Year: 2020
Type: article
Study design: Observational Study
Abstract: This study reviews the results after 18 years of our surgery and follow-up for children born in our hospital with a cleft palate (CP).Evaluation of 18-year-old youngsters born with CP, operated at the time by the same surgeon following the same primary surgical procedure (von Langenbeck).We analyzed the files of children born from 1997 to 2001 with a CP and operated in our hospital.Operations were performed by the same surgeon, following the von Langenbeck procedure adapted according to the children's age or weight.The evaluation was based on the results of the primary surgeries, final phonatory results, otorhinolaryngology interventions, maxillofacial surgery, and psychological needs.All syndromic children were excluded.Seventy-nine files from children born with a cleft were reviewed: 34 were taken into consideration and among them five Pierre Robin Sequence (PRS) were removed.Children were operated at a median age of 5,2 months (3-6).Eighteen percent had a fistula, 45% had grommets, 14% were operated for a pharyngeal flap following the Sanvenero-Rosselli technique to improve the phonatory score.Thirty-six (36) percent had a final phonation I, 32% a phonation I/II and 32% a phonation IIb.None had an osteotomy.All children were seen by our psychologist.A median of 5.5 multidisciplinary consultations were affected with a median number of general anesthesia of 2.4 (1-6).This retrospective study is based on one primary surgical technique used by the same surgeon.It shows that the von Langenbeck procedure done at six months entails a certain risk of fistula but shows good long-term phonatory results.The number of grommets used is low and must be seen in relation with otitis media and our follow-up.A few complements to our investigations and follow-up are proposed concerning grommets, surgical procedures, and sleep disorder.
Authors: Anthony de Buys Roessingh, Laurent Medinger, Martin Broome, Georges Herzog, Chantal Zbinden-Trichet, Céline Béguin, Josée Despars, Yohann Robert, Georgios Dimitropoulos, Oumama El Ezzi
Language: English
Subfield: Oral Surgery
Field: Dentistry
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3133812940