title: Outcomes for children with submucous cleft palate and velopharyngeal insufficiency.
abstract: OBJECTIVE
  To review the outcomes of children with submucous cleft palate who also have velopharyngeal insufficiency (VPI).
  
  
  METHODS
  A retrospective chart review was carried out at a tertiary care academic centre of all patients who had VPI with a submucous cleft palate. The University of Iowa Cleft Palate registry parameters encompassing nasality (hyper- and hyponasality) were compared pre- and postoperatively.
  
  
  RESULTS
  Preliminary results demonstrate a significant, stable improvement in children who underwent palatal surgery for VPI.
  
  
  CONCLUSIONS
  Positive outcomes in the treatment of VPI in the submucous cleft palate population were demonstrated with a combined approach of speech therapy and palatal surgery.
authors.affiliation: University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
authors.forename: Murad
authors.initials: M
authors.lastname: Husein
authors.forename: Eugene
authors.initials: E
authors.lastname: Chang
authors.forename: Benjamin
authors.initials: B
authors.lastname: Cable
authors.forename: Michael
authors.initials: M
authors.lastname: Karnell
authors.forename: Lucy Hynds
authors.initials: LH
authors.lastname: Karnell
authors.forename: John W
authors.initials: JW
authors.lastname: Canady
mesh_terms: D002675:Child, Preschool; D002972:Cleft Palate / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D011182:Postoperative Care; D011300:Preoperative Care; D012042:Registries; D012086:Reoperation; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013064:Speech Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D016896:Treatment Outcome; D014681:Velopharyngeal Insufficiency / Q000150:complications / Q000503:physiopathology / Q000601:surgery*