Comparison of Sanvenero-Rosselli and modified Honig velopharyngoplasties in the secondary treatment of cleft palate speech stigmata in cleft patients

The study compares the speech of patients who underwent a Sanvenero-Rosselli (SR) or a modified Honig (MH) velopharyngeal flap as the secondary treatment of persistent cleft palate speech stigmata. The occurrence of cleft palate speech stigmata reflecting velopharyngeal insufficiency was analyzed from the hospital records of 53 SR and 72 MH subjects. Hypernasality in terms of nasalance scores was examined with the Model 6200 Nasometer (Fletcher et al., 1989) in a subset of 47 SR and 38 MH subjects. Both listener judgements and nasalance measurements showed that normal resonance was achieved more frequently by the MH subjects than by the SR subjects. The SR and MH subjects did not differ in relation to the elimination of audible nasal air emission or misarticulations related to velopharyngeal insufficiency after velopharyngoplasty.

[1]  M. Haapanen.  Nasalance scores in patients with a modified Honig velopharyngeal flap before and after operation. , 1992, Scandinavian journal of plastic and reconstructive surgery and hand surgery.

[2]  A. Iivonen,et al.  Sound spectra in cleft palate patients with a Sanvenero-Rosselli and modified Honig secondary velopharyngeal flap. , 1992, Folia phoniatrica.

[3]  M. Haapanen,et al.  Correlation between the age at repair and speech outcome in patients with isolated cleft palate. , 1992, Scandinavian journal of plastic and reconstructive surgery and hand surgery.

[4]  R. Dalston,et al.  Use of nasometry as a diagnostic tool for identifying patients with velopharyngeal impairment. , 1991, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[5]  M. Haapanen.  Nasalance scores in normal Finnish speech. , 1991, Folia phoniatrica.

[6]  M. Haapanen.  A simple clinical method of evaluating perceived hypernasality. , 1991, Folia phoniatrica.

[7]  V. Dr,et al.  Longitudinal evaluation of articulation and velopharyngeal competence of patients with pharyngeal flaps. , 1985 .

[8]  S. Prytz,et al.  Surgical and speech results following palatopharyngoplasty operations in Denmark 1959-1977. , 1984, The Cleft palate journal.

[9]  E. Albery,et al.  The results of 100 operations for velopharyngeal incompetence--selected on the findings of endoscopic and radiological examination. , 1982, British journal of plastic surgery.

[10]  Trost Je.  Articulatory additions to the classical description of the speech of persons with cleft palate. , 1981 .

[11]  D. Ralph Millard,et al.  Cleft Craft: The Evolution of Its Surgery , 1980 .

[12]  Riski Je.  Articulation skills and oral-nasal resonance in children with pharyngeal flaps. , 1979 .

[13]  R. Shprintzen,et al.  A comprehensive study of pharyngeal flap surgery: tailor made flaps. , 1979, The Cleft palate journal.

[14]  A. Rintala,et al.  Secondary palatal repair by the island flap technique. A follow-up study. , 1978, Scandinavian journal of plastic and reconstructive surgery.

[15]  R. Leanderson,et al.  The age factor and reduction of open nasality following superiorly based velo-pharyngeal flap operation in 124 cases. , 1974, Scandinavian journal of plastic and reconstructive surgery.

[16]  M. Lewin,et al.  Pharyngeal flap surgery and voice quality-factors related to success and failure. , 1973, The Cleft palate journal.

[17]  H. Lindholm.  Phoniatric speech evaluation after velopharyngoplasty. A clinical study of 82 cleft palate patients. , 1971, Scandinavian Journal of Plastic and Reconstructive Surgery.

[18]  A. Huffstadt,et al.  Operative treatment of rhinolalia: a review of 139 pharyngoplasties. , 1970, British journal of plastic surgery.

[19]  T. D. Cronin.  EARLY TREATMENT OF CLEFT LIP AND PALATE , 1969 .

[20]  Honig Ca.  The treatment of velopharyngeal insufficiency after palatal repair. , 1967 .

[21]  T. Skoog.  THE PHARYNGEAL FLAP OPERATION IN CLEFT PALATE. A CLINICAL STUDY OF EIGHTY-TWO CASES. , 1965, British journal of plastic surgery.

[22]  A. Soivio,et al.  ON PHARYNGOPLASTIES; FOLLOW-UP OF 106 PATIENTS. , 1963, Acta chirurgica Scandinavica.

[23]  D. Michie,et al.  INDUCTION OF TRANSPLANTATION IMMUNITY IN THE NEWBORN MOUSE , 1962, Plastic and reconstructive surgery.

[24]  R. Straith,et al.  TATTOOING OF CAPILLARY HEMANGIOMA , 1962, Plastic and reconstructive surgery and the transplantation bulletin.

[25]  Millard Dr,et al.  Wide and/or short cleft palate. , 1962 .

[26]  N. Bo.  Cleft palate and speech. A surgical study including observations on velopharyngeal closure during connected speech, using synchronized cineradiography and sound spectrography. , 1961 .