Management of Velopharyngeal Insufficiency in Cleft Patients With and Without Multidisciplinary Team Care.

Abstract:

OBJECTIVE:To evaluate the effect of an American Cleft Palate-Craniofacial Association (ACPA)-approved multidisciplinary team on velopharyngeal insufficiency (VPI) diagnosis and treatment. DESIGN:Retrospective cohort setting; tertiary children's hospital patients; children with cleft palate repair identified through procedure codes. MAIN OUTCOME MEASURES:Velopharyngeal insufficiency diagnosis was assigned based on surgeon or team assessment. Age at diagnosis and surgery was recorded. Difference in age and rate of VPI diagnosis and surgery was analyzed with t test. Multivariate linear and logistic regression adjusted for confounding variables. RESULTS:Nine hundred forty patients were included with 71.5% cared for by an ACPA-approved multidisciplinary team. More (38.8% ) team care patients were found to have a diagnosis of VPI in comparison to 10% in independent care (P < .001). Team care was associated with an almost 6-fold increase in VPI diagnosis (P < .001). Team care was associated with a higher proportion of speech surgery (21% vs 10%, P < .001). Among children receiving team care, each visit was associated with 25% increased odds of being diagnosed with VPI (P < .001) and 20% increased odds of receiving speech surgery (P < .001). Age at VPI diagnosis and speech surgery were similar between groups (P = .55 and .29). DISCUSSION:Team care was associated with more accurate detection of VPI, resulting in more VPI speech therapy visits and surgical management. A higher number of team visits were similarly associated. CONCLUSION:Further studies of the clinical implication of timely and accurate VPI diagnosis, including quality of life assessments, are recommended to provide stronger guidance on team visit and evaluation planning.

authors

Torrecillas V,Pollard SH,McCrary H,Taylor HM,Palmer A,Meier J,Muntz H,Skirko JR

doi

10.1177/1055665620954063

subject

Has Abstract

pub_date

2020-10-05 00:00:00

pages

1055665620954063

eissn

1055-6656

issn

1545-1569

pub_type

杂志文章
  • Magnetic resonance angioplasty for prepharyngoplasty assessment in velocardiofacial syndrome.

    abstract:OBJECTIVE:The assessment of the posterior pharyngeal vasculature in velocardiofacial syndrome has been traditionally based on endoscopic visualization of pulsations or conventional angiography. This case report describes the utility of presurgical imaging with magnetic resonance angiography (MRA) prior to performing ph...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1997_034_0266_mrafpa_2.3.co_2

    authors: Krugman ME,Brant-Zawadski M

    更新日期:1997-05-01 00:00:00

  • Unilateral cleft lip repair--state of the art.

    abstract:OBJECTIVE:A number of surgical techniques are utilized to correct the unilateral cleft lip, including variations of the rotation-advancement technique. This attests to the variability of the original deformity and the esthetic and functional results from any one technique, especially those based on traditional geometri...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章,评审

    doi:10.1597/1545-1569_2000_037_0335_uclrso_2.3.co_2

    authors: Schendel SA

    更新日期:2000-07-01 00:00:00

  • Can occlusal evaluation of children with unilateral cleft lip and palate help determine future maxillofacial morphology?

    abstract::Objective : To investigate the change in occlusal evaluations from the 5-year-olds' index to the Goslon Yardstick and to compare the relationship between the evaluations and maxillofacial growth in patients with complete unilateral cleft lip and palate (UCLP). Design : A prospective longitudinal study. Subjects : The ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/12-103

    authors: Suzuki A,Sasaguri M,Hiura K,Yasunaga A,Mitsuyasu T,Kubota Y,Ninomiya T,Takenoshita Y

    更新日期:2014-11-01 00:00:00

  • The oral health of children with clefts--a review.

    abstract::A review of the studies of the caries prevalence and periodontal health of patients with cleft lip and palate (CLP) revealed that only five investigations of caries prevalence in CLP patients included children. One reported that CLP children did not have a higher caries prevalence in the permanent dentition, whereas m...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章,评审

    doi:10.1597/1545-1569_1998_035_0248_tohocw_2.3.co_2

    authors: Wong FW,King NM

    更新日期:1998-05-01 00:00:00

  • Frequency of Le Fort I osteotomy after repaired cleft lip and palate or cleft palate.

