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Submucous cleft palate

H W Porterfield, L R Mohler, A Sandel

    Plastic and Reconstructive Surgery
    |July 1, 1976
    PubMed
    Summary

    For patients with submucous cleft palate (SMCP) needing surgery for hypernasality, a pharyngeal flap procedure, with or without palatoplasty, yields superior speech outcomes compared to palatoplasty alone.

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    Area of Science:

    • Otolaryngology
    • Speech-Language Pathology
    • Plastic Surgery

    Background:

    • Submucous cleft palate (SMCP) is a congenital condition affecting speech, often requiring surgical intervention.
    • Hypernasality is a common consequence of SMCP, necessitating treatment to improve communication.
    • Surgical techniques for SMCP aim to correct anatomical defects and improve velopharyngeal function.

    Purpose of the Study:

    • To compare the speech outcomes of different surgical approaches for submucous cleft palate.
    • To evaluate the efficacy of pharyngeal flap versus palatoplasty alone in managing hypernasality.

    Main Methods:

    • Retrospective review of 97 cases of submucous cleft palate.
    • Analysis of surgical interventions, with 79 patients undergoing operations.
    • Comparative assessment of speech results based on surgical technique.

    Main Results:

    • Pharyngeal flap surgery, whether combined with palatoplasty or performed alone, resulted in better speech outcomes.
    • Palatoplasty alone was associated with less favorable speech results in patients with hypernasality.
    • The study highlights the effectiveness of the pharyngeal flap in addressing velopharyngeal insufficiency in SMCP.

    Conclusions:

    • Pharyngeal flap augmentation is recommended for patients with submucous cleft palate experiencing hypernasality.
    • Combined pharyngeal flap and palatoplasty offers improved speech results.
    • Surgical choice significantly impacts speech intelligibility in SMCP patients.

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