Intraoperative suction test as a predictor of velopharyngeal competence.
A simple, inexpensive intraoperative test to estimate the probability of adequate speech development following cleft palatal or pharyngeal flap surgery is described. Its results were reviewed in 151 patients over a 10-year period. The positive predictive value of the test is 92% for not requiring further surgery and 83% for development of adequate speech. The results and their meaning are discussed.
Baker
S
S
University of Miami School of Medicine, FL 33125.
Millard
D R
DR
D001184:Articulation Disorders / Q000175:diagnosis; D002972:Cleft Palate / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D007430:Intraoperative Care; D010614:Pharynx / Q000601:surgery; D011237:Predictive Value of Tests; D013064:Speech Disorders / Q000175:diagnosis; D013068:Speech Production Measurement / Q000379:methods*; D013396:Suction / Q000379:methods*; D014681:Velopharyngeal Insufficiency / Q000175:diagnosis* / Q000601:surgery; D014832:Voice Disorders / Q000175:diagnosis; D014833:Voice Quality