Speech Results After One-Stage Palatoplasty with or without Muscle Reconstruction for Isolated Cleft Palate

2009 ◽  
pp. 100108144704043
Author(s):  
Jill Nyberg ◽  
Liisi Raud Westberg ◽  
Erik Neovius ◽  
Ola Larson ◽  
Gunilla Henningsson
Keyword(s):  
Cleft Palate ◽  
One Stage ◽  
Isolated Cleft Palate

Pharyngeal Flaps after One- and Two-stage Repair of the Cleft Palate: A 25-Year Review of 520 Patients

1995 ◽  
Vol 32 (3) ◽  
pp. 206-216 ◽  
Author(s):  
Sigfrid Vedung
Keyword(s):  
Cleft Palate ◽  
Surgical Procedure ◽  
Hard Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Two Stage ◽  
One Stage ◽  
Bilateral Cleft Lip ◽  
Pharyngeal Flap ◽  
Isolated Cleft Palate

Between 1962 and 1976, a one-stage surgical procedure was performed on 328 cases of cleft lip and palate or isolated cleft palate. From 1977 to 1986, a two-stage surgical procedure was performed on 192 patients. After one-stage repair, 22 (6.7%) required a pharyngeal flap at the age of 6 years, and 13 (7%) required a flap after two-stage repair. When the patients were 14 years or older, 56 (17%) needed a flap after one-stage repair, and 14 (24%) required a flap after two-stage repair. Two-stage repair at 24 months and 5.2 years resulted in more patients in need of pharyngeal flaps than those who had repair at 12 to 18 months and 3 years. In both groups, at age 10, the incidence of flaps was approximately 20% after closure of isolated cleft palate involving the hard palate, with 11 to 12% in patients with unilateral cleft lip and palate (UCLP) or clefts of the soft palate only, and 14 to 16% in patients with bilateral cleft lip and palate (BCLP). The pharyngeal flap was more often used in girls than in boys, especially in cases with CP only. Approximately 85% of the flaps were carried out before the age of 10 years, and only a few flaps may have been related to involution of the adenoid. The incidence of fistulas was higher after one-stage repair of cleft lip and palate (CLP) (p < .05) and lower in patients with CP only (p < .05), compared with the results after two-stage repair. Pharyngeal flaps were slightly more common after two-stage repair. The possible advantages of two-stage repair in relationship to maxillary growth, which may justify the second operation, will be investigated when the patients are older.

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