1. Speech Outcomes Following Orticochea Pharyngoplasty in Patients With History of Cleft Palate and Noncleft Velopharyngeal Dysfunction.
- Author
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Birch, Alison L., Jordan, Zoe V., Ferguson, Louisa M., Kelly, Clare B., and Boorman, John G.
- Subjects
PHARYNX surgery ,SPEECH evaluation ,AUDITING ,STATISTICS ,HEALTH facilities ,CLEFT palate ,HEALTH outcome assessment ,VELOPHARYNGEAL insufficiency ,PLASTIC surgery ,RETROSPECTIVE studies ,MANN Whitney U Test ,DESCRIPTIVE statistics - Abstract
Objective: To report speech outcomes following Orticochea pharyngoplasty in 43 patients with cleft palate and noncleft velopharyngeal dysfunction. Design: A retrospective surgical audit of patients undergoing Orticochea pharyngoplasty between 2004 and 2012, with speech as a primary outcome measure. Setting: Patients known to a regional UK cleft center. Methods: Forty-three patients underwent Orticochea pharyngoplasty by a single surgeon in a UK regional cleft center. Twenty-one patients had undergone a prior procedure for velopharyngeal dysfunction. Pre- and postoperative speech samples were assessed blindly using the Cleft Audit Protocol for Speech-Augmented by a specialist cleft speech and language therapist, external to the team. Speech samples were rated on the following parameters: hypernasality, hyponasality, audible nasal emission, nasal, turbulence, and passive cleft speech characteristics. Statistical differences in pre- and postoperative speech scores were tested using the Wilcoxon matched-pairs signed-ranks test. Inter- and intrareliability scores were calculated using weighted Cohen κ. Results: Whole group: A statistically significant difference in pre- and postoperative scores for hypernasality (P <.001), hyponasality (P <.05), nasal emission (P <.01), and passive cleft speech characteristics (P <.01) were reported. Patients with cleft diagnoses: A statistically significant difference in scores for hypernasality (P <.001), nasal emission (P <.01), and passive cleft speech characteristics (P <.01) were reported for this group of patients. Patients with noncleft diagnoses: The only parameter to demonstrate a statistically significant difference was hypernasality (P <.01) in this group. Conclusions: Orticochea pharyngoplasty is a successful surgical procedure in treating velopharyngeal dysfunction in both the cleft and noncleft populations. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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