Treatment outcome after neonatal cleft lip repair in 5-year-old children with unilateral cleft lip and palate
Language English Country Ireland Media print-electronic
Document type Journal Article
PubMed
27368446
DOI
10.1016/j.ijporl.2016.05.024
PII: S0165-5876(16)30114-8
Knihovny.cz E-resources
- Keywords
- Neonatal cleft lip surgery, One-stage palatal repair, Speech outcomes measurements, The GOSLON Yardstick, Unilateral cleft lip and palate,
- MeSH
- Child MeSH
- Clinical Protocols MeSH
- Voice Quality MeSH
- Humans MeSH
- Maxilla growth & development MeSH
- Child, Preschool MeSH
- Speech MeSH
- Cleft Palate surgery MeSH
- Cleft Lip surgery MeSH
- Age Factors MeSH
- Treatment Outcome MeSH
- Dental Arch MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
INTRODUCTION: The aim of this study was to assess speech outcomes and dental arch relationship of 5-year-old Czech patients with unilateral cleft lip and palate (UCLP) who have undergone neonatal cleft lip repair and one-stage palatal closure. METHODS AND MATERIALS: Twenty-three patients with UCLP, born between 2009 and 2010, were included in the study. Three universal speech parameters (hypernasality, articulation and speech intelligibility) have been devised for speech recordings evaluation. Outcomes of dental arch relationship were evaluated by applying the GOSLON Yardstick and subsequently compared with the GOSLON outcome of other cleft centers. RESULTS: Moderate hypernasality was present in most cases, the mean value for articulation and speech intelligibility was 2.07 and 1.93, respectively. The Kappa values for inter-examiner agreement for all the three speech outcomes ranged from 0.786 to 0.808. Sixty-three percent of patients were scored GOSLON 1 and 2, 26% GOSLON 3, and 10% GOSLON 4. GOSLON mean score was 2.35. Interrater agreement was very good, represented by kappa value of 0.867. CONCLUSION: The treatment protocol, involving neonatal cleft lip repair and one-stage palatal repair performed up to the first year of UCLP patient's life, has shown good speech outcomes and produced very good treatment results in regard to maxillary growth, comparable with other cleft centers.
Faculty of Medicine Masaryk University Brno Czech Republic
Recetox Faculty of Science Masaryk University Kamenice 753 5 625 00 Brno Czech Republic
References provided by Crossref.org
