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 occurring in about one in 2,000 . 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 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 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

add to favorites email to friend print save as pdf

Related Stories

Research shows timing improves cleft palate surgery

May 12, 2008

Research by Dr. Damir Matic, a scientist with Lawson Health Research Institute in London, Ontario is changing the way cleft palate surgeries are performed throughout North America and around the world. Matic has been conducting ...

Can cleft palate be healed before birth?

Dec 01, 2009

In a study newly published in the journal Development, investigators at the USC School of Dentistry describe how to non-surgically reverse the onset of cleft palate in fetal mice - potentially one step in the journey to a b ...

Folic acid cuts risk of cleft lip

Jan 26, 2007

Taking folic acid supplements in early pregnancy seems to substantially reduce the risk of cleft lip, finds a new study published in the British Medical Journal.

Recommended for you

Good results with surgery for gynecomastia in bodybuilders

11 hours ago

With attention to some unique patient characteristics, breast reduction surgery achieves good aesthetic outcomes in bodybuilders with gynecomastia—enlargement of the male breast, according to a report in the February issue ...

Web surfing to weigh up bariatric surgery options

Jan 27, 2015

Obese people considering weight-reducing bariatric surgery are only topped by pregnant women when it comes to how often they turn to the Internet for health advice. While most use it to read up on relevant procedures and ...

Device for guided surgery of deviations in long bones

Jan 27, 2015

CEU-UCH Cardenal Herrera University patented a device for surgeries to correct deviations in long bones. The research team used the 3D simulation of an affected bone to determine the mathematical formula ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.