Speech evaluation after intravelar veloplasty. How to use Borel-Maisonny classification in the international literature?

Kadlub, Natacha; Vandenbogaerde, Cecile Chapuis; Joly, Aline; Neiva, Cláudia Lopes Santoro; Vazquez, Marie‐Paule; Picard, A.

doi:10.1016/j.jormas.2017.11.011

Cited by 10 publications

(8 citation statements)

References 16 publications

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“…The patients were classified according with Borrel-Maisonny score (Borrel-Maisonny, 1975 48 ) after clinical assessment. The Borrel Maisonny score can be translated and compared with other international scales like the ones described by Kadlub (2018) 51 , as shown in Supplemental Table 1, http://links.lww.com/SCS/C825.…”

Section: Preoperative Evaluationsmentioning

confidence: 99%

Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years.

Suzzi

Baylon

Tramini

et al. 2021

Journal of Craniofacial Surgery

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The authorspresent a retrospective observational cohort study of 47 French speaking consecutive patients treated with retropharyngeal wall filling with autologous fat graft from 2006 to 2019 in a single tertiary center, to assess with a longterm follow-up, the best tailored treatment to recovery speech for velopharyngeal insufficiency, and to stress the importance of early treatment with minimally invasive procedure with retropharyngeal wall fat grafting. In preoperative setting, a clinical and instrumental evaluation with aerophonoscope is completed by a palatal closure assessment with nasal endoscopy. All patients were classified according with Borel Maisonny score pre-and post-operatively. Sixty three fat injections were performed. In 4 cases a pharyngeal flap was performed after fat graft for an insufficient speech result. The authors had no complications. Patients with less than 7 years of age obtained a complete recovery of their velopharyngeal incompetence (P ¼ 0.03) compared to older patients. In conclusion, the authors can state that this tailored surgical technique needs a multidisciplinary approach. Many variables can affect postoperative results: fat reabsorption, concurrently performed surgery, pattern of pharyngeal closure, hearing impairment. None of these factors affected our result. Early treatment plays a crucial role to achieve better results. Patients with less of 7 years showed a better result in this functional treatment.

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Section: Preoperative Evaluationsmentioning

confidence: 99%

Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years.

Suzzi

Baylon

Tramini

et al. 2021

Journal of Craniofacial Surgery

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“…Velopharyngeal insufficiency was diagnosed for patients with nasal escape on mirror test and evaluated as ‘borderline incompetent’, ‘incompetent’, and ‘highly incompetent’ according to the Borel‐Maisonny classification, which is the standard test in French‐speaking countries . These grades run parallel to those of the Pittsburgh Weighted Speech Scale (grades 1–6) and the Cleft Audit Protocol for Speech‐augmented (grades light green, yellow‐orange, and red) …”

Section: Methodsmentioning

confidence: 99%

“…16 These grades run parallel to those of the Pittsburgh Weighted Speech Scale (grades 1-6) and the Cleft Audit Protocol for Speech-augmented (grades light green, yellow-orange, and red). 17…”

Section: Muscle Weaknessmentioning

confidence: 99%

Orofacial motor dysfunction in Moebius syndrome

Renault

Flores-Guevara

Baudon

et al. 2019

Develop Med Child Neuro

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Aim To review orofacial disabilities and their consequences in children with Moebius syndrome (MBS). Method We retrospectively analysed the records of 32 patients (21 males, 11 females) with non‐progressive bilateral facial and abducens palsies who had been examined before 6 months of age. Results All facial muscles were severely involved in 17 patients; in the 15 others, partial movements were found in the lower face. Most patients (n=24) were unable to smile. Patients frequently presented with congenital trismus (n=20) and drooling (n=18). Additional palsies involved cranial nerves IX and X (n=18) and XII (n=25). Sucking was absent or weak in 30 patients; swallowing was impaired in 25. During the first month of life, feeding disorders were graded as severe/moderate in 25. Respiratory complications occurred in 17. Severe feeding disorders were associated with congenital trismus (p=0.01) and with cranial nerve IX and X palsy (p=0.01). Growth failure between 1 and 6 months of age, followed by catch‐up growth between 6 and 12 months, was observed in 20 patients. Between 2 and 5 years of age, 25 out of 32 patients attained normal oral diet and 28 out of 29 showed normal growth. Interpretation Children with MBS frequently require adjusted therapeutic options to prevent failure to thrive. Congenital trismus, cranial nerve IX and X palsy, and laryngeal–tracheal dysfunctions are predictors of severe feeding disorders. What this paper adds Moebius syndrome frequently induces reduced oral intake and early failure to thrive. Normal oral diet and growth parameters are attained at 2 to 5 years of age. Congenital trismus, pharyngeal palsy, and laryngeal disorders predict dysphagia.

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“…Other articulation problems, such as the simplification, replacement, or deletion of consonants, were also recorded. Velopharyngeal insufficiency (VPI) or nasal air emission was evaluated according to the Borel-Maisonny classification (Table 3) [24,25]. Hyper-nasality, hypo-nasality, audible nasal emission, voice quality, misarticulations associated with VPI, and intelligibility were assessed.…”

Section: Speechmentioning

confidence: 99%

What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

Al-Dourobi,

Mermod,

Doan

et al. 2024

JCM

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Background: This study reviews the surgical and functional outcomes of children diagnosed with a bilateral cleft lip and palate and treated by the same surgical team following specific surgical protocols 18 years after surgery and during the follow-up. Methods: Based on a single-center retrospective design, demographic and surgical data were gathered by the authors from international institutions. Most of the data were quantitative in nature, and descriptive statistical and non-parametric tests were employed for analysis. All children born with a bilateral cleft from 1982 to 2002 were considered. Children affected by a syndrome were excluded. Complications and speech results were the main items measured. Results: Thirty patients were selected; 73.3% were treated using the inverse Malek procedure, and 26.7% underwent a modified two-stage procedure. Seventy percent developed an oronasal fistula. An alveolar bone graft was performed in 83%, and 53.3% underwent Le Fort osteotomy. Thirty-six percent required a pharyngeal flap, with good speech results. The median number of times general anesthesia was used among all the interventions considered was 5.5 (4.25–6). Conclusions: This study presents the long-term results of using the inverse Malek procedure to treat children with a bilateral cleft lip and palate. It is shown that this is related to a high risk of developing a fistula, but has good long-term speech results.

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Speech evaluation after intravelar veloplasty. How to use Borel-Maisonny classification in the international literature?

Cited by 10 publications

References 16 publications

Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years.

Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years.

Orofacial motor dysfunction in Moebius syndrome

What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

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