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Results of two-flap palatoplasty with regard to speech production

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Summary

Forty-five children with unilateral cleft lip and palate, who underwent two-flap palatoplasty as described by Bardach [6], were examined primarily for speech patterns using a previously designed protocol. Results indicated that in 80% of patients, velopharyngeal function was within normal limits. However, more than half (62%) needed further dental treatment or speech therapy (51%) before normal speech production could be expected. These findings indicate that the two-flap method is highly satisfactory as a technique for primary palatoplasty.

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References

  1. Bardach J (1967) Cleft lip and palate (Monograph). Polish Institute of Medical Publications (in Polish)

  2. Bardach J, Mooney MP, Bardach E (1982) The influence of two-flap palatoplasty on facial growth: In beagles. Plast Reconstr Surg 69:927–935

    Google Scholar 

  3. Bardach J (1984) Unilateral cleft palate repair. In: Gates GA (ed) Current therapy in otolaryngology-head and neck surgery, 1984–1985. Decker, Philadelphia veloplasty: The Marburg Project. Plast Reconstr Surg 207–215

    Google Scholar 

  4. Bardach J, Morris H, Olin W, McDermott-Murray J, Mooney M, Bardach E (1984) Late results of multidisciplinary management of unilateral cleft lip and palate. Ann Plast Surg 12:235–242

    Google Scholar 

  5. Bardach J, Salyer K (1987) Surgical techniques in cleft lip and palate. Year Book Medical Publishers, Chicago

    Google Scholar 

  6. Blocksma R, Leuz CA, Beernink JH (1975) A study of deformity following cleft palate repair in patients with normal lip and alveolus. Cleft Palate J 12:390–399

    Google Scholar 

  7. Herfert O (1954) Experimenteller Beitrag zur Frage der Schädigung des Oberkiefer-Wachstums durch vorzeitige Gaumenspaltoperation. Dtsch Zahn Mund Kieferheilkd 20:369–381

    Google Scholar 

  8. Herfert O (1956) Tierexperimentelle Untersuchungen über die biologische Wertigkeit von Brückenlappen (Axhausen) und Steillappen (Palatinalappen) bei der Gaumenplastik. Dtsch Zahn Mund Kieferheilkd 24:112–120

    Google Scholar 

  9. Herfert O (1958) Fundamental investigations into problems related to cleft palate surgery. Br J Plast Surg 11: 97–105

    Google Scholar 

  10. Hotz M, Perko M, Nussbaumer H, Van Demark D (1987) Long term speech results of the Zurich two-stage palatoplasty. 4th Hamburg International Symposium: Craniofacial Anomalies and Cleft Lip, Alveolus and Palate, Hamburg

  11. Krause C, Tharp R, Morris H (1976) A comparative study of results of the von Langenbeck and the V-Y pushback palatoplasties. Cleft Palate 113:11–19

    Google Scholar 

  12. Kremenak CR Jr, Huffman WC, Olin W Jr (1967) Growth of maxillae in dogs after palatal surgery: I. Cleft Palate J 4:6–17

    Google Scholar 

  13. McWilliams BJ, Morris HL, Shelton RL (eds) (1984) Cleft palate speech. Decker, Toronto

    Google Scholar 

  14. Morris HL (1987) The Hamburg project: Speech production patterns of adolescent German speakers with cleft palate. 4th Hamburg International Symposium: Craniofacial Anomalies and Cleft Lip, Alveolus, and Palate Hamburg

  15. Morris HL (1978) Velopharyngeal competence and the Demjen W/V-Y technique. Chapter 4. In: Morris HL (ed) The Bratislava project: Some cleft palate surgical results. University of Iowa Press, Iowa City

    Google Scholar 

  16. Morris HL (1973) Velopharyngeal competence and primary cleft palate surgery, 1960–1971: A critical review. Cleft Palate J 10:62–71

    Google Scholar 

  17. Morris HL, Spriestersbach DC, Darley FL (1961) An articulation test assessing competency of velopharyngeal closure. J Speech Hear Res 4:48–55

    Google Scholar 

  18. Van Demark DR (1974) A comparison of articulation abilities and velopharyngeal competency between Danish and Iowa children with cleft palate. Cleft Palate J 11:463–470

    Google Scholar 

  19. Van Demark DR, Kuehn DD, Tharp RF (1975) Prediction of velopharyngeal competency. Cleft Palate J 12:5–11

    Google Scholar 

  20. Van Demark DR, Morris HL (1981) Predictive variables for articulation skills of cleft palate speakers (poster). 4th International Congress on Cleft Palate and Related Craniofacial Anomalies, Acapulco

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Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, Cleft Palate Center, The University of Iowa Hospitals and Clinics, 52242, Iowa City, IA, USA

    H. L. Morris, J. Bardach, D. R. VanDemark, D. L. Jones & S. G. Sharkey

Authors
  1. H. L. Morris
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  2. J. Bardach
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  3. D. R. VanDemark
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  4. D. L. Jones
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  5. S. G. Sharkey
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Additional information

This study was supported in part by PHS Program-Project Grants DE-00853 and DE-08537, The National Institute for Dental Research

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Morris, H.L., Bardach, J., VanDemark, D.R. et al. Results of two-flap palatoplasty with regard to speech production. Eur J Plast Surg 12, 19–24 (1989). https://doi.org/10.1007/BF00226916

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  • DOI: https://doi.org/10.1007/BF00226916

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