Speech results in adult Swedish patients born with bilateral complete cleft lip and palate.
Thirty-six adult patients (26 men and 10 women) who had been operated on for bilateral complete cleft lip and palate (BCLP) were evaluated with regard to long-term follow-up consisting of clinical investigation, perceptual speech analysis, and self-estimation of quality of speech. Twenty-six had had a von Langenbeck repair at the age of 14 months (L-14 group), and 10 a Wardill repair at the age of 18 months (W-18 group). Statistical comparisons between the groups were made by univariate and multiple logistic regression analyses. Both groups had a large percentage of hypernasality despite a high incidence of velopharyngeal flaps in both. There were no significant differences between the groups regarding any of the analysed speech variables. The outcomes of hypernasality, nasal escape, velopharyngeal friction sounds, hyponasality, and general impression indicate, however, a slightly better result for the L-14 group.
Farzaneh
Farokh
F
Department of Plastic and Reconstructive Surgery, University of Lund, Malmö University Hospital, Malmö, Sweden. Farokh.Farzaneh@med.lu.se
Becker
Magnus
M
Peterson
Ann-Margaret
AM
Svensson
Henry
H
D000328:Adult; D000367:Age Factors; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013065:Speech Intelligibility; D013524:Surgical Flaps; D011795:Surveys and Questionnaires; D013548:Sweden; D016896:Treatment Outcome; D014833:Voice Quality; D055815:Young Adult