Comparison of speech outcomes using type 2b intravelar veloplasty or furlow double-opposing Z plasty for soft palate repair of patients with unilateral cleft lip and palate


KARA M., ÇALIŞ M., Kara İ. , KULAK KAYIKCI M. E. , GÜNAYDIN R. Ö. , Ozgur F.

Journal of Cranio-Maxillofacial Surgery, vol.49, no.3, pp.215-222, 2021 (Journal Indexed in SCI Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 49 Issue: 3
  • Publication Date: 2021
  • Doi Number: 10.1016/j.jcms.2021.01.003
  • Title of Journal : Journal of Cranio-Maxillofacial Surgery
  • Page Numbers: pp.215-222
  • Keywords: Cleft palate repair, Furlow palatoplasty, Intravelar veloplasty, Nasalance scores, Soft palate repair, Speech assessment

Abstract

© 2021 European Association for Cranio-Maxillo-Facial SurgeryBackground: The aim of this study is to compare speech outcomes, fistula rates, and rates of secondary speech surgeries after palatoplasty using Furlow palatoplasty or type 2b intravelar veloplasty for soft palate repair. Patients and methods: Patients with unilateral cleft lip and palate who had either Furlow palatoplasty or intravelar veloplasty for soft palate repair were retrospectively evaluated for demographic and perioperative variables and speech outcomes. Fistula rate, secondary surgical intervention for improved speech results, and findings of speech assessment were further reviewed for the patients who met the inclusion criteria. Results: A total of 76 patients, 36 in the Furlow palatoplasty group and 40 in the intravelar veloplasty group, were included in the study. In the speech assessment, nasalance values were statistically similar between the two groups. Also, there was no statistically significant difference between the groups in velopharyngeal motility (p = 0.103). The total rates of secondary surgeries and fistula were statistically similar between the groups (p = 0.347 and 0.105, respectively). Conclusion: The similar outcomes of speech and surgical evaluation between the two groups make the surgeon's preference determinant in the selection of the surgical technique for soft palate repair.