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Related Experiment Videos

[Long-term results after velopharyngoplasty].

C Küttner1, J J Brücher, K Lüerssen

  • 1Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Interdisziplinäres Zentrum für Gesichtsfehlbildungen, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625 Hannover. Kuettner.christian@mh-hannover.de

Mund-, Kiefer- Und Gesichtschirurgie : MKG
|March 29, 2003
PubMed
Summary

Velopharyngoplasty (VPP) significantly improves speech and resonance disorders in children with cleft palate, even enabling normal colloquial language for many. Long-term results show decreased nasality and better articulation after VPP surgery.

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Area of Science:

  • Craniofacial Surgery
  • Speech-Language Pathology
  • Pediatric Otolaryngology

Background:

  • Children with cleft palate often experience speech and resonance issues post-surgery.
  • Velopharyngoplasty (VPP) is considered when conservative therapies fail.
  • This study assesses the long-term efficacy of VPP.

Purpose of the Study:

  • To evaluate the long-term outcomes of velopharyngoplasty (VPP) in children with cleft palate.
  • To assess improvements in speech intelligibility, nasality, and overall speech function.
  • To determine the success of VPP in achieving functional language.

Main Methods:

  • Follow-up of 26 patients an average of 9 years post-VPP.
  • Phoniatric-pedaudiologic examinations, including hearing and language assessments.

Related Experiment Videos

  • Subjective evaluation of speech intelligibility and nasality by speech pathologists and laymen.
  • Objective nasalance measurement using NasalView with standardized test materials.

    • Main Results:

    • Significant improvements in hearing, language, and speech function were observed.
    • Decreased nasality and enhanced articulation were noted post-VPP.
    • Speech intelligibility was generally favorable, with few patients experiencing speech handicaps.
    • NasalView analysis showed varied but generally positive trends in nasalance values compared to controls.

    Conclusions:

    • VPP is effective for patients with therapy-resistant nasality, leading to significant speech improvement.
    • Normal colloquial language is achievable for many patients following VPP.
    • Nasalance evaluation is a successful tool for assessing VPP surgical outcomes.