Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Velopharyngeal function in cleft patients undergoing maxillary advancement

M L Haapanen1, M Kalland, A Heliövaara

  • 1Department of Plastic Surgery, Helsinki University Central Hospital Töölö Hospital, Finland.

Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)
|January 1, 1997
PubMed
Summary

Maxillary advancement surgery can impair velopharyngeal (VP) function in cleft lip and palate patients. This study found that 27% of patients experienced VP function impairment after Le Fort I osteotomy.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Comparison of a third surgical protocol for the treatment of unilateral cleft lip and palate: a multidisciplinary systematic review and meta-analysis.

International journal of oral and maxillofacial surgery·2025
Same author

Between unity and disparity: current treatment protocols for common orofacial clefts in European expert centres.

International journal of oral and maxillofacial surgery·2024
Same author

Long-term skeletal, cephalometric, and volumetric changes in two Helsinki bimaxillary face transplant patients.

International journal of oral and maxillofacial surgery·2024
Same author

The effectiveness of Nurture and Play: a mentalisation-based parenting group intervention for prenatally depressed mothers.

Primary health care research & development·2019
Same author

Force measurements during posterior calvarial vault osteodistraction: A novel measurement method.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery·2017
Same author

SEEG dipole source localization based on an empirical Bayesian approach taking into account forward model uncertainties.

NeuroImage·2017

Area of Science:

  • Oral and Maxillofacial Surgery
  • Speech-Language Pathology
  • Craniofacial Anomalies

Background:

  • Maxillary advancement, often achieved through Le Fort I osteotomy, repositions the midface.
  • Movement of the hard palate's posterior border can affect the velopharyngeal mechanism.
  • Impairment of velopharyngeal (VP) function is a potential complication following this procedure.

Purpose of the Study:

  • To evaluate the impact of maxillary advancement on velopharyngeal (VP) function.
  • To assess changes in speech and nasalance in cleft lip and palate patients post-osteotomy.

Main Methods:

  • Fifteen cleft lip and palate patients undergoing Le Fort I osteotomy were studied.
  • Maxillary advancement was measured using cephalometric radiographs.

Related Experiment Videos

  • VP function was assessed via perceptual speech evaluation, pressure-flow analysis, and nasalance scores preoperatively and at 2, 6, and 12 months postoperatively.

    • Main Results:

    • Maxillary advancement led to impaired velopharyngeal (VP) function in 4 out of 15 patients (27%).
    • Changes in VP function were monitored over a 12-month period post-surgery.

    Conclusions:

    • Le Fort I osteotomy for maxillary advancement carries a risk of velopharyngeal (VP) dysfunction in cleft lip and palate patients.
    • Regular monitoring of VP function is crucial after maxillary advancement surgery in this population.