The effects of palatal lengthening on the functional and speech outcomes after submucous cleft palate repair

• Published in: Otolaryngologia polska = The Polish otolaryngology Vol. 70; no. 1; p. 41
• Main Authors: Ezzat, Abdelrahman E M, El-Begermy, Marwa M, Eid, Mustafa I, Akel, Mabrouk M
• Format: Journal Article
• Language: English
• Published: Poland 29.02.2016
• Subjects: Child; Child, Preschool; Cleft Palate - surgery; Eustachian Tube - physiopathology; Female; Follow-Up Studies; Humans; Male; Otorhinolaryngologic Surgical Procedures; Palatal Muscles - surgery; Palate, Soft - surgery; Prospective Studies; Reconstructive Surgical Procedures - methods; Risk Assessment; Treatment Outcome; Velopharyngeal Insufficiency - etiology; Velopharyngeal Insufficiency - surgery
• ISSN: 2300-8423
• DOI: 10.5604/00306657.1193690

This study was designed to compare intravelar veloplasty with and without V-Y pushback palatoplasty regarding postoperative functional and speech outcomes. is to find out the importance and influence of palatal lengthening on the functional and speech outcomes after SMCP repair. This is a prospective randomized comparative study of 20 patients divided into 2 equal groups. The study was conducted between February 2008 and January 2015. Radical Intravelar Veloplasty (RIVVP group): included 10 patients with a mean age of 5.539±1.335 years and V-Y Pushback Pharyngoplasty and Radical Intravelar Veloplasty (VYP+RIVVP group): included 10 patients with a mean age of 5.688±1.341 years for non-syndromic SMCP. Academic tertiary care medical centres. In both groups there was a significant change in Eustachian tube function, nasal emission and nasal tone of voice postoperatively than preoperatively, while there was no significant difference between both groups in the postoperative outcomes as regards the same parameters (ET function, nasal emission and resonance) (p=0.558, 0.563 and 0.164 respectively). However, there was a significant difference between both groups as regards palatal lengthening, no statistically significant difference was present between both groups as regards the postoperative mean pharyngeal gap, using videoendoscopic analysis. In conclusion, RIVVP and VYP+RIVVP are both effective methods to repair non-syndromic SMCP. Moreover, the lengthening of the palate in non-syndromic SMCP is an unnecessary process.