Clinical Outcomes of Primary Palatal Surgery in Children with Nonsyndromic Cleft Palate with and without Lip.
This study presents clinical outcomes of primary cleft palate surgery, including rate of oronasal fistula development, rate of velopharyngeal insufficiency (VPI) requiring secondary surgery, and speech outcomes. We examined the effect of cleft type on the clinical outcomes. Retrospective analysis was performed using clinical records of all patients who received a primary palatoplasty at the Cleft Palate Clinic at Seoul Asan Medical Center, South Korea, between 2007 and 2012. The study included 292 patients with nonsyndromic overt cleft palate (± cleft lip). The results revealed that the rate of oronasal fistula was 7.9% and the incidence of VPI based on the rate of secondary palatal surgery was 19.2%. The results showed that 50.3% of all the patients had received speech therapy and 28.8% and 51.4% demonstrated significant hypernasality and articulatory deficits, respectively. The results of the rate of VPI and speech outcomes were significantly different in terms of cleft type. Except for the rate of oronasal fistula, patients with cleft palate generally exhibited better clinical outcomes compared to those with bilateral or unilateral cleft lip and palate. This study suggests that several factors, including cleft type, should be identified and comprehensively considered to establish an optimal treatment regimen for patients with cleft palate.
Division of Speech Pathology and Audiology, Audiology and Speech Pathology Research Institute, Hallym University, Chuncheon 200-702, Republic of Korea.
Seunghee
S
Ha
Department of Plastic Surgery, Seoul Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Republic of Korea.
Kyung S
KS
Koh
Department of Plastic Surgery, Seoul Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Republic of Korea.
Heewon
H
Moon
Department of Plastic Surgery, Seoul Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Republic of Korea.
Seungeun
S
Jung
Department of Plastic Surgery, Seoul Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Republic of Korea.
Tae Suk
TS
Oh
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000453:epidemiology* / Q000601:surgery*; D002972:Cleft Palate / Q000453:epidemiology* / Q000601:surgery*; D015897:Comorbidity; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D016155:Oral Fistula / Q000453:epidemiology*; D019647:Oral Surgical Procedures / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology; D019651:Plastic Surgery Procedures / Q000706:statistics & numerical data; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014681:Velopharyngeal Insufficiency / Q000453:epidemiology; D055815:Young Adult