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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Speech results after repair of the cleft soft palate
Plastic and Reconstructive Surgery, Volume 95, No. 7, Year 1995
Notification
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Description
The purpose of this study was to investigate the speech results of five different techniques of repair of only the cleft soft palate and also to assess the effect of timing of repair on speech results. A total of 184 patients (73 males, 111 females) underwent either a Dorrance repair (25 patients), a Wardill repair (41 patients), a Perko repair (19 patients), a von Langenbeck repair (79 patients), or a Furlow Z-plasty (20 patients) between 1964 and 1989. Articulation, intelligibility, and resonance were assessed by usually two but at least one speech therapist. All the children underwent videofluoroscopy. The follow-up period was from 3 to 24 years, with a mean of 9.6 years. The Furlow Z-plasty and Perko repair yielded the best speech results. There was a significant difference in speech and less velopharyngeal incompetence (Fisher’s exact test, p = 0.0218) when the palate was repaired prior to 6 months of age as compared with after 6 months of age (for all the techniques except the Dorrance repair). Fistulas are uncomm on after repair of only the soft palate. © 1995 American Society of Plastic Surgeons.
Authors & Co-Authors
Grobbelaar, Adriaan O.
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
South Africa, Cape Town
University of Cape Town
Hudso, D. A.
South Africa, Observatory
Groote Schuur Hospital
Fernandes, Des B.
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
South Africa, Cape Town
University of Cape Town
Lentin, Roslyn
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
South Africa, Cape Town
University of Cape Town
Statistics
Citations: 46
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.1097/00006534-199506000-00002
ISSN:
00321052
Research Areas
Maternal And Child Health
Study Design
Cohort Study
Participants Gender
Female