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

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자료유형: 학술저널

저자정보: Park, Tae Seo (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Nam, Su Bong (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Kang, Kyung Dong (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Sung, Ji Yoon (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제43권 제3호

발행연도: 2016.1

수록면: 254 - 257 (4page)

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연구주제

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연구배경

🔬

연구방법

🏆

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Background The postoperative speech outcomes of submucous cleft palate (SMCP) surgery are known to be poorer than those of other types of cleft palate. We attempted to objectively characterize the postoperative complications and speech outcomes of the surgical treatment of SMCP through a comparison with the outcomes of incomplete cleft palate (ICP). Methods This study included 53 SMCP patients and 285 ICP patients who underwent surgical repair from 1998 to 2015. The average age of the patients at the time of surgery was $3.9{\pm}1.9years$ for the SMCP patients and $1.3{\pm}0.9years$ for the ICP patients. A retrospective analysis was performed of the complications, the frequency of subsequent surgical correction for velopharyngeal dysfunction (VPD), and speech outcomes. Results In both the SMCP and ICP patients, no cases of respiratory difficulty, bleeding, or wound disruption were noted. Delayed wound healing and fistula occurred in 18.9% and 5.7% of the SMCP patients and in 14% and 3.2% of the ICP patients, respectively. However, no statistically significant difference in either delayed wound healing or fistula occurrence was observed between the two groups. The rate of surgical correction for VPD in the SMCP group was higher than in the ICP group. In the subset of 26 SMCP patients and 62 ICP patients who underwent speech evaluation, the median speech score value was 58.8 in the SMCP group and 66 in the ICP group, which was a statistically significant difference. Conclusions SMCP and ICP were found to have similar complication rates, but SMCP had significantly worse speech outcomes.

#Cleft palate #Speech #Velopharyngeal insufficiency

참고문헌 (14)

참고문헌 신청

Bae YC / 2015 / Modified palatoplasty method (Busan modification) for incomplete type cleft palate / J Craniofac Surg 26:1203~1206

Kim JH / 1999 / simple method of speech evaluation in the Korean patient with cleft palate / J Korean Soc Plast Reconstr Surg 26:858~865

Emory RE Jr / 1997 / Fistula formation and repair after palatal closure: an institutional perspective / Plast Reconstr Surg 99:1535~1538

Ahmed MK / 2015 / Risk of per-sistent palatal fistula in patients with cleft palate / JAMA Facial Plast Surg 17:126~130

Sullivan SR / 2011 / Submucous cleft palate and velopharyngeal insufficiency: comparison of speech outcomes using three operative techniques by one surgeon / Cleft Palate Craniofac J 48:561~570

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