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Related Concept Videos

Assessment of the Mouth01:26

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
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The inspection begins with visually examining the mouth for symmetry, color, and size.
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Method of Studying Palatal Fusion using Static Organ Culture
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CLAPP Classification Scheme and Treatment Algorithm for Submucous Cleft Palate.

Muhammad Daiem1,2, Farrukh Aslam Khalid3, Marvee Turk4

  • 1CLAPP Hospital, Lahore, Pakistan.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|May 19, 2025
PubMed
Summary
This summary is machine-generated.

A new classification and treatment algorithm for Submucous Cleft Palate (SMCP) significantly improved speech outcomes in 89.9% of patients. This standardized approach enhances surgical results for SMCP management.

Keywords:
cleft palatefistulahard palatepalatoplastypharyngeal flapsoft palatespeech assessmentspeech developmentspeech productionspeech therapyvelopharyngeal dysfunction

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Otolaryngology
  • Speech Pathology

Background:

  • Submucous Cleft Palate (SMCP) presents diagnostic and management challenges.
  • Lack of standardized classification and treatment algorithms can lead to variable surgical outcomes.
  • Objective assessment of speech is crucial for evaluating treatment efficacy in SMCP patients.

Purpose of the Study:

  • To introduce a novel classification scheme and treatment algorithm for Submucous Cleft Palate (SMCP).
  • To standardize patient management and improve surgical outcomes for SMCP.
  • To evaluate the efficacy of the proposed classification and algorithm on speech improvement and complication rates.

Main Methods:

  • Retrospective review of 252 patients with SMCP managed between 2015 and 2023.
  • Classification based on the extent of the zona pellucida and palatal length.
  • Tailored surgical interventions including midline incisions, Von Langenbeck techniques, palatal lengthening, and pharyngeal flaps.

Main Results:

  • Significant speech improvement observed, with 89.9% of patients transitioning from moderate/severe to mild hypernasality.
  • Pharyngeal flap surgery demonstrated a statistically significant improvement in speech outcomes (p < .001).
  • Post-operative fistula formation occurred in 8.7% of cases, aligning with existing literature.

Conclusions:

  • The proposed SMCP classification scheme and treatment algorithm offer a practical framework for standardized management.
  • Implementation of this framework is expected to enhance postoperative outcomes for patients with Submucous Cleft Palate.
  • Further research can validate and refine this approach for broader clinical application.