Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and Palate
Background Maxillary hypoplasia refers to a deficiency in the growth of the maxilla commonly seen in patients with a repaired cleft palate. Those who develop maxillary hypoplasia can be offered a repositioning of the maxilla to a functional and esthetic position. Velopharyngeal dysfunction is one o...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2012-05-01
|
| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.3.198 |
| _version_ | 1798005898009903104 |
|---|---|
| author | Seok-Kwun Kim Ju-Chan Kim Ju-Bong Moon Keun-Cheol Lee |
| author_facet | Seok-Kwun Kim Ju-Chan Kim Ju-Bong Moon Keun-Cheol Lee |
| author_sort | Seok-Kwun Kim |
| collection | DOAJ |
| description | Background Maxillary hypoplasia refers to a deficiency in the growth of the maxilla commonly seen in patients with a repaired cleft palate. Those who develop maxillary hypoplasia can be offered a repositioning of the maxilla to a functional and esthetic position. Velopharyngeal dysfunction is one of the important problems affecting speech after maxillary advancement surgery. The aim of this study was to investigate the impact of maxillary advancement on repaired cleft palate patients without preoperative deterioration in speech compared with non-cleft palate patients.
Methods Eighteen patients underwent Le Fort I osteotomy between 2005 and 2011. One patient was excluded due to preoperative deterioration in speech. Eight repaired cleft palate patients belonged to group A, and 9 non-cleft palate patients belonged to group B. Speech assessments were performed preoperatively and postoperatively by using a speech screening protocol that consisted of a list of single words designed by Ok-Ran Jung. Wilcoxon signed rank test was used to determine if there were significant differences between the preoperative and postoperative outcomes in each group A and B. And Mann-Whitney U test was used to determine if there were significant differences in the change of score between groups A and B.
Results No patients had any noticeable change in speech production on perceptual assessment after maxillary advancement in our study. Furthermore, there were no significant differences between groups A and B.
Conclusions Repaired cleft palate patients without preoperative velopharyngeal dysfunction would not have greater risk of deterioration of velopharyngeal function after maxillary advancement compared to non-cleft palate patients. |
| first_indexed | 2024-04-11T12:46:22Z |
| format | Article |
| id | doaj.art-59e5d276746148cd85cf64eaa006dcc3 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T12:46:22Z |
| publishDate | 2012-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-59e5d276746148cd85cf64eaa006dcc32022-12-22T04:23:20ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-05-01390319820210.5999/aps.2012.39.3.198Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and PalateSeok-Kwun Kim0Ju-Chan Kim1Ju-Bong Moon2Keun-Cheol Lee3Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine, Busan, KoreaDepartment of Plastic and Reconstructive Surgery, Dong-A University School of Medicine, Busan, KoreaDepartment of Plastic and Reconstructive Surgery, Dong-A University School of Medicine, Busan, KoreaDepartment of Plastic and Reconstructive Surgery, Dong-A University School of Medicine, Busan, KoreaBackground Maxillary hypoplasia refers to a deficiency in the growth of the maxilla commonly seen in patients with a repaired cleft palate. Those who develop maxillary hypoplasia can be offered a repositioning of the maxilla to a functional and esthetic position. Velopharyngeal dysfunction is one of the important problems affecting speech after maxillary advancement surgery. The aim of this study was to investigate the impact of maxillary advancement on repaired cleft palate patients without preoperative deterioration in speech compared with non-cleft palate patients. Methods Eighteen patients underwent Le Fort I osteotomy between 2005 and 2011. One patient was excluded due to preoperative deterioration in speech. Eight repaired cleft palate patients belonged to group A, and 9 non-cleft palate patients belonged to group B. Speech assessments were performed preoperatively and postoperatively by using a speech screening protocol that consisted of a list of single words designed by Ok-Ran Jung. Wilcoxon signed rank test was used to determine if there were significant differences between the preoperative and postoperative outcomes in each group A and B. And Mann-Whitney U test was used to determine if there were significant differences in the change of score between groups A and B. Results No patients had any noticeable change in speech production on perceptual assessment after maxillary advancement in our study. Furthermore, there were no significant differences between groups A and B. Conclusions Repaired cleft palate patients without preoperative velopharyngeal dysfunction would not have greater risk of deterioration of velopharyngeal function after maxillary advancement compared to non-cleft palate patients.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.3.198le fort osteotomyvelopharyngeal insufficiencyspeech |
| spellingShingle | Seok-Kwun Kim Ju-Chan Kim Ju-Bong Moon Keun-Cheol Lee Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and Palate Archives of Plastic Surgery le fort osteotomy velopharyngeal insufficiency speech |
| title | Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and Palate |
| title_full | Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and Palate |
| title_fullStr | Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and Palate |
| title_full_unstemmed | Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and Palate |
| title_short | Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and Palate |
| title_sort | perceptual speech assessment after maxillary advancement osteotomy in patients with a repaired cleft lip and palate |
| topic | le fort osteotomy velopharyngeal insufficiency speech |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.3.198 |
| work_keys_str_mv | AT seokkwunkim perceptualspeechassessmentaftermaxillaryadvancementosteotomyinpatientswitharepairedcleftlipandpalate AT juchankim perceptualspeechassessmentaftermaxillaryadvancementosteotomyinpatientswitharepairedcleftlipandpalate AT jubongmoon perceptualspeechassessmentaftermaxillaryadvancementosteotomyinpatientswitharepairedcleftlipandpalate AT keuncheollee perceptualspeechassessmentaftermaxillaryadvancementosteotomyinpatientswitharepairedcleftlipandpalate |