ArticleAnnals of medicine and surgery (2012)2026
Long-term speech outcomes following functional palatal repair.
Article in Annals of medicine and surgery (2012), 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
Objective: To evaluate long-term functional outcomes following palatal surgery as velopharyngeal dimensions evolve in growing children with cleft palate (CP). Summary background data: Functional palatal repair using the Furlow method effectively corrects speech symptoms related to velopharyngeal insufficiency (VPI) in patients with CP. However, existing studies have focused on short-term follow-up. Methods: This retrospective study analyzed data from 5384 participants with CP, including 92 who underwent functional palatal repair to correct speech symptoms related to VPI and were followed up until adulthood. A speech pathologist evaluated perceived velopharyngeal competence (VPC) preoperatively, postoperatively, and at long-term follow-up. Follow-up visits were scheduled at 8, 10, 12, 14, 16, and 18 years, with assessments extending up to 12 years post-surgery. We compared postoperative velopharyngeal function (VPF) at each time point. Results: A general linear mixed model and Wilcoxon signed-rank test showed no significant differences in VPF between ages 8 and 14 years. Comparison of postoperative evaluations after functional palatal repair indicated that adequate VPF was maintained in 88, 84, 82, 78, 77, and 76% at the 8-, 10-, 12-, 14-, 16-, and 18-year time points, respectively. Statistically significant negative VPF changes were observed between the 16- and 18-year time points, suggesting a progressive increase in the likelihood of VPC deterioration. Conclusion: Longitudinal follow-up after functional palatal repair showed that VPF remained adequate during growth in most patients with CP. However, during growth, some developed VPI, with a statistically significant negative change observed between 16 and 18 years of age.
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