KOŠKOVÁ, Olga, Jitka VOKURKOVÁ, Jan VOKURKA, Alena BRYŠOVÁ, Pavel ŠENOVSKÝ, Julie ČEFELÍNOVÁ, Darina LUKÁŠOVÁ, Petra DOROCIAKOVÁ and Juraj ABELOVSKÝ. Treatment outcome after neonatal cleft lip repair in 5-year-old children with unilateral cleft lip and palate. International Journal of Pediatric Otorhinolaryngology. Clare: Elsevier Ireland Ltd., 2016, vol. 87, AUG, p. 71-77. ISSN 0165-5876. Available from: https://dx.doi.org/10.1016/j.ijporl.2016.05.024.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.159
RIV identification code RIV/00216224:14110/16:00091461
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.ijporl.2016.05.024
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 EL OK, podil
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 31/12/2016 09:22.
Abstract
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.
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