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Updated: Dec 20, 2025
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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
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Speech outcome after intravelar veloplasty.
A Moreau1, C Charpuis-Vandenbogaerde1, C Neiva-Vaz1
1Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France.
Summary
This study evaluated speech outcomes in patients with isolated unilateral non-syndromic cleft lip and palate. The surgical protocol, including gingivoperiostoplasty, demonstrated improved speech intelligibility and phonation competence.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Speech Pathology
Background:
- Cleft lip and palate is a common craniofacial malformation.
- Various surgical techniques exist for palate restoration.
- Evaluating phonation outcomes is crucial for patient quality of life.
Purpose of the Study:
- To assess phonation in patients with isolated unilateral non-syndromic cleft lip and palate.
- To evaluate speech outcomes before and after alveolar cleft closure.
- To analyze the effectiveness of a specific surgical protocol.
Main Methods:
- Retrospective study of 71 patients with isolated non-syndromic unilateral cleft lip and palate (UCLP).
- Standardized surgical protocol: cheilorhinoplasty, direct hard palatal closure, alveolar cleft closure with bone graft.
- Phonation and clinical status evaluated pre- and post-alveolar cleft closure; fistula rate and speech recorded.
Main Results:
- Oronasal fistula rate was 12.7%.
- Phonation competence was observed in 76% of patients before alveolar cleft closure.
- Phonation competence increased to 86% after alveolar cleft closure (gingivoperiostoplasty).
Conclusions:
- The described surgical protocol yields positive speech results for UCLP patients.
- Gingivoperiostoplasty significantly enhances speech intelligibility.
- This protocol offers a viable option for managing UCLP.
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