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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(3):375-380.
Published online May 1, 2005.
Usefulness of Speech Therapy for Patients with Submucous Cleft Palate Treated with Furlow Palatoplasty.
Rongmin Baek, Mikyong Park, Chanyeong Heo
Department of Plastic Surgery, Seoul National University Bundang Hospital, Gyeonggi, Korea. lionheo@snubh.org
Abstract
Furlow palatoplasty has been favored by many plastic surgeons as the primary treatment for the velopharyngeal insufficiency associated with submucous cleft palate. The purpose of this article is to introduce an efficacy of Furlow palatoplasty and speech therapy performed on patients who were diagnosed belatedly as having submucous cleft palates. From 2002 to 2004, four submucous cleft palate patients over 5 years of age with velopharyngeal insufficiency received Furlow palatoplasty. The patients were evaluated through the preoperative perceptual speech assessment, nasometry, and videonasopharyngoscopy. Postoperatively, two patients achieved competent velopharyngeal function in running speech. One of the remaining two could achieve competent velopharyngeal function with visual biofeedback speech therapy and the other could not use her new velopharyngeal function in running speech because of her age. Speech therapy can correct the articulation errors and thus improve the velopharyngeal function to a certain extent by eliminating some compensatory articulations that might have an adverse influence on velopharyngeal function. This study shows that Furlow palatoplasty can successfully correct the velopharyngeal insufficiency in submucous cleft palate patients and speech therapy has a role in reinforcing surgical result. But age is still a restrictive factor even though surgery was well done.
Keywords: Submucous cleft palate; Speech therapy; Furlow palatoplasty; Velopharyngeal insufficiency
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Simple Method of Speech Evaluation in the Korean Patient with Cleft Palate.1999 September;26(5)

Surgical Correction of Submucous Cleft Palate with Furlow's Palatoplasty.2000 March;27(2)

Postoperative Speech Outcomes and Complications in Submucous Cleft Palate Patients2016 May;43(3)



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