Speech Outcomes Following Orticochea Pharyngoplasty in Patients With History of Cleft Palate and Noncleft Velopharyngeal Dysfunction

被引:1
作者
Birch, Alison L. [1 ]
Jordan, Zoe, V [1 ]
Ferguson, Louisa M. [1 ]
Kelly, Clare B. [2 ]
Boorman, John G. [1 ]
机构
[1] Guys & St Thomas NHS Fdn Trust, South Thames Cleft Serv, Evelina London, London, England
[2] Kings Coll London, Dept Women & Childrens Hlth, London, England
关键词
pharyngoplasty; velopharyngeal function; speech disorders; resonance; VELOCARDIOFACIAL SYNDROME; PHARYNGEAL FLAP; SPHINCTER PHARYNGOPLASTY; AUDIT PROTOCOL; INSUFFICIENCY; CHILDREN; SURGERY; HYPERNASALITY; ARTICULATION; MANAGEMENT;
D O I
10.1177/10556656211010623
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective: To report speech outcomes following Orticochea pharyngoplasty in 43 patients with cleft palate and noncleft velopharyngeal dysfunction. Design: A retrospective surgical audit of patients undergoing Orticochea pharyngoplasty between 2004 and 2012, with speech as a primary outcome measure. Setting: Patients known to a regional UK cleft center. Methods: Forty-three patients underwent Orticochea pharyngoplasty by a single surgeon in a UK regional cleft center. Twenty-one patients had undergone a prior procedure for velopharyngeal dysfunction. Pre- and postoperative speech samples were assessed blindly using the Cleft Audit Protocol for Speech-Augmented by a specialist cleft speech and language therapist, external to the team. Speech samples were rated on the following parameters: hypernasality, hyponasality, audible nasal emission, nasal, turbulence, and passive cleft speech characteristics. Statistical differences in pre- and postoperative speech scores were tested using the Wilcoxon matched-pairs signed-ranks test. Inter- and intrareliability scores were calculated using weighted Cohen kappa. Results: Whole group: A statistically significant difference in pre- and postoperative scores for hypernasality (P < .001), hyponasality (P < .05), nasal emission (P < .01), and passive cleft speech characteristics (P < .01) were reported. Patients with cleft diagnoses: A statistically significant difference in scores for hypernasality (P < .001), nasal emission (P < .01), and passive cleft speech characteristics (P < .01) were reported for this group of patients. Patients with noncleft diagnoses: The only parameter to demonstrate a statistically significant difference was hypernasality (P < .01) in this group. Conclusions: Orticochea pharyngoplasty is a successful surgical procedure in treating velopharyngeal dysfunction in both the cleft and noncleft populations.
引用
收藏
页码:277 / 290
页数:14
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