J 2016

Treatment outcome after neonatal cleft lip repair in 5-year-old children with unilateral cleft lip and palate

KOŠKOVÁ, Olga, Jitka VOKURKOVÁ, Jan VOKURKA, Alena BRYŠOVÁ, Pavel ŠENOVSKÝ et. al.

Basic information

Original name

Treatment outcome after neonatal cleft lip repair in 5-year-old children with unilateral cleft lip and palate

Name in Czech

Výsledky léčby pětiletých dětí s jednostranným rozštěpem rtu a patra operovaných časnou suturou

Authors

KOŠKOVÁ, Olga (203 Czech Republic, guarantor), Jitka VOKURKOVÁ (203 Czech Republic, belonging to the institution), Jan VOKURKA (203 Czech Republic, belonging to the institution), Alena BRYŠOVÁ (203 Czech Republic, belonging to the institution), Pavel ŠENOVSKÝ (203 Czech Republic), Julie ČEFELÍNOVÁ (203 Czech Republic), Darina LUKÁŠOVÁ (203 Czech Republic), Petra DOROCIAKOVÁ (203 Czech Republic, belonging to the institution) and Juraj ABELOVSKÝ (703 Slovakia, belonging to the institution)

Edition

International Journal of Pediatric Otorhinolaryngology, Clare, Elsevier Ireland Ltd. 2016, 0165-5876

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.159

RIV identification code

RIV/00216224:14110/16:00091461

Organization unit

Faculty of Medicine

DOI

UT WoS

000380082000013

Keywords (in Czech)

rozštěp rtu a patra; neonatální sutura

Keywords in English

Unilateral cleft lip and palate; Neonatal cleft lip surgery; One-stage palatal repair; The GOSLON Yardstick; Speech outcomes measurements

Tags

Tags

International impact, Reviewed
Změněno: 31/12/2016 09:22, Ing. Mgr. Věra Pospíšilíková

Abstract

V originále

The aim of this study was to assess speech outcomes and dental arch relationship of 5-year-old Czech patients with unilateral cleft lip and palate (UCLP) who have undergone neonatal cleft lip repair and one-stage palatal closure.|Twenty-three patients with UCLP, born between 2009 and 2010, were included in the study. Three universal speech parameters (hypernasality, articulation and speech intelligibility) have been devised for speech recordings evaluation. Outcomes of dental arch relationship were evaluated by applying the GOSLON Yardstick and subsequently compared with the GOSLON outcome of other cleft centers.|Moderate hypernasality was present in most cases, the mean value for articulation and speech intelligibility was 2.07 and 1.93, respectively. The Kappa values for inter-examiner agreement for all the three speech outcomes ranged from 0.786 to 0.808. Sixty-three percent of patients were scored GOSLON 1 and 2, 26% GOSLON 3, and 10% GOSLON 4. GOSLON mean score was 2.35. Interrater agreement was very good, represented by kappa value of 0.867.|The treatment protocol, involving neonatal cleft lip repair and one-stage palatal repair performed up to the first year of UCLP patient's life, has shown good speech outcomes and produced very good treatment results in regard to maxillary growth, comparable with other cleft centers.