Surgical maxillary advancement and speech resonance: comparison among cleft types

Codas. 2020;32(4):e20190152. doi: 10.1590/2317-1782/20202019152. Epub 2020 May 8.
[Article in English, Portuguese]

Abstract

Purpose This study investigated the influence of the cleft type on the appearance of hypernasality after surgical maxillary advancement (MA). Methods Nasality was determined by measurement of nasalance (acoustic correlate of nasality) by nasometry. The study involved analysis of the nasalance scores of 17 individuals with isolated cleft palate (CP), 118 with unilateral cleft lip and palate (UCLP) and 69 with bilateral cleft lip and palate (BCLP), of both sexes, aged 18 to 28 years, after MA. Only individuals with normal nasalance scores indicating balanced resonance before MA were included in this study. Nasometry was performed 3 days before and 15 months after MA, on average. The proportion of patients who presented nasalance scores indicating hypernasality after surgery was calculated by the ANOVA test, and comparison among the different cleft types was evaluated by the chi-square test (p < 0.05). Results No significant difference was found in the proportions of individuals with hypernasality among the cleft types. Conclusion Nasometry showed that the appearance of hypernasality after MA in individuals with cleft palate with or without cleft lip occurred in similar proportions, regardless of the cleft type.

MeSH terms

  • Adolescent
  • Adult
  • Cleft Lip / physiopathology
  • Cleft Lip / surgery*
  • Cleft Palate / physiopathology
  • Cleft Palate / surgery*
  • Female
  • Humans
  • Male
  • Maxilla / surgery
  • Orthognathic Surgical Procedures / adverse effects*
  • Osteotomy, Le Fort / adverse effects
  • Retrospective Studies
  • Speech / physiology*
  • Speech Disorders / etiology*
  • Speech Disorders / physiopathology
  • Speech Production Measurement
  • Velopharyngeal Insufficiency / etiology*
  • Velopharyngeal Insufficiency / physiopathology
  • Young Adult