Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 12 , Pages 1736-1742 , December 2006

Speech Outcome After Cranial-Based Pharyngeal Flap in Children Born With Total Cleft, Cleft Palate, or Primary Velopharyngeal Insufficiency

  • Anthony Stephan de Buys Roessingh, MD, MER

      Affiliations

    • Pediatric Surgeon, Department of Pediatric Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr de Buys Roessingh: Service de Chirurgie Pédiatrique, Centre Hospitalier Universitaire Vaudois (CHUV), CH-1011 Lausanne, Switzerland
    • ,
  • Jacques Cherpillod, MD, MER

      Affiliations

    • Pediatric Otolaryngologist, Department of Otolaryngology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
    • ,
  • Chantal Trichet-Zbinden

      Affiliations

    • Specialist Speech and Language Therapist, Multidisciplinary Cleft Team, Department of Pediatric Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
    • ,
  • Judith Hohlfeld, MD, MER, PD

      Affiliations

    • Pediatric Surgeon and Department Head, Department of Pediatric Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

References 

  1. Neimann GS, Duncan DS: Perceptions of social and vocational acceptability of adults with facial disfigurement and velopharyngeal insufficiency. Presented at the American Cleft Palate-Craniofacial Association Annual Meeting, New York, 1986
  2. Wattenberg W, Clifford E. Relation of the self-concepts to beginning achievement in reading. Child Dev. 1964;35:461
  3. Persson C, Elander A, Lohmander-Agerskov A, et al. Speech outcomes in isolated cleft palate: Impact of cleft extent and additional malformations. Cleft Palate Craniofac J. 2002;39:397
  4. McWilliams BJ, Morris HL, Shelton RJ. Cleft Palate Speech. Philadelphia: BC Decker; 1990;
  5. Marsh JL, Wray RC. Speech prosthesis versus pharyngeal flap: A randomized evaluation of the management of VP incompetency. Plast Reconstr Surg. 1980;65:592
  6. Borel-Maisonny S. L’insuffisance vélaire, point de vue de l’orthophoniste. Reeduc Orthophon. 1975;13:61
  7. Shprintzen RJ, Lewin M, Croft CH. A comprehensive study of pharyngeal flap surgery: Tailor-made flaps. Cleft Palate J. 1979;16:46
  8. Malek R. Cleft Lip and Palate: Lesions, Pathophysiology and Primary Treatment. London: Martin Dunitz; 2000;
  9. Schönborn C. Über eine neue Methode der Staphylorraphie. Langenbecks Arch Klin Chir. 1875;19:527
  10. Sanvenero-Rosselli G. Die Gaumenplastik unter Verwendung von Pharynxlappen Langenbecks. Arch Klin Chir. 1960;56:295
  11. Fischer-Brandies E, Nejedlo I. A modification of the Sanvenero-Rosselli velopharyngoplasty. J Craniomaxillofac Surg. 1991;21:19
  12. Treaton AM. Etude de la phonation des fentes labio-palatines opérées selon le schéma de Schweckendieck. Glossa. 1987;5:30
  13. Morris HL, Bardach J, Ardinger HD, et al. Multidisciplinary treatment results for patients with isolated cleft palate. Plast Reconstr Surg. 1993;92:842
  14. Lohmander-Agerskov A, Havstam C, Söderpalm E, et al. Assessment of speech in children after repair of isolated cleft palate. Scand J Plast Reconstr Surg Hand Surg. 1993;27:307
  15. Marrinan EM, LaBrie RA, Mulliken JB. Velopharyngeal function in nonsyndromic cleft palate: Relevance of surgical technique, age at repair, and cleft type. Cleft Palate Craniofac J. 1998;35:95
  16. Härtel J, Gundlach K, Ruicold R. Incidence of velopharyngoplasty following various techniques of palatoplasty. J Craniomaxillofac Surg. 1994;22:272
  17. Shprintzen RJ. Evaluation of velopharyngeal insufficiency. Otolaryngol Clin North Am. 1989;22:519
  18. Brothers DB, Dalston RW, Peterson HD, et al. Comparison of the Furlow double-opposing Z-platoplasty with the Wardil-Kilner procedure for isolated clefts of the soft palate. Plast Reconstr Surg. 1995;95:969
  19. Haapanen ML, Rintala AE. Comparison of quality of speech after Veau-Wardil-Kilner pushback operation and the Cronin modification in the primary treatment of cleft palate. Scand J Plast Reconstr Surg Hand Surg. 1993;27:113
  20. McPherson DI, Jerger J. Impedance audiometry. Arch Otolaryngol. 1971;93:338
  21. Whitaker LA, Randall P, Graham WP. A prospective and randomized series comparing superiorly and inferiorly based posterior pharyngeal flaps. Cleft Palate J. 1972;9:304
  22. Hogan MV. Clarification of the surgical goals in cleft palate speech and the introduction of lateral port control (LPC) pharyngeal flap. Cleft Palate J. 1973;10:331
  23. Kapetansky DI. Bilateral transverse pharyngeal flaps for repair of cleft palate. Plast Reconstr Surg. 1973;52:52
  24. Karling J, Henningsson G, Larson O. Comparison between two types of pharyngeal flap with regard to configuration at rest and function and speech outcome. Cleft Palate Craniofac J. 1999;36:154
  25. Karling J, Henningsson G, Larson O, et al. Adaptation of pharyngeal wall adduction after pharyngeal flap surgery. Cleft Palate Craniofac J. 1999;36:166
  26. Becker M, Svenson H, Sarnäs KV, et al. Wardill procedures for primary palate repair in patients with isolated cleft palate: Speech results. Scand J Plast Reconstr Surg Hand Surg. 2000;34:27
  27. Argamaso RV, Shprintzen RJ, Strauch B, et al. The role of lateral pharyngeal wall movement in flap surgery. Plast Reconstr Surg. 1980;66:214
  28. Barone CM, Shprintzen RJ, Strauch BS, et al. Pharyngeal flap revision: Flap elevation from a sacred posterior pharynx. Plast Reconstr Surg. 1994;93:279
  29. Barot LR, Cohen MA, Larossa D. Surgical indications and techniques for posterior pharyngeal flap revision. Ann Plast Surg. 1986;16:527
  30. Witt PD, Myckatyn T, Marsh JL. Salvaging the failed pharyngoplasty: Intervention outcome. Cleft Palate Craniofac J. 1998;35:447

PII: S0278-2391(06)01405-4

doi: 10.1016/j.joms.2005.11.103

Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 12 , Pages 1736-1742 , December 2006

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