Results of speech improvement following simultaneous push-back together with velopharyngeal flap surgery in cleft palate patients

详细信息    查看全文

• 作者：Kai Wermker^a ; ^{kai.wermker@fachklinik-hornheide.de" class="auth_mail} ; ^{kaiwermker@web.de" class="auth_mail} ; Henning Lü ; nenbü ; rger^a ; Ulrich Joos^b ; Johannes Kleinheinz^b ; Susanne Jung^b
• 关键词：Velopharyngeal insufficiency ; Cleft palate ; Surgical treatment ; Velopharyngoplasty ; Hypernasality
• 刊名：Journal of Cranio-Maxillofacial Surgery
• 出版年：July 2014
• 年：2014
• 卷：42
• 期：5
• 页码：525-530
• 全文大小：360 K

文摘

Velopharyngeal insufficiency (VPI) can be caused by a variety of disorders. The most common cause of VPI is the association with cleft palate. The aim of this study was to evaluate the effectiveness of different surgical techniques for cleft palate patients with VPI: 1) velopharyngoplasty with an inferiorly based posterior pharyngeal flap (VPP posterior, Schönborn–Rosenthal), and 2) combination of VPP posterior and push-back operation (Dorrance).

id="absSec_2">Patients and methods

id="abspara0015">41 subjects (26 females, 15 males) with VPI were analysed. Hypernasality was judged subjectively and nasalance data were assessed objectively using the NasalView^® system preoperative and 6 months postoperative.

id="absSec_3">Results

id="abspara0020">Subjective analysis showed improved speech results regarding hypernasality for all OP-techniques with good results for VPP posterior and VPP posterior combined with push-back with success rates of 94.4% and 87.7%, respectively. Objective analysis showed a statistically significant reduction of nasalance for both VPP posterior and VPP posterior combined with push-back (p < 0.01). However, there were no statistically significant differences concerning measured nasalance values postoperatively between the VPP posterior and VPP posterior combined with push-back.

id="absSec_4">Conclusion

id="abspara0025">Based on our findings, both VPP posterior and VPP posterior combined with push-back showed good results in correction of hypernasality in cleft patients with velopharyngeal insufficiency.