Effect of Furlow Palatoplasty With Buccal Myomucosal Flap on the Speech Development

Fayoum University30 enrolled

Overview

About 20 patient will be collected according to the eligibility criteria and grouped into Group I : 10 patients were treated with furlow with buccinators flap Group II : 10 patients were treated with 2 flap palatoplasty All patients will be examined by an expert Phoniatrician by Recording of speech samples in Arabic language for the children in a soundproof room including repeated syllables, sentences with high-pressure sounds and counting from 1 to 10. The records will be analyzed to assess the degree of hypernasality, speech intelligibility and compensatory speech errors

Study Type

OBSERVATIONAL

Enrollment

Conditions

Cleft Palate

Interventions

furlow with buccal myomucosal flapPROCEDURE

patients were treated with furlow with buccal myomucosal flap

Eligibility

Sex: ALLMin age: 3 YearsMax age: 5 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 3-5 years old childreen with previous treated complete cleft lip and palate, nonsyndromic. * lip and palate repair performed by one craniofacial surgeon Exclusion Criteria: * Patients with syndromic cleft lip. * Redu cases * Bilateral cleft lip * Patient older 5years or younger 3 years. * Associated Cardiac anomalies. * Any systemic condition

Outcomes

Primary Outcomes

nasopharyngoscopic examination

this will be done through the nasopharyngoscopic examination of the cleft patients after repair with Furlow with buccinator flap versus two flap palatoplasty. it will assess the grade of velopharyngeal closure during speech

Time frame: through study completion, an average one week