دورية أكاديمية
Long-term speech outcome in patients with Robin sequence after cleft palate repair and tongue-lip adhesion: A 21-year retrospective analysis.
| العنوان: | Long-term speech outcome in patients with Robin sequence after cleft palate repair and tongue-lip adhesion: A 21-year retrospective analysis. |
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| المؤلفون: | Logjes RJH; Department of Plastic, Reconstructive, and Handsurgery, Amsterdam UMC, Location VU, PO box 7057, 1007 MB, Amsterdam, the Netherlands; Department of Speech and Language Pathology, Amsterdam UMC, Amsterdam, the Netherlands. Electronic address: r.j.h.logjes@gmail.com., Mermans JF; Department of Plastic, Reconstructive, and Handsurgery, Amsterdam UMC, Location VU, PO box 7057, 1007 MB, Amsterdam, the Netherlands. Electronic address: j.mermans@amsterdamumc.nl., Coerts MJ; ENT Department, Department of Epidemiology & Data Science, Amsterdam UMC, De Boelelaan 1118, 1081 HZ, 1007 MB, Amsterdam, the Netherlands. Electronic address: mj.coerts@amsterdamumc.nl., Lissenberg-Witte BI; Department of Epidemiology & Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands., Breugem CC; Department of Plastic, Reconstructive, and Handsurgery, Amsterdam UMC, Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands. Electronic address: c.c.breugem@amsterdamumc.nl., Don Griot JPW; Department of Plastic, Reconstructive, and Handsurgery, Amsterdam UMC, Location VU, PO box 7057, 1007 MB, Amsterdam, the Netherlands. Electronic address: DonGriot@amsterdamumc.nl. |
| المصدر: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [J Craniomaxillofac Surg] 2023 Apr; Vol. 51 (4), pp. 209-216. Date of Electronic Publication: 2023 Feb 02. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Scotland NLM ID: 8704309 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-4119 (Electronic) Linking ISSN: 10105182 NLM ISO Abbreviation: J Craniomaxillofac Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Edinburgh : Elsevier Original Publication: Stuttgart ; New York : Thieme, [c1986- |
| مواضيع طبية MeSH: | Cleft Palate*/surgery , Cleft Palate*/complications , Pierre Robin Syndrome*/complications , Pierre Robin Syndrome*/surgery , Velopharyngeal Insufficiency*/etiology , Velopharyngeal Insufficiency*/surgery , Cleft Lip*/complications, Humans ; Child, Preschool ; Child ; Infant, Newborn ; Retrospective Studies ; Speech ; Treatment Outcome ; Tongue |
| مستخلص: | The purpose of this study was to assess the effect of tongue-lip adhesion (TLA) on the long-term speech and articulation outcomes of patients with Robin sequence (RS) after cleft palate repair. Outcomes were compared to those in patients with RS who required positioning alone and to patients with isolated cleft palate (ICP). All consecutive patients with RS (with or without TLA) versus isolated cleft palate (ICP) who underwent cleft palate repair were retrospectively reviewed. Speech and articulation included all assessments between the age of 3-6 years. Secondary speech operations, velopharyngeal insufficiency (VPI), hypernasality, and articulation errors by cleft-type characteristics (CTC), including 4 categories (passive), non-oral, anterior-oral, and posterior-oral. A total of 41 RS patients and 61 ICP patients underwent repair with sufficient follow-up. Of them, 23 patients underwent a TLA at median age of 12 days. Rates of hypernasality (p = 0.004), secondary speech operations (p = 0.004), and posterior oral CTC (p = 0.042) were higher in RS compared to ICP. Isolated RS had speech outcomes similar to those of ICP; however, syndromic RS patients needed more secondary speech operations compared to isolated RS (p = 0.043). TLA-RS patients did not demonstrate differences in speech outcomes or any CTCs (all p > 0.05) compared to non-TLA-RS patients, except for the anterior oral CTC (74% TLA-RS vs 28% non-TLA-RS, p = 0.005). Within the limitations of the study, it seem that TLA does not affect long-term velopharyngeal function in patients with RS. However, TLA-RS patients demonstrated higher rates of anterior-oral CTC, which might be related to a different positioning of the tongue after TLA. Every effort should be taken to treat patients with RS conservatively instead of with TLA because of this demonstrated a negative effect on one type of articulation error. However, if conservative therapy fails, a TLA is still a valuable adjunct in the treatment of RS, and cleft speech pathologists who treat such patients should be more aware of this phenomenon in order to improve long-term articulation outcomes. Competing Interests: Declaration of competing interest None of the authors report any conflicts of interest. None of the authors have a financial interest in any of the products, devices, or drugs mentioned in this article. (Copyright © 2023. Published by Elsevier Ltd.) |
| فهرسة مساهمة: | Keywords: Articulation; Cleft palate repair; Robin sequence; Speech; Tongue-lip adhesion; Velopharyngeal insufficiency |
| تواريخ الأحداث: | Date Created: 20230428 Date Completed: 20230612 Latest Revision: 20230612 |
| رمز التحديث: | 20230612 |
| DOI: | 10.1016/j.jcms.2023.01.012 |
| PMID: | 37117117 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1878-4119 |
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| DOI: | 10.1016/j.jcms.2023.01.012 |