Journal of Prevention and Treatment for Stomatological Diseases ›› 2017, Vol. 25 ›› Issue (1): 41-43.doi: 10.12016/j.issn.2096-1456.2017.01.008

• Cinical Study • Previous Articles     Next Articles

Effects of adult cleft palate surgery combined with pharyngoplasty

Fang TAN1,Hai BAO1,Chun HUANG1,Feng CAI2()   

  1. 1. Department of Oral and Maxillofacial Surgery, Guiyang Stomatology Hospital, Guiyang 550000, China
    2. Department of Stomatology, Central Hospital of Wuhan, Wuhan 430014, China
  • Received:2016-04-05 Revised:2016-05-11 Online:2017-01-20 Published:2017-01-20
  • Contact: Feng CAI E-mail:328864092@qq.com

Abstract:

Objective To assess the voice recoverment of pharynplasty given at the same time with the velopharyngeal closure surgery.Methods 36 cases of cleft palate patients aged 18-32 years were divided into control group (18 cases) and experimental group (18 cases). Only cleft palate surgery was given in the control group, while pharyngoplasty combined with the palate closure surgery were given in the experimental group. Wound healing assessment were performed after 1 week , and voice improvement were compared in the 2 groups after 3 months.Results Well wound healings without any infections were achieved in all the cases, except for 1 case had a palate dehiscence 1 week after the operation. Dysarthria and nasal leak were improved significantly in the experiment group (P < 0.05), however the nasal resonance improvement between the 2 groups were not significantly different (P > 0.05).Conclusion Adult cleft palate surgery combined with the pharyngeal angioplasty is a recommended method.

Key words: Adult cleft palate, Pharynplasty, Voice assessment, Dysarthria, Nasal leak

CLC Number: 

  • R782

Table 1

Comparison of dysarthria"

构音清晰度(%) 试验组 对照组
<35% 3 1
35%~70% 10 7
70%~96% 5 9
>96% 0 1

Table 2

Comparison of nasal resonance degree of improvement"

Table 3

Comparison of nasal leak degree of improvement"

Figure 1

Typical case picture"

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