ISRA MEDICAL JOURNAL p-ISSN: 2073-8285
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الأربعاء 14 صفر 1443
Wednesday 22nd September 2021
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Volume 13 - Issue 2, Apr - June 2021
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Title:
Evaluation of outcome of Palatoplasty in patients with Isolated Cleft Palate Defect: A Retrospective Observational study.
Authors:
Ghulam Saqulain, Nazia Mumtaz, Jawwad Ahmed
Published on:
2021-06-30
Journal Reference:
Volume 13 - Issue 2     Apr - Jun 2021
Pages:
119-122
Download Abstract:

  ABSTRACT

Objective: To evaluate the outcome of palatoplasty in terms of closure of velopharyngeal gap and correction of speech in patients with isolated cleft palate.

Study Design: Retrospective observational study.

Place and Duration:  ENT Department, Capital Hospital PGMI, Islamabad, Pakistan, from 1st January 2016 to 31st December 2017.

Methodology: Medical record of patients with isolated cleft palate having undergone palatoplasty from both genders aged 1-12 years were reviewed for demographic and clinical information. Data collected including age, gender, cleft type, age at palatoplasty, type of palatoplasty, post-palatoplasty velopharyngeal gap and pre and 6 months post-operative speech.

Results: Among total of 32 patients, good repair with palatoplasty was achieved in 68.8% cases and 31.3% were left with large velopharyngeal gap with significantly better repair results for secondary cleft compared to primary with p=0.002. In the <1 year age group post-operative velopharyngeal gap was normal while in the 1 to 4 year age group  out of 26, 6 had large and 4 had moderate velopharyngeal gap (p=0.012). Results also revealed significant ((p=0.01) improvement in speech results compared to pre-operative speech with significantly better results (p=0.007) for secondary cleft.

Conclusion:  Age at palatoplasty has significant association with velopharyngeal gap/ insufficiency (p=0.012), while it has no significant association with speech results (p=0.415) especially when comparing <1 year and 1-4 years age group.

Keywords: Cleft palate, Palatoplasty, Age, Reconstruction, Langenbeck procedure, Rhinolalia, Velopharyngeal gap, V-Y pushback.

How to Cite This:

SaqulainG, MumtazN, Ahmed J. Evaluation of outcome of Palatoplasty in patients with Isolated Cleft Palate Defect: A Retrospective Observational study. Isra Med J. 2021; 13(2): 119-122.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.