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Related Concept Videos

Psychosurgery01:30

Psychosurgery

47
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
47

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Cross-Sectional and Longitudinal Psychosocial Risk Assessment in Families of Children With Craniofacial Conditions: A Retrospective Chart Review Study.

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A Comparative Effectiveness Study of Speech and Surgical Outcomes: Study Overview.

Kathy L Chapman1, Thomas Sitzman2, Adriane Baylis3

  • 1Department of Communication Sciences & Disorders, University of Utah, Salt Lake City, UT, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
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Summary

This study compares two common cleft palate repair techniques, evaluating speech outcomes and fistula rates. It also examines early intervention speech-language services to improve cleft care.

Keywords:
cleft lip and palateoutcomesprospective studyspeech productionsurgical technique

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Area of Science:

  • Craniofacial surgery
  • Speech-language pathology
  • Pediatric healthcare outcomes

Background:

  • Cleft palate repair involves complex surgical techniques with varying speech outcomes.
  • The role of early intervention speech-language (EI-SL) services in optimizing speech development post-palatoplasty is not fully elucidated.
  • The Cleft Outcomes Research NETwork (CORNET) provides a platform for multi-center research in cleft care.

Purpose of the Study:

  • To compare speech outcomes and fistula rates between straight-line closure with intra-velar veloplasty (IVVP) and Furlow Double-Opposing Z-palatoplasty (Furlow Z-plasty).
  • To assess practice variations in the use of EI-SL services for children with cleft palate.
  • To explore the association between EI-SL services and speech outcomes in this population.

Main Methods:

  • A prospective, longitudinal, observational, multi-center study involving 1247 children with cleft palate.
  • Comparison of IVVP and Furlow Z-plasty based on surgeon's standard protocol.
  • Primary outcome: perceptual ratings of hypernasality at age 3; secondary outcomes: fistula rate, speech production, quality of life. Statistical analysis using generalized estimating equations with propensity score weighting.

Main Results:

  • Recruitment completed, with 80% retention and 562 children finishing 3-year speech assessments.
  • Data analysis is ongoing to determine the comparative effectiveness of palatoplasty techniques and the impact of EI-SL services.

Conclusions:

  • The study addresses critical questions regarding the effectiveness of common palatoplasty techniques.
  • CORNET's infrastructure will facilitate future research in comprehensive cleft care.
  • Findings will inform clinical practice and improve outcomes for children with cleft palate.