ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2026
Prediction of Speech-Correcting Surgery in Patients With a Cleft Palate After Primary Palatoplasty: A Logistic Regression Model.
Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
ObjectiveTo identify predictors of speech-correcting surgery after primary palatoplasty in patients with cleft palate with or without cleft lip (CP ± L) and to develop pre- and postoperative prediction models.DesignRetrospective cohort study.SettingWilhelmina Children's Hospital, Utrecht, the Netherlands.Patients, ParticipantsA total of 239 patients with CP ± L who underwent primary palatoplasty between 2008 and 2017 and completed standardized speech assessment at age 5.InterventionsStraight-line palatoplasty with intravelar veloplasty (Sommerlad) within the first year of life.Main Outcome Measure(s)Likelihood of speech-correcting surgery after primary palatoplasty. Potential predictors included cleft type, cleft width, age at palatoplasty, associated syndromes, and postoperative complications such as palatal dehiscence and oronasal fistula. Logistic regression models were developed using pre- and postoperative variables. Model performance was assessed by AUROC, calibration, Brier score, and
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