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Velopharyngeal closure pattern and speech performance among submucous cleft palate patients.

Abstract To characterize the velopharyngeal closure patterns and speech performance among submucous cleft palate patients.
PMID
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Authors

Mayor MeshTerms

Cleft Palate

Speech

Velopharyngeal Insufficiency

Keywords

cleft palate speech

submucous cleft palate

velopharyngeal closure pattern

Journal Title hua xi kou qiang yi xue za zhi = huaxi kouqiang yixue zazhi = west china journal of stomatology
Publication Year Start




PMID- 28675016
OWN - NLM
STAT- MEDLINE
DA  - 20170704
DCOM- 20170807
LR  - 20170807
IS  - 1000-1182 (Print)
IS  - 1000-1182 (Linking)
VI  - 35
IP  - 3
DP  - 2017 Jun 01
TI  - [Velopharyngeal closure pattern and speech performance among submucous cleft
      palate patients].
PG  - 296-300
LID - 10.7518/hxkq.2017.03.013 [doi]
AB  - OBJECTIVE: To characterize the velopharyngeal closure patterns and speech
      performance among submucous cleft palate patients. METHODS: Patients with
      submucous cleft palate visiting the Department of Cleft Lip and Palate Surgery,
      West China Hospital of Stomatology, Sichuan University between 2008 and 2016 were
      reviewed. Outcomes of subjective speech evaluation including velopharyngeal
      function, consonant articulation, and objective nasopharyngeal endoscopy
      including the mobility of soft palate, pharyngeal walls were retrospectively
      analyzed. RESULTS: A total of 353 cases were retrieved in this study, among which
      138 (39.09%) demonstrated velopharyngeal competence, 176 (49.86%) velopharyngeal 
      incompetence, and 39 (11.05%) marginal velopharyngeal incompetence. A total of
      268 cases were subjected to nasopharyngeal endoscopy examination, where 167
      (62.31%) demonstrated circular closure pattern, 89 (33.21%) coronal pattern, and 
      12 (4.48%) sagittal pattern. Passavant's ridge existed in 45.51% (76/167)
      patients with circular closure and 13.48% (12/89) patients with coronal closure. 
      Among the 353 patients included in this study, 137 (38.81%) presented normal
      articulation, 124 (35.13%) consonant elimination, 51 (14.45%) compensatory
      articulation, 36 (10.20%) consonant weakening, 25 (7.08%) consonant replacement, 
      and 36 (10.20%) multiple articulation errors. CONCLUSIONS: Circular closure was
      the most prevalent velopharyngeal closure pattern among patients with submucous
      cleft palate, and high-pressure consonant deletion was the most common
      articulation abnormality. Articulation error occurred more frequently among
      patients with a low velopharyngeal closure rate.
FAU - Heng, Yin
AU  - Heng Y
AD  - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral
      Diseases, Dept. of Cleft Lip and Palate Surgery, West China Hospital of
      Stomatology, Sichuan University, Chengdu 610041, China.
FAU - Chunli, Guo
AU  - Chunli G
AD  - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral
      Diseases, Dept. of Cleft Lip and Palate Surgery, West China Hospital of
      Stomatology, Sichuan University, Chengdu 610041, China.
FAU - Bing, Shi
AU  - Bing S
AD  - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral
      Diseases, Dept. of Cleft Lip and Palate Surgery, West China Hospital of
      Stomatology, Sichuan University, Chengdu 610041, China.
FAU - Yang, Li
AU  - Yang L
AD  - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral
      Diseases, Dept. of Cleft Lip and Palate Surgery, West China Hospital of
      Stomatology, Sichuan University, Chengdu 610041, China.
FAU - Jingtao, Li
AU  - Jingtao L
AD  - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral
      Diseases, Dept. of Cleft Lip and Palate Surgery, West China Hospital of
      Stomatology, Sichuan University, Chengdu 610041, China.
LA  - chi
PT  - Journal Article
PL  - China
TA  - Hua Xi Kou Qiang Yi Xue Za Zhi
JT  - Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal 
      of stomatology
JID - 9422648
SB  - D
SB  - IM
MH  - Cleft Lip
MH  - *Cleft Palate
MH  - Endoscopy
MH  - Humans
MH  - Palate, Soft
MH  - Pharynx
MH  - Retrospective Studies
MH  - *Speech
MH  - Surgical Flaps
MH  - *Velopharyngeal Insufficiency
OTO - NOTNLM
OT  - cleft palate speech
OT  - submucous cleft palate
OT  - velopharyngeal closure pattern
EDAT- 2017/07/05 06:00
MHDA- 2017/08/08 06:00
CRDT- 2017/07/05 06:00
AID - 10.7518/hxkq.2017.03.013 [doi]
PST - ppublish
SO  - Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Jun 1;35(3):296-300. doi:
      10.7518/hxkq.2017.03.013.