Incidence of Velopharyngeal insufficiency After Primary Cleft Palate Repair: A 27-Year Assessment of One Surgeon’s Experience
Background: Velopharyngeal insufficiency (VPI) is a major complication of cleft palate repair. The purpose of this study was to evaluate the incidence and predictive factors of VPI after cleft palate repair based on 27 years of one surgeon’s experience. Methods: Medical records were retrospectively...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
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| Series: | Archives of Plastic Surgery |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2263-7857 |
| _version_ | 1797321079867310080 |
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| author | Chan Woo Jung hyungjoon Seo Yeseul Choi Yong Chan Bae |
| author_facet | Chan Woo Jung hyungjoon Seo Yeseul Choi Yong Chan Bae |
| author_sort | Chan Woo Jung |
| collection | DOAJ |
| description | Background: Velopharyngeal insufficiency (VPI) is a major complication of cleft palate repair. The purpose of this study was to evaluate the incidence and predictive factors of VPI after cleft palate repair based on 27 years of one surgeon’s experience.
Methods: Medical records were retrospectively reviewed for 652 patients who underwent cleft palate repair between 1995 and 2021. After exclusion of those with other syndromes or developmental disorders, the study included 374 patients with sufficient follow-up until the age of 4 years, when language evaluation was possible. VPI status was categorized through subjective and objective tests into normal, VPI, and borderline. We analyzed potential differences in VPI incidence by multiple factors. Factors with significance were analyzed to confirm the relationships between sub-variables.
Results: Of the 374 patients, 311 (83.2%) exhibited normal pronunciation, 51 (13.6%) had VPI, and 12 (3.2%) were borderline. Primary cleft palate repair performed after 18 months was associated with a higher incidence of VPI than repair conducted before 18 months (p=0.005). The incidence of VPI was higher in cases of submucous cleft palate than in the other types based on the Veau classification (p=0.011). However, in the multivariable analysis, only the submucous type showed statistically significant results (p=0.026).
Conclusions: A total of 374 people underwent primary cleft palate repair, and 13.6% of those with VPI required secondary therapy. The incidence of VPI was relatively high among patients with primary cleft palate repair after 18 months and patients with submucous cleft palate.
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| first_indexed | 2024-03-08T04:52:22Z |
| format | Article |
| id | doaj.art-263bafa8a0a84894aa5cd28d9673505a |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-03-08T04:52:22Z |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-263bafa8a0a84894aa5cd28d9673505a2024-02-07T23:55:42ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-617110.1055/a-2263-7857Incidence of Velopharyngeal insufficiency After Primary Cleft Palate Repair: A 27-Year Assessment of One Surgeon’s ExperienceChan Woo Jung0hyungjoon Seo1Yeseul Choi2Yong Chan Bae3Department of Plastic and Reconstructive Surgery, Busan National UniversityDepartment of Plastic and Reconstructive Surgery, Busan National University, busan, Korea (the Republic of)Department of Rehabilitation Medicine, Busan National University Hospital, Busan, Korea (the Republic of)Department of Plastic and Reconstructive Surgery, Busan National University, busan, Korea (the Republic of)Background: Velopharyngeal insufficiency (VPI) is a major complication of cleft palate repair. The purpose of this study was to evaluate the incidence and predictive factors of VPI after cleft palate repair based on 27 years of one surgeon’s experience. Methods: Medical records were retrospectively reviewed for 652 patients who underwent cleft palate repair between 1995 and 2021. After exclusion of those with other syndromes or developmental disorders, the study included 374 patients with sufficient follow-up until the age of 4 years, when language evaluation was possible. VPI status was categorized through subjective and objective tests into normal, VPI, and borderline. We analyzed potential differences in VPI incidence by multiple factors. Factors with significance were analyzed to confirm the relationships between sub-variables. Results: Of the 374 patients, 311 (83.2%) exhibited normal pronunciation, 51 (13.6%) had VPI, and 12 (3.2%) were borderline. Primary cleft palate repair performed after 18 months was associated with a higher incidence of VPI than repair conducted before 18 months (p=0.005). The incidence of VPI was higher in cases of submucous cleft palate than in the other types based on the Veau classification (p=0.011). However, in the multivariable analysis, only the submucous type showed statistically significant results (p=0.026). Conclusions: A total of 374 people underwent primary cleft palate repair, and 13.6% of those with VPI required secondary therapy. The incidence of VPI was relatively high among patients with primary cleft palate repair after 18 months and patients with submucous cleft palate. http://www.thieme-connect.de/DOI/DOI?10.1055/a-2263-7857 |
| spellingShingle | Chan Woo Jung hyungjoon Seo Yeseul Choi Yong Chan Bae Incidence of Velopharyngeal insufficiency After Primary Cleft Palate Repair: A 27-Year Assessment of One Surgeon’s Experience Archives of Plastic Surgery |
| title | Incidence of Velopharyngeal insufficiency After Primary Cleft Palate Repair: A 27-Year Assessment of One Surgeon’s Experience |
| title_full | Incidence of Velopharyngeal insufficiency After Primary Cleft Palate Repair: A 27-Year Assessment of One Surgeon’s Experience |
| title_fullStr | Incidence of Velopharyngeal insufficiency After Primary Cleft Palate Repair: A 27-Year Assessment of One Surgeon’s Experience |
| title_full_unstemmed | Incidence of Velopharyngeal insufficiency After Primary Cleft Palate Repair: A 27-Year Assessment of One Surgeon’s Experience |
| title_short | Incidence of Velopharyngeal insufficiency After Primary Cleft Palate Repair: A 27-Year Assessment of One Surgeon’s Experience |
| title_sort | incidence of velopharyngeal insufficiency after primary cleft palate repair a 27 year assessment of one surgeon s experience |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2263-7857 |
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