TY - JOUR
T1 - Comparison of recurrence rate and speech outcome between two different techniques for cleft palatal fistula closure
T2 - A retrospective cohort study
AU - Tezuka, Masahiro
AU - Kamikuri, Yuhei
AU - Ishihata, Kiyohide
AU - Kibe, Toshiro
AU - Fuchigami, Takao
AU - Amir, Muhammad Subhan
AU - Matsunaga, Kazuhide
AU - Nakamura, Norifumi
N1 - Publisher Copyright:
© 2021 European Association for Cranio-Maxillo-Facial Surgery
PY - 2022/1
Y1 - 2022/1
N2 - The aim of this retrospective cohort study was to compare the recurrence rate and speech outcomes between two techniques for palatal fistula closure of cleft palate (CP). Patients with CP who underwent secondary palatal fistula closure using the single hinge-flap method with double-breasted mattress suture (hinge-flap group) and those who were treated with the conventional sliding palatal flap method (sliding-flap group) were retrospectively evaluated for demographic and perioperative variables. Recurrence rate of palatal fistula, perceptual speech outcomes, and nasalance scores were further reviewed in patients who met the inclusion criteria. A total of 31 patients, 21 in the hinge-flap group and 10 in the sliding-flap group, were included in this study. The fistula recurrence rate in the hinge-flap group (0%) was significantly lower than that in the sliding-flap group (30.0%) (P = 0.027). In the speech assessment, hypernasality and nasalance scores decreased post-operatively in both groups and significance was observed in the hinge-flap group (P = 0.013, P < 0.001, respectively). Articulation disorders were significantly improved in the hinge-flap group (P = 0.001). Within the limitations of the study it seems that the single hinge-flap method with double-breasted mattress suture should be preferred whenever appropriate.
AB - The aim of this retrospective cohort study was to compare the recurrence rate and speech outcomes between two techniques for palatal fistula closure of cleft palate (CP). Patients with CP who underwent secondary palatal fistula closure using the single hinge-flap method with double-breasted mattress suture (hinge-flap group) and those who were treated with the conventional sliding palatal flap method (sliding-flap group) were retrospectively evaluated for demographic and perioperative variables. Recurrence rate of palatal fistula, perceptual speech outcomes, and nasalance scores were further reviewed in patients who met the inclusion criteria. A total of 31 patients, 21 in the hinge-flap group and 10 in the sliding-flap group, were included in this study. The fistula recurrence rate in the hinge-flap group (0%) was significantly lower than that in the sliding-flap group (30.0%) (P = 0.027). In the speech assessment, hypernasality and nasalance scores decreased post-operatively in both groups and significance was observed in the hinge-flap group (P = 0.013, P < 0.001, respectively). Articulation disorders were significantly improved in the hinge-flap group (P = 0.001). Within the limitations of the study it seems that the single hinge-flap method with double-breasted mattress suture should be preferred whenever appropriate.
KW - Cleft palate
KW - Palatal fistula closure
KW - Single hinge-flap method
KW - Speech
UR - http://www.scopus.com/inward/record.url?scp=85117186206&partnerID=8YFLogxK
U2 - 10.1016/j.jcms.2021.09.018
DO - 10.1016/j.jcms.2021.09.018
M3 - Article
AN - SCOPUS:85117186206
SN - 1010-5182
VL - 50
SP - 86
EP - 92
JO - Journal of Cranio-Maxillo-Facial Surgery
JF - Journal of Cranio-Maxillo-Facial Surgery
IS - 1
ER -