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Brief Report

Surgical Outcome of Two-Flap Palatoplasty at King Fahad Medical City: A Tertiary Care Center Experience

by
Alwaleed Khalid Alammar
*,
Abdulsalam Aljabab
and
Gururaj Arakeri
Department of Oral and Maxillofacial Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
*
Author to whom correspondence should be addressed.
Clin. Pract. 2018, 8(4), 1104; https://doi.org/10.4081/cp.2018.1104
Submission received: 9 September 2018 / Revised: 19 November 2018 / Accepted: 19 November 2018 / Published: 4 December 2018

Abstract

The purpose of this study was to assess surgical outcomes of two-flap palatoplasty for management of cleft palate. Between January 2009 and January 2017, we recruited 29 nonsyndromic patients who underwent two-flap palatoplasty for cleft palate repair at the oral and maxillofacial department. Their medical records were procured, and surgical outcomes were assessed. Velopharyngeal insufficiency (VPI) was evaluated on the basis of speech assessment by a speech therapist. Speech abnormality (nasality, nasal emission, and articulation error) was assessed by a speech therapist using the GOSS-Pass test. Swallowing and regurgitation were assessed by a swallowing team. Fistula and wound dehiscence were clinically assessed by the primary investigator. Documented data were evaluated using statistical analysis. Among the study patients; 75.8 % had normal speech, 20.7 % developed VPI; 17.3% had hypernasality; 4.3% had hypernasality as well as nasal emission; 4.3% had hypernasality, nasal emission, and articulation errors; and 4.3% had articulation errors. Approximately 20% of the patients had fistulas (83.3% had oronasal fistulas and 16.7% had nasovestibular fistulas). Normal swallowing findings were noted in 93% of the patients. There were statistically significant relationships between age-repair and VPI (r=0.450, t=0.014), age-speech (r=0.525, t=0.003), and age-fistula development (r=0.414, t=0.026). Conversely, there were no significant relationships between age and dehiscence (r=0.127, t=0.512), age and swallowing (r=0.360, t=0.055), and age and regurgitation (r=0.306, t=0.106). Two-flap palatoplasty is a reliable technique with excellent surgical and speech outcomes. Early repair is associated with better speech outcome and less incidence of VPI.
Keywords: two-flap palatoplasty; surgical outcome; cleft palate two-flap palatoplasty; surgical outcome; cleft palate

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MDPI and ACS Style

Alammar, A.K.; Aljabab, A.; Arakeri, G. Surgical Outcome of Two-Flap Palatoplasty at King Fahad Medical City: A Tertiary Care Center Experience. Clin. Pract. 2018, 8, 1104. https://doi.org/10.4081/cp.2018.1104

AMA Style

Alammar AK, Aljabab A, Arakeri G. Surgical Outcome of Two-Flap Palatoplasty at King Fahad Medical City: A Tertiary Care Center Experience. Clinics and Practice. 2018; 8(4):1104. https://doi.org/10.4081/cp.2018.1104

Chicago/Turabian Style

Alammar, Alwaleed Khalid, Abdulsalam Aljabab, and Gururaj Arakeri. 2018. "Surgical Outcome of Two-Flap Palatoplasty at King Fahad Medical City: A Tertiary Care Center Experience" Clinics and Practice 8, no. 4: 1104. https://doi.org/10.4081/cp.2018.1104

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