Speech evaluation and dental arch shape following pushback palatoplasty in cleft palate patients: Supraperiosteal flap technique versus mucoperiosteal flap technique

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Shizuyo ItoEtsuhide Yamamoto

Abstract

The aim of this study was to evaluate and compare the maxillary dental arch shape and speech of cleft palate patients following pushback palatoplasty using either the supraperiosteal flap technique or the mucoperiosteal flap technique. Sixty-two patients (29, cleft palate only; 33, unilateral cleft lip, alveolus and palate) operated on by the supraperiosteal technique and 47 patients (23, cleft palate only; 24 unilateral cleft lip, alveolus and palate) by the mucoperiosteal technique were reviewed in this study. Dental arch shape and speech proficiency at preschool and school age were evaluated in all patients. Dental arch shapes were classified as U type (good dental arch shape) and V type (narrow dental arch shape). In cleft palate only patients, U type was observed in 90% of the supraperiosteal group and 83% of the mucoperiosteal group. In unilateral cleft lip, alveolus and palate patients, U type was observed in 85% of the supraperiosteal group, while only in 33% of the mucoperiosteal group. In cleft palate only patients, normal speech at school age was observed 100% of the supraperiosteal group and 83% of the mucoperiosteal group. In unilateral cleft lip, alveolus and palate patients, normal speech at school age was observ...Continue Reading

References

Feb 1, 1991·Annals of Plastic Surgery·K OkazakiT Onizuka
Nov 1, 1996·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·T S LeenstraH P Freihofer
Jun 24, 2003·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Makoto NoguchiGen iku Kohama
Feb 1, 1960·The Journal of Speech and Hearing Disorders·M C GREENE

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Citations

Mar 26, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Seda Asfuroğlu BarutcaMithat Akan
Sep 3, 2008·Journal of Zhejiang University. Science. B·Jun WuLi-shu Liao
Jul 25, 2008·Journal of Dental Research·J LiuJ W Von den Hoff
May 22, 2010·The Journal of Craniofacial Surgery·In Sik YunBe-Young Yun Park
May 16, 2015·The Journal of Craniofacial Surgery·Kant Y LinKathleen Borowitz
Aug 19, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Kiyoko NakagawaMikihiko Kogo
Dec 4, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Rafael DenadaiLun-Jou Lo

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