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Updated: Jul 6, 2026
14:13
Coordinate Mapping of Hyolaryngeal Mechanics in Swallowing
Published on: May 6, 2014
[Primary "swallowing" function in relation to cleft type after 18 years of interdisciplinary therapy]
K O Henkel1, A Dieckmann, O Dieckmann
1Klinik für Mund- Kiefer- und Plastische Gesichtschirurgie, Universität Rostock, Strempelstrasse 13, 18057 Rostock. kai-olaf.henkel@med.uni-rostock.de
Mund-, Kiefer- Und Gesichtschirurgie : MKG
|November 27, 2002
Summary
Interdisciplinary cleft treatment generally leads to physiological swallowing patterns. However, patients with bilateral cleft lip and palate require special attention for optimal outcomes.
Area of Science:
- Craniofacial surgery
- Pediatric dentistry
- Speech pathology
Background:
- Comprehensive rehabilitation is the goal of modern cleft care.
- Achieving a physiological swallowing pattern alongside aesthetic and functional recovery is a key consideration.
Purpose of the Study:
- To evaluate the effectiveness of interdisciplinary cleft treatment in achieving physiological swallowing patterns.
- To identify patient groups with differing prognoses for swallowing function.
Main Methods:
- A retrospective study at Rostock Cleft Center involving 117 cleft patients treated from birth to 18 years.
- Tongue position during swallowing was assessed and categorized.
- A control group of 197 non-cleft orthodontic patients was included for comparison.
Main Results:
- 87-88% of patients with isolated palatal clefts achieved physiological swallowing.
- 74% of unilateral cleft lip and palate cases showed physiological swallowing.
- Only 46% of bilateral complete cleft lip and palate patients achieved physiological swallowing, compared to 95% in controls.
Conclusions:
- Interdisciplinary treatment is largely successful in establishing physiological swallowing in cleft patients.
- Bilateral cleft lip and palate presents a critical prognosis for swallowing function, necessitating specialized care.
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