Wider cleft width appears associated with hypernasal speech, nasal air escape
Patients with wider cleft palates appear more likely to postoperatively develop velopharyngeal insufficiency, a condition characterized by hypernasal speech and nasal air escape when speaking, according to a study published Online First by Archives of Facial Plastic Surgery.
Isolated cleft palate is a common birth defect occurring in about one in 2,000 live births. Velopharyngeal insufficiency (VPI) after cleft palate repair is reported in 2 percent to 30 percent of patients with cleft palates, the authors write in their study background.
Derek J. Lam, M.D., M.P.H., of Cincinnati Children's Hospital Medical Center, Ohio, and colleagues conducted a retrospective study of 73 patients with isolated cleft palates who underwent palate repair at Seattle Children's Hospital between 2003 and 2009. The average age of patients at the time of surgery was 12.5 months (range 8-30 months), and the average follow-up time was 22 months.
The authors found that VPI was diagnosed in 23 patients (32 percent).
"In conclusion, the risk of developing VPI after isolated cleft palate repair appears to increase with increasing width of the palatal cleft, and the rate of postoperative VPI is particularly high in patients with a cleft width greater than 10mm," the authors conclude.
More information: Arch Facial Plast Surg. Published online April 16, 2012. doi:10.1001/archfacial.2012.169
Provided by
JAMA and Archives Journals
-
Research shows timing improves cleft palate surgery
May 12, 2008 |
not rated yet |
0
-
Can cleft palate be healed before birth?
Dec 01, 2009 |
not rated yet |
0
-
Folic acid cuts risk of cleft lip
Jan 26, 2007 |
not rated yet |
0
-
Dental researcher improves a device to help cleft-palate patients avoid surgery
Oct 01, 2010 |
not rated yet |
0
-
Corticosteroid use during pregnancy not linked to facial clefts in infants
Apr 11, 2011 |
not rated yet |
0
-
Motion perception revisited: High Phi effect challenges established motion perception assumptions
Apr 23, 2013 |
3 / 5 (2) |
2
-
Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update)
Apr 02, 2013 |
4.5 / 5 (11) |
5
-
The visual system as economist: Neural resource allocation in visual adaptation
Mar 30, 2013 |
5 / 5 (2) |
9
-
Separate lives: Neuronal and organismal lifespans decoupled
Mar 27, 2013 |
4.9 / 5 (8) |
0
-
Sizing things up: The evolutionary neurobiology of scale invariance
Feb 28, 2013 |
4.8 / 5 (10) |
14
-
The idea behind a reverse shock
50 minutes ago
-
Guass's Law for a charge distribution
1 hour ago
-
Noise dependence
1 hour ago
-
siphon and bernouli theorum
3 hours ago
-
Hot gas expansion rate into outer space
3 hours ago
-
Magnetic field lines through copper
8 hours ago
- More from Physics Forums - Classical Physics
More news stories
Researchers rewrite obsolete blood-ordering rules
Johns Hopkins researchers have developed new guidelines—the first in more than 35 years—to govern the amount of blood ordered for surgical patients. The recommendations, based on a lengthy study of blood use at The Johns ...
Surgery
May 22, 2013 |
4 / 5 (1) |
0
Indian medics reconstruct baby's swollen head
Indian doctors said Wednesday they have successfully carried out a first round of reconstructive surgery on the skull of a baby suffering from a rare disorder that caused her head to nearly double in size.
Surgery
May 22, 2013 |
not rated yet |
0
Polish man gets quick face transplant after injury (Update)
A 33-year-old Polish man received a face transplant just three weeks after being disfigured in a workplace accident, in what his doctors said Wednesday is the fastest time frame to date for such an operation. ...
Surgery
May 22, 2013 |
not rated yet |
0
Sexual function in older adults with thoracolumbar-pelvic instrumentation
Surgeons investigated sexual function in 62 patients, 50 years and older, who had received extensive spinal–pelvic instrumentation for spinal deformity at the University of Virginia Health Center. Based on their results, ...
Surgery
May 21, 2013 |
not rated yet |
0
Challenges encountered in surgical management of spine trauma in morbidly obese patients
Physicians at Monash University and The Alfred Hospital in Melbourne, Australia describe the logistic, medical, and societal challenges faced in treating spine trauma in morbidly obese patients. Based on a case series of ...
Surgery
May 21, 2013 |
not rated yet |
0
First drug to improve heart failure mortality in over a decade
Coenzyme Q10 decreases all cause mortality by half, according to the results of a multicentre randomised double blind trial presented today at Heart Failure 2013 congress. It is the first drug to improve heart failure mortality ...
Heart failure accelerates male 'menopause'
Heart failure accelerates the aging process and brings on early andropausal syndrome (AS), according to research presented today at the Heart Failure Congress 2013. AS, also referred to as male 'menopause', was four times ...
Death highest in heart failure patients admitted in January, on Friday, and overnight
Mortality and length of stay are highest in heart failure patients admitted in January, on Friday, and overnight, according to research presented today at the Heart Failure Congress 2013. The analysis of nearly 1 million ...
Feds fight morning-after pill age ruling in NY
(AP)—Department of Justice lawyers have again asked a federal appeals court in New York to delay lifting age restrictions and prescription requirements on an emergency contraceptive popularly known as the morning-after ...
Researchers identify first drug targets in childhood genetic tumor disorder
Two mutations central to the development of infantile myofibromatosis (IM)—a disorder characterized by multiple tumors involving the skin, bone, and soft tissue—may provide new therapeutic targets, according to researchers ...
Driving and hands-free talking lead to spike in errors, study shows
Talking on a hands-free device while behind the wheel can lead to a sharp increase in errors that could imperil other drivers on the road, according to new research from the University of Alberta.