The effects of Le Fort I osteotomy on velopharyngeal function in cleft patients

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http://hdl.handle.net/10138/310824

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Alaluusua , S , Turunen , L , Saarikko , A , Geneid , A , Leikola , J & Heliövaara , A 2019 , ' The effects of Le Fort I osteotomy on velopharyngeal function in cleft patients ' , Journal of Cranio-Maxillo-Facial Surgery , vol. 47 , no. 2 , pp. 239-244 . https://doi.org/10.1016/j.jcms.2018.11.016

Title: The effects of Le Fort I osteotomy on velopharyngeal function in cleft patients
Author: Alaluusua, Suvi; Turunen, Leena; Saarikko, Anne; Geneid, Ahmed; Leikola, Junnu; Heliövaara, Arja
Contributor: University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, Plastiikkakirurgian yksikkö
University of Helsinki, Staff Services
University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
Date: 2019-02
Language: eng
Number of pages: 6
Belongs to series: Journal of Cranio-Maxillo-Facial Surgery
ISSN: 1010-5182
URI: http://hdl.handle.net/10138/310824
Abstract: Introduction: Maxillary advancement may affect speech in cleft patients. The aim of this study was to evaluate whether preoperative velopharyngeal (VP) function and cleft type can predict VP function after a Le Fort I maxillary osteotomy. Materials and methods: One hundred consecutive nonsyndromic cleft patients (54 females, 64 males) who underwent Le Fort I osteotomies were retrospectively evaluated. Pre- and postoperative VP function was assessed perceptually and instrumentally by a Nasometer. A five-point scale was used to rate velopharyngeal insufficiency symptoms (VPI 0-4). To assess reliability, 30 video recordings were re-evaluated. Results: Preoperatively, 89% of patients had normal or insignificant VPI (0-1), and only 3% had moderate VPI (3). Postoperatively, 77% of patients had VPI values of 0-1 and 14% had moderate to severe VPI values (VPI 3-4). A positive correlation was found between pre- and postoperative VPI scores, whereas the cleft type did not affect speech results. Patients with a preoperatively normal VPI (0) were not at risk for postoperative velopharyngeal incompetence. Conclusions: There was an overall significant negative change in speech after a Le Fort I osteotomy. At-risk patients presented with borderline (1) or more severe VPI (2 and 3) preoperatively. (C) 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Subject: Cleft palate
Maxillary advancement
Velopharyngeal function
Osteotomy
Speech
CRANIOFACIAL CEPHALOMETRIC MORPHOLOGY
ORTHOGNATHIC SURGERY
MAXILLARY ADVANCEMENT
LATER NEED
SPEECH
LIP
PALATE
ARTICULATION
OUTCOMES
IMPACT
313 Dentistry
3126 Surgery, anesthesiology, intensive care, radiology
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