Factors affecting the postoperative velopharyngeal function among aged patients with cleft palate / 华西口腔医学杂志
West China Journal of Stomatology
; (6): 626-630, 2019.
Article
in Zh
| WPRIM
| ID: wpr-781366
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To explore the prognostic factors affecting the primary surgical management of aged patients with cleft palate.@*METHODS@#This study reviewed aged patients with cleft palate who received Furlow palatoplasty (surgical age≥5 years) at the cleft center at West China Hospital of Stomatology from 2009 to 2014. The study retrieved intraoperative mea-surements, including velar length, pharyngeal depth, cleft width, maxillary width, cleft palate index, and palatopharyngeal ratio. Speech evaluation results at follow-up at least a year after surgery were also obtained. Logistic regression and retrospec-tive analyses were performed to identify correlative prognostic factors.@*RESULTS@#One hundred and thirty-one patients were included (70 males and 61 females). Dichotomy logistic regression analysis revealed that pharyngeal depth was the only mea-surement considerably associated with postoperative velopharyngeal function. Pharyngeal depth deeper than 16 mm indicated high risk of postoperative velopharyngeal insufficiency.@*CONCLUSIONS@#Pharyn-geal depth is a significant prognostic factor for the primary surgical management of aged patients with cleft palate. Pharyn-goplasty might be considered when planning the primary management of aged patients.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Palate, Soft
/
Pharynx
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Velopharyngeal Insufficiency
/
China
/
Retrospective Studies
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Cleft Palate
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Treatment Outcome
Type of study:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limits:
Child, preschool
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Female
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Humans
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Male
Country/Region as subject:
Asia
Language:
Zh
Journal:
West China Journal of Stomatology
Year:
2019
Type:
Article