A Concealed Problem: Submucous Cleft Palate and Treatment of Related Speech Disturbances

Submucous cleft palate is a specialized subgroup of cleft pathologies, with a worldwide incidence of approximately 1 in 600 live births. Besides the classical triad of bifid uvula, muscle diastasis (zona pellucida) and a notch at the posterior hard palate (defined by Calnan), the anatomical presen...

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Main Authors: Mert Çalış, Figen Özgür
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-09-01
Series:Turkish Journal of Plastic Surgery
Subjects:
Online Access:http://turkjplastsurg.org/sayilar/77/buyuk/108-1124.pdf
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author Mert Çalış
Figen Özgür
author_facet Mert Çalış
Figen Özgür
author_sort Mert Çalış
collection DOAJ
description Submucous cleft palate is a specialized subgroup of cleft pathologies, with a worldwide incidence of approximately 1 in 600 live births. Besides the classical triad of bifid uvula, muscle diastasis (zona pellucida) and a notch at the posterior hard palate (defined by Calnan), the anatomical presentation of submucous cleft palate may differ. Unlike overt cleft palate, because of the concealed anatomical appearance, submucous cleft pathologies may be ignored during routine evaluations. For cases with a minor deformity, speech therapy may be initiated as the first-line treatment; however, for cases necessitating surgical treatment, speech therapy must be initiated later. There are various surgical options for the treatment of submucous cleft palate. However, when speech results are taken into consideration, the timing of surgery appears to be much more important than the option selected for surgical treatment. In contrast, we believe that for cases with severe velopharyngeal insufficiency, a pharngeal flap must contribute to surgical treatment as the first-line option.
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spelling doaj.art-f45ecbfcadf24adfaa8b2972232dd12b2023-02-15T16:07:06ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442016-09-0124310811210.5152/TurkJPlastSurg.2016.2089A Concealed Problem: Submucous Cleft Palate and Treatment of Related Speech DisturbancesMert Çalış0Figen Özgür 1Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University School of Medicine, Ankara, TurkeyDepartment of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University School of Medicine, Ankara, TurkeySubmucous cleft palate is a specialized subgroup of cleft pathologies, with a worldwide incidence of approximately 1 in 600 live births. Besides the classical triad of bifid uvula, muscle diastasis (zona pellucida) and a notch at the posterior hard palate (defined by Calnan), the anatomical presentation of submucous cleft palate may differ. Unlike overt cleft palate, because of the concealed anatomical appearance, submucous cleft pathologies may be ignored during routine evaluations. For cases with a minor deformity, speech therapy may be initiated as the first-line treatment; however, for cases necessitating surgical treatment, speech therapy must be initiated later. There are various surgical options for the treatment of submucous cleft palate. However, when speech results are taken into consideration, the timing of surgery appears to be much more important than the option selected for surgical treatment. In contrast, we believe that for cases with severe velopharyngeal insufficiency, a pharngeal flap must contribute to surgical treatment as the first-line option.http://turkjplastsurg.org/sayilar/77/buyuk/108-1124.pdfSubmucous cleft palatevelopharyngeal insufficiency
spellingShingle Mert Çalış
Figen Özgür
A Concealed Problem: Submucous Cleft Palate and Treatment of Related Speech Disturbances
Turkish Journal of Plastic Surgery
Submucous cleft palate
velopharyngeal insufficiency
title A Concealed Problem: Submucous Cleft Palate and Treatment of Related Speech Disturbances
title_full A Concealed Problem: Submucous Cleft Palate and Treatment of Related Speech Disturbances
title_fullStr A Concealed Problem: Submucous Cleft Palate and Treatment of Related Speech Disturbances
title_full_unstemmed A Concealed Problem: Submucous Cleft Palate and Treatment of Related Speech Disturbances
title_short A Concealed Problem: Submucous Cleft Palate and Treatment of Related Speech Disturbances
title_sort concealed problem submucous cleft palate and treatment of related speech disturbances
topic Submucous cleft palate
velopharyngeal insufficiency
url http://turkjplastsurg.org/sayilar/77/buyuk/108-1124.pdf
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