Speech Improvement of the Patients Performed Primary Palatal Repair over 4 Years Old

4세 이후에 구개성형술을 시행받은 환자의 발음개선

  • Kang, Cheol Uk (Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University) ;
  • Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University) ;
  • Nam, Su Bong (Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University) ;
  • Kang, Young Seok (Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University) ;
  • Kwon, Soon Bok (Department of Speech & Language Clinic, College of Medicine, Pusan National University)
  • 강철욱 (부산대학교 의과대학 성형외과학교실) ;
  • 배용찬 (부산대학교 의과대학 성형외과학교실) ;
  • 남수봉 (부산대학교 의과대학 성형외과학교실) ;
  • 강영석 (부산대학교 의과대학 성형외과학교실) ;
  • 권순복 (부산대학교 의과대학 언어치료실)
  • Received : 2006.02.06
  • Published : 2006.05.10

Abstract

Time to time, we face patients who missed the proper time for primary palatal repair. Although we do not have enough available documents, it is important to establish efficacy of palatal repair in patients more than 4 years old. From May 1995 to March 2005, we selected 14 patients who underwent palatal repair in more than 4 years old patients and they are able to tolerate speech articulation tests. Out of 14 patients 5 males an 9 females in sex, aged form 4 to 50 years old. 6 patients with incomplete cleft palate and 8 patients with submucous cleft palate. Double reversing Z-plasty(n=5), pushback palatoplasty(n=4), two flap palatoplasty(n=2), von Langenbeck palatoplasty(n=2), and intravelar veloplasty(n=1) were performed. Preoperative and postoperative speech articulation test, "Simple method of speech evaluation in Korean patients with cleft palate", were conducted. Satisfaction rate was sorted into 5 levels. There is no significant statistical correlation in the speech improvement, satisfaction rate, patients sex, cleft type and operative method. But there is significant statistical correlation between the speech improvement and patienet's age. There were better result in younger patient group than aged patients group.

Keywords

References

  1. Kim JH, Bae YC, Hwang SM, Jeon JY: Simple method of speech evaluation in the Korean patient with cleft palate. J Korean Soc Plast Reconstr Surg 26: 858, 1999
  2. Peet E: The oxford technique of cleft palate repair. Plast Reconstr Surg 28: 282, 1961 https://doi.org/10.1097/00006534-196109000-00008
  3. Dorf DS, Curtin JW: Early cleft palate repair and speech outcome. Plast Reconstr Surg 70: 74, 1982 https://doi.org/10.1097/00006534-198207000-00015
  4. Kaplan EN: Cleft palate repair at three months- Ann Plast Surg 7: 179, 1981 https://doi.org/10.1097/00000637-198109000-00001
  5. Robertson NR, Jolleys A: The timing of hard palate repair. Scand J Plast Reconstr Surg 8: 49, 1974 https://doi.org/10.3109/02844317409084370
  6. Randall P, LaRossa D: Cleft palate. In McCarthy JG (eds): Plastic Surgery. Philadelphia, WB Saunders Co., 1990, p 2723
  7. Shin J, Lee YH, Lew JD: Clinical observation of cleft palate. J Korean Soc Plast Reconstr Surg 6: 39, 1979
  8. Rohrich RJ, Rowsell AR, Johns DF, Drury MA, Grieg G, Watson DJ, Godfrey AM, Poole MD: Timing of hard palatal closure: A critical long-term analysis. Plast Reconstr Surg 98: 236, 1996 https://doi.org/10.1097/00006534-199608000-00005
  9. Berkowitz S, Duncan R, Evans C, Friede H, Kuijpers-Jagtman AM, Prahl-Anderson B, Rosenstein S: Timing of cleft palate closure should be based on the ratio of the area of the cleft to that of the palatal segments and not on age alone. Plast Reconstr Surg 115: 1483, 2005 https://doi.org/10.1097/01.PRS.0000161673.31770.23
  10. Trier WC: Velopharyngeal incompetency in the absence of overt cleft palate: anatomic and surgical considerations. Cleft palate J 20: 209, 1983
  11. Chung JH, Lee SH, Park BY, Rha DK, Suh JS: Study of cranial base structure and velopharyngeal movement in patients with submucous cleft palate using velopharyngogram. J Korean Soc Plast Reconstr Surg 25: 1328, 1998
  12. Morris HL: Communication skills of children with cleft lips and palates. J Speech Hear Res 5: 79, 1962 https://doi.org/10.1044/jshr.0501.79
  13. Spriestersbach DC, Moll KL, Morris HL: Subject classification and articulation of speakers with cleft palates. J Speech Hear Res 4: 362, 1961 https://doi.org/10.1044/jshr.0404.362