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- W2069890037 abstract "Objective: This study aimed to evaluate the effectiveness of pharyngeal flap surgery (PFS) for the management of velopharyngeal insufficiency in cleft lip/palate patients and to assess the impact of age at surgery, surgeon's skills, and postoperative speech therapy on the outcomes. Methods: Prospective preoperative and postoperative assessments were performed on 240 patients aged 6 to 57 years using nasometry and pressure-flow studies. This study was carried out in a quaternary hospital. This study was superiorly based on PFS. Speech nasalance scores were assessed by nasometry and velopharyngeal orifice area assessed by pressure-flow technique, 2 days before and 1 year after PFS, on average. Differences were considered significant when P < 0.05. Results: Significant reduction in nasalance scores was observed in 68% of the cases, and improvement of velopharyngeal area was observed in 66%. Rates of 55% and 48%, respectively, were observed when complete resolution was considered. Higher success rates were observed in children (81%) compared with other age groups analyzed and in patients who had concluded postoperative speech therapy (86%). Results did not differ among surgeons. Conclusions: Pharyngeal flap surgery was shown to be effective in reducing nasalance scores and velopharyngeal area during speech for a significant number of patients. Complete resolution was observed in smaller number of cases. Age at surgery and postoperative speech therapy were relevant factors for treatment success." @default.
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- W2069890037 date "2011-09-01" @default.
- W2069890037 modified "2023-10-18" @default.
- W2069890037 title "Nasometric and Aerodynamic Outcome Analysis of Pharyngeal Flap Surgery for the Management of Velopharyngeal Insufficiency" @default.
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- W2069890037 doi "https://doi.org/10.1097/scs.0b013e31822e5f95" @default.
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