Factors affecting the postoperative velopharyngeal function among aged patients with cleft palate.
- Author:
Chu-Xian LIU
1
;
Jing-Tao LI
1
;
Qian ZHENG
1
;
Chun-Li GUO
1
;
Heng YIN
1
Author Information
- Publication Type:Journal Article
- Keywords: aged patient; cleft palate; logistic regression; velopharyngeal insufficiency
- MeSH: Child, Preschool; China; Cleft Palate; Female; Humans; Male; Palate, Soft; Pharynx; Retrospective Studies; Treatment Outcome; Velopharyngeal Insufficiency
- From: West China Journal of Stomatology 2019;37(6):626-630
- CountryChina
- Language:Chinese
-
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.
