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Related Experiment Videos

Changes in speech following maxillary distraction osteogenesis.

T W Guyette1, J W Polley, A Figueroa

  • 1Department of Speech Pathology and Audiology, Marquette University, Milwaukee, Wisconsin 53201-1881, USA. guyette@vms.csd.mu.edu

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|June 2, 2001
PubMed
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Maxillary distraction osteogenesis can alter speech, potentially increasing hypernasality in some patients. However, many experience improved nasal resonance and articulation, highlighting the need for speech evaluations post-surgery.

Area of Science:

  • Craniofacial surgery
  • Speech pathology
  • Maxillofacial reconstruction

Background:

  • Maxillary distraction osteogenesis (MDO) is a surgical technique to lengthen the maxilla.
  • Changes in velopharyngeal function and articulation are potential outcomes of MDO.

Purpose of the Study:

  • To describe changes in articulation and velopharyngeal function after MDO.
  • To assess the impact of MDO on speech resonance and clarity.

Main Methods:

  • A descriptive, post hoc clinical report analyzing pre- and postoperative data from 18 MDO patients.
  • Outcome measures included hypernasality, hyponasality, velopharyngeal orifice size (pressure-flow technique), and articulation errors.

Main Results:

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  • 16.7% of patients showed increased hypernasality at long-term follow-up.
  • 75% of patients with preoperative hyponasality improved.
  • Articulation improved in 67% of patients by 1 year post-surgery.
  • Conclusions:

    • The risk of velopharyngeal insufficiency after MDO is comparable to Le Fort I advancement, especially in cleft palate patients.
    • Pre- and postoperative speech evaluations and counseling are crucial for patients undergoing MDO.