptual speech assessment was completed by speech pathologists, with the exception of two studies where examiners were speech pathologists and cleft/craniofacial surgeons (Afrooz et al, ) and plastic surgeons and medical students (Park et al, ). Complementary nasoendoscopy and multiview videofluoroscopy results were reported in seven studies (Bezuhly et al, ; Brandao et al, ; Calis et al, ; Calnan, ; Ezzat et al, ; Ng et al, ; Seagle et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…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).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Of the 18 studies included, one was a randomized controlled trial (Level 1), nine were retrospective cohort studies (Level 2), four were before-after treatment studies (Level 3), and four were noncomparative case series (Level 3). The retrospective nature of most included studies allowed researchers to include larger numbers of participants, with six papers reporting data for 50 or more participants (Baek et al, 2017;Bezuhly et al, 2012;Isotalo et al, 2007;Park et al, 2000;Park et al, 2016;Swanson et al, 2017). Refer to Table 1 for graded levels of evidence.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

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

Boyce

Kilpatrick

Morgan

2018

Child

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

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

Boyce

Kilpatrick

Morgan

2018

Child

View full text Add to dashboard Cite

show abstract

“…The ideal time for palate repair that can deliver good postoperative results is between 3 and 6 months of age [8,9]. Some researchers think that the age between 12 and 18 months is the best time for cleft repair [1], while others assume that patients who undergo palatoplasty surgery at the age of 1 year can have a significant improvement in speech.…”

Section: Discussionmentioning

confidence: 99%

Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia

et al. 2019

View full text Add to dashboard Cite

BackgroundCleft treatment is frequently performed in Indonesia, mostly in charity missions, but without a postoperative protocol it is difficult to establish the risks and complications of cleft treatment. The present study was designed to give an overview of current cleft lip and palate treatment strategies in Indonesia and to assess the complication rates during and after surgery.MethodsThis prospective study evaluated anesthetic, intraoperative surgical, and short-term postoperative complications in patients undergoing primary, secondary, or corrective surgery for cleft lip and palate deformities. The population consisted of 98 non-syndromic cleft patients. The main anesthetic complication that occurred during general anesthesia was high blood pressure, whereas the main intraoperative surgical complication was excessive bleeding and the main early postoperative complication was extremely poor wound hygiene.ResultsIn this study, there were no cases of perioperative or postoperative mortality. However, in 23 (23.4%) of the 98 operations performed, at least one perioperative complication related to anesthesia occurred. The intraoperative and early postoperative complications following cleft lip and/or palate were assessed. There was a significant difference in the complication rate between procedure types (χ2=0.02; P<0.05). However, no relationship was found between perioperative complications related to anesthesia and the occurrence of postoperative complications (χ2=1.00; P>0.05). Nonetheless, a significant difference was found between procedure types regarding perioperative complications and the occurrence of postoperative complications (χ2=0.031; P<0.05).ConclusionsFurther evaluation of these outcomes would help direct patient management toward decreasing the complication rate.

show abstract

“…Submucous cleft palate may be identified by a subjective speech assessment or objective tests such as functional magnetic resonance imaging or nasopharyngoscopy, whereas these examinations are difficult to perform in patients under 2 years of age (5). Moreover, once diagnosed, physicians occasionally plan follow-up for the patients with regular visits for a certain period of time; therefore, SMCP tends to be treated surgically later than other types of cleft palate (6).…”

Section: Introductionmentioning

confidence: 99%

Submucous cleft palate: from diagnosis to management

Kayikci¹,

TIRANK²,

Çalış³

et al. 2018

Turk J Med Sci

View full text Add to dashboard Cite

This retrospective study, following approval of the institutional review board (GO 17/633-31), was conducted at Hacettepe University Cleft Lip and Palate, Craniomaxillofacial Anomalies Research, Treatment and Application Center; currently, the only officially approved Background/aim: The aim of this study was to investigate submucous cleft palate (SMCP) patients in order to document the age of diagnosis, cause of referral, symptoms and palate findings, objective evaluation of nasalance and velopharyngeal dysfunction (VPD), and intervention type. Material and methods: The archive of Hacettepe University Cleft Lip and Palate, Craniomaxillofacial Anomalies Research, Treatment, and Application Center was reviewed retrospectively, and 166 patients diagnosed with SMCP were documented. Results: The mean age of the patients at the time of initial referral was 10 years and 3 months ± 8 years and 5 months with the youngest being 1 month and the oldest 44 years old. The primary complaint of 127 (76.5%) patients was speech disorder. Seventy-nine patients underwent surgery, and the mean age was determined as 10 years ± 6 years and 8 months. Conclusion: The diagnosis of SMCP continues to be rather late, being delayed until a prominent speech disorder is present. Studies for the awareness of health professionals are of great importance for the early diagnosis and intervention of SMCP in order to prevent adverse effects.

show abstract

Postoperative Speech Outcomes and Complications in Submucous Cleft Palate Patients

Cited by 19 publications

References 14 publications

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

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

Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia

Submucous cleft palate: from diagnosis to management

Contact Info

Product

Resources

About