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[Speech outcome after simple and multiple cleft palate operations].

T Bressmann¹, R Sader, P Jürgens

¹Graduate Department of Speech-Language Pathology, Faculty of Medicine, University of Toronto, 6 Queen's Park Crescent West, Toronto ON M5S 3H2, Kanada. tim.bressmann@utoronto.ca

Mund-, Kiefer- Und Gesichtschirurgie : MKG

|May 23, 2002

Summary

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Secondary surgeries for cleft palate do not negatively impact speech outcomes compared to primary closure. However, pharyngeal flap surgery in cleft palate patients did not improve speech measures.

Area of Science:

Craniofacial surgery
Speech-language pathology

Context:

Cleft lip and palate (CLP) patients often require secondary operations for residual defects like fistulas or velar insufficiency.
Surgeons commonly believe these reoperations negatively affect speech, specifically nasal resonance and articulation.

Purpose:

To critically evaluate the impact of secondary palatal reoperations on speech outcomes in cleft lip and palate patients.
To compare speech results between patients with primary palatal closure, secondary reoperations, and those with an additional pharyngeal flap.

Summary:

No significant differences in perceptual resonance and articulation, nasalance, or speech rate were found between CLP patients with primary palatal closure and those undergoing secondary reoperations.
Patients who received an additional pharyngeal flap operation showed significantly worse outcomes across all speech measures compared to the other groups.

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Impact:

Findings challenge the informal belief that secondary palatal reoperations negatively impact speech in CLP patients.
The pharyngeal flap procedure, in this cohort, did not yield speech improvements and was associated with poorer outcomes.