title: Influences of different palatoplasties on palatal growth and speech development: comparison between Osada's two-stage palatoplasty and one-stage mucosal flap procedure.
abstract: Palatal growth and articulation in two different palatal closure techniques, Osada's two-stage procedure and the conventional one-stage procedure, were evaluated in 12 patients. Osada's procedure (hard palate closure using a vomer flap with complete closure of the raw surface by a full thickness skin graft) is a two-stage operation that consists of early soft palate closure at the time of lip closure (3 to 6 months of age). The palatal sizes and the depth of the palatal arch were significantly greater in the two-stage group than in the one-stage group at 1 year of age and, 3 to 5 years of age. There were no differences between the two groups at the velopharyngeal closure evaluation after hard palate closure and at final speech evaluation. Osada's two-stage palatoplasty has many advantages and we believe that this is one of the most recommendable procedures at present.
authors.affiliation: Department of Plastic Surgery, Tokai University School of Medicine, Kanagawa, Japan. k-kawai@is.icc.u-tokai.ac.jp
authors.forename: Tadashi
authors.initials: T
authors.lastname: Akamatsu
authors.forename: Ryuzaburo
authors.initials: R
authors.lastname: Tanino
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Osada
authors.forename: Yuko
authors.initials: Y
authors.lastname: Sakuma
mesh_terms: D001184:Articulation Disorders / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D002675:Child, Preschool; D002972:Cleft Palate / Q000150:complications / Q000601:surgery; D003735:Dental Casting Technique; D006801:Humans; D007223:Infant; D019647:Oral Surgical Procedures / Q000379:methods*; D010159:Palate / Q000254:growth & development* / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation; D013060:Speech; D013062:Speech Articulation Tests; D013524:Surgical Flaps; D016896:Treatment Outcome; D014681:Velopharyngeal Insufficiency / Q000150:complications / Q000601:surgery