Advanced

Von Langenbeck or Wardill procedures for primary palatal repair in patients with isolated cleft palate--speech results

Becker, Magnus LU ; Svensson, Henry LU ; Sarnas, K V and Jacobsson, S (2000) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 34(1). p.27-32
Abstract
Sixty-six patients operated on for isolated cleft palate were evaluated as adults, and their speech was assessed clinically. Forty-four had undergone a von Langenbeck repair at the age of 7 months and 22 a Wardill repair at the age of 18 months. Speech was judged subjectively by the patients themselves, and perceptual assessment was made by three speech pathologists. The remaining speech problems, mainly hypernasality, were moderate or severe in 7 (16%) of the patients in the von Langenbeck group, and in 7 (32%) in the Wardill group. On the other hand, the patients in the Wardill group had fewer fistulas closed, and fewer velopharyngoplasties. There were no significant differences between the two methods regarding speech in adulthood. The... (More)
Sixty-six patients operated on for isolated cleft palate were evaluated as adults, and their speech was assessed clinically. Forty-four had undergone a von Langenbeck repair at the age of 7 months and 22 a Wardill repair at the age of 18 months. Speech was judged subjectively by the patients themselves, and perceptual assessment was made by three speech pathologists. The remaining speech problems, mainly hypernasality, were moderate or severe in 7 (16%) of the patients in the von Langenbeck group, and in 7 (32%) in the Wardill group. On the other hand, the patients in the Wardill group had fewer fistulas closed, and fewer velopharyngoplasties. There were no significant differences between the two methods regarding speech in adulthood. The Wardill method produced significantly more scar tissue clinically, which carries the potential risk of inhibition of facial growth. The present speech results will therefore be weighed against the outcome of maxillofacial growth for these patients. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
volume
34
issue
1
pages
27 - 32
publisher
Taylor & Francis
external identifiers
  • pmid:10756573
  • scopus:0033941045
ISSN
1651-2073
DOI
10.1080/02844310050160141
language
English
LU publication?
yes
id
03f11475-f0a9-4a74-a171-568c99152d6a (old id 1118455)
date added to LUP
2008-06-04 15:53:59
date last changed
2017-01-08 04:58:04
@article{03f11475-f0a9-4a74-a171-568c99152d6a,
  abstract     = {Sixty-six patients operated on for isolated cleft palate were evaluated as adults, and their speech was assessed clinically. Forty-four had undergone a von Langenbeck repair at the age of 7 months and 22 a Wardill repair at the age of 18 months. Speech was judged subjectively by the patients themselves, and perceptual assessment was made by three speech pathologists. The remaining speech problems, mainly hypernasality, were moderate or severe in 7 (16%) of the patients in the von Langenbeck group, and in 7 (32%) in the Wardill group. On the other hand, the patients in the Wardill group had fewer fistulas closed, and fewer velopharyngoplasties. There were no significant differences between the two methods regarding speech in adulthood. The Wardill method produced significantly more scar tissue clinically, which carries the potential risk of inhibition of facial growth. The present speech results will therefore be weighed against the outcome of maxillofacial growth for these patients.},
  author       = {Becker, Magnus and Svensson, Henry and Sarnas, K V and Jacobsson, S},
  issn         = {1651-2073},
  language     = {eng},
  number       = {1},
  pages        = {27--32},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery},
  title        = {Von Langenbeck or Wardill procedures for primary palatal repair in patients with isolated cleft palate--speech results},
  url          = {http://dx.doi.org/10.1080/02844310050160141},
  volume       = {34},
  year         = {2000},
}