988368
سه شنبه 28 مهر 1405
دوره 24، شماره 3 - ( 6-1405 )
جلد 24 شماره 3 صفحات 332-321 |
برگشت به فهرست نسخه ها
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Tavakoli M, Rezaei P, Tahmasebifard N, Abdali H, Derakhshandeh F. Perceptual Speech Outcomes and Videofluoroscopic Findings After Radical Intravelar Veloplasty. Iranian Rehabilitation Journal 2026; 24 (3) :321-332
URL: http://irj.uswr.ac.ir/article-1-2685-fa.html
URL: http://irj.uswr.ac.ir/article-1-2685-fa.html
Perceptual Speech Outcomes and Videofluoroscopic Findings After Radical Intravelar Veloplasty. مجله انگلیسی زبان توانبخشی. 1405; 24 (3) :321-332
چکیده: (1873 مشاهده)
Objectives: Velopharyngeal (VP) insufficiency is a persistent complication after primary palatoplasty that adversely affects speech. Radical intravelar veloplasty (IVVP) has been proposed as a secondary reconstructive technique to restore VP function. This study aimed to evaluate speech outcomes and VP closure following radical IVVP in patients with non-syndromic cleft palate.
Methods: This retrospective audit comprised 94 patients who underwent perceptual speech evaluations pre- and postoperatively. Parameters assessed included hypernasality (HN), audible nasal emission (ANE), and non-oral errors (NOEs). In a subgroup of 53 patients, single-view lateral videofluoroscopy was used to measure the VP closure ratio (VPCR). Statistical analyses were performed using Wilcoxon and paired t-tests, and ordinal logistic regression (P<0.05).
Results: Postoperative assessments at a minimum of 6 months (median follow-up: 15 months) demonstrated significant reductions in HN (P<0.001, r=0.65), ANE (P=0.001, r=0.33), and NOE (P<0.001, r=0.43). VPCR improved significantly (from 0.48 to 0.7, P<0.001, r=0.07), and complete closure was achieved in 13 patients. The fistula rate decreased significantly from 21.2% to 7.4% (P=0.002). The ordinal logistic regression model indicated that Preoperative NOEs (β=−1.59, odds ratio [OR]=0.2, P=0.02), age at surgery (β=0.08, OR=1.08, P=0.04), and postoperative VPCR (β=−0.29, OR=0.75, P=0.05) were statistically significant predictors of the outcome (All P≤0.05).
Discussion: Radical IVVP achieves significant functional improvement across key speech parameters and VP function in appropriately selected cleft palate patients. However, VPCR alone is insufficient to fully predict resonance outcomes.
Methods: This retrospective audit comprised 94 patients who underwent perceptual speech evaluations pre- and postoperatively. Parameters assessed included hypernasality (HN), audible nasal emission (ANE), and non-oral errors (NOEs). In a subgroup of 53 patients, single-view lateral videofluoroscopy was used to measure the VP closure ratio (VPCR). Statistical analyses were performed using Wilcoxon and paired t-tests, and ordinal logistic regression (P<0.05).
Results: Postoperative assessments at a minimum of 6 months (median follow-up: 15 months) demonstrated significant reductions in HN (P<0.001, r=0.65), ANE (P=0.001, r=0.33), and NOE (P<0.001, r=0.43). VPCR improved significantly (from 0.48 to 0.7, P<0.001, r=0.07), and complete closure was achieved in 13 patients. The fistula rate decreased significantly from 21.2% to 7.4% (P=0.002). The ordinal logistic regression model indicated that Preoperative NOEs (β=−1.59, odds ratio [OR]=0.2, P=0.02), age at surgery (β=0.08, OR=1.08, P=0.04), and postoperative VPCR (β=−0.29, OR=0.75, P=0.05) were statistically significant predictors of the outcome (All P≤0.05).
Discussion: Radical IVVP achieves significant functional improvement across key speech parameters and VP function in appropriately selected cleft palate patients. However, VPCR alone is insufficient to fully predict resonance outcomes.
نوع مقاله: پژوهشي |
موضوع مقاله:
گفتار درمانی
دریافت: 1404/9/25 | پذیرش: 1405/2/12 | انتشار: 1405/7/4
دریافت: 1404/9/25 | پذیرش: 1405/2/12 | انتشار: 1405/7/4