    abstract:OBJECTIVE:Diminished maxillary growth is a consequence of labiopalatal repair, and many patients with cleft lip and palate require Le Fort I advancement. The goal of this study was to determine the frequency of maxillary hypoplasia as measured by need for Le Fort I. SUBJECTS:Retrospective cohort study of males born be...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/06-075.1

    authors: Good PM,Mulliken JB,Padwa BL

    更新日期:2007-07-01 00:00:00

  • Two cases of axenfeld-rieger syndrome, report of the complex pathology and treatment.

    abstract::The purpose of this case report is to report the orthodontic surgical treatment and subsequent dental rehabilitation in two patients with Axenfeld-Rieger syndrome. Axenfeld-Rieger syndrome is a rare autosomal dominant condition characterized by ocular, dental, craniofacial, and periumbilical abnormalities. The treatme...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/12-295

    authors: Bender CA,Koudstaal MJ,van Elswijk JF,Prahl C,Wolvius EB

    更新日期:2014-05-01 00:00:00

  • Shprintzen-Goldberg syndrome: case report.

    abstract:OBJECTIVE:The Shprintzen-Goldberg syndrome is an extremely rare syndrome with a characteristic face. This is one of a group of disorders characterized by craniosynostosis and marfanoid features. The aim of this study was to present a new sporadic case of the syndrome and describe in detail the findings at the maxillofa...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2003_040_0433_sscr_2.0.co_2

    authors: Topouzelis N,Markovitsi E,Antoniades K

    更新日期:2003-07-01 00:00:00

  • Ethical and scientific decision making in distraction osteogenesis.

    abstract:OBJECTIVE:To propose a prospective registry for distraction osteogenesis research. RESULTS:The search strategy identified 82 reports, of which 11 were review articles, 17 were animal studies, 5 were theoretical models, and 49 were case reports/series. CONCLUSIONS:So far, the literature concerning distraction osteogen...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章,meta分析

    doi:10.1597/1545-1569_2002_039_0641_easdmi_2.0.co_2

    authors: Shaw WC,Mandall NA,Mattick CR

    更新日期:2002-11-01 00:00:00

  • Isolated cleft palate in Danish multiple births, 1970-1990.

    abstract::The etiology of most cases of isolated cleft palate (CP) is unknown. The relative importance of genes and environment can be studied using the classical twin method but only few and potentially highly selected CP twin data are available. The present CP twin study was based on four Danish nationwide ascertainment sourc...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1993_030_0469_icpidm_2.3.co_2

    authors: Christensen K,Fogh-Andersen P

    更新日期:1993-09-01 00:00:00

  • Escobar Syndrome-An Multidisciplinary Approach for an Excellent Outcome With 3 Years of Follow-Up.

    abstract::This case report intends to provide the facial characteristics of Escobar syndrome and to describe the orthodontic treatment of a 12-year-old female patient diagnosed with it. Escobar syndrome, a variant of the multiple pterygium syndrome, is a rare disorder with many systemic, facial, and oral manifestations.The pati...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665618823416

    authors: Marques FBC,de Morais LS,Squeff LR,de Souza MMG,Bolognese AM

    更新日期:2019-08-01 00:00:00

  • The cleft audit protocol for speech-augmented: A validated and reliable measure for auditing cleft speech.

    abstract:OBJECTIVES:To develop an assessment tool for use in intercenter audit studies of cleft speech and to test its acceptability, validity, and reliability. The tool is to be used systematically to record and report speech outcomes, providing an indication of treatment needs and continuing burden of care. SETTING:Regional ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/04-141.1

    authors: John A,Sell D,Sweeney T,Harding-Bell A,Williams A

    更新日期:2006-05-01 00:00:00

  • A case of mitochondrial myopathy and cleft palate.

    abstract:OBJECTIVE:To present a child born with both mitochondrial myopathy and cleft palate, outlining medical complications of this dual diagnosis-the first reported case in English literature. METHODS:A preterm Caucasian boy presented to the cleft palate clinic at birth for evaluation of a secondary cleft palate. Multiple a...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/03-040.1

    authors: Franklin JA,Lalikos JF,Wooden WA

    更新日期:2005-05-01 00:00:00

  • Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study.

    abstract:OBJECTIVE:Reliable perceptual and instrumental assessment of oral-nasal balance disorders is a persistent problem in speech-language pathology. The goal of the study was to evaluate whether nasalance-based preclassification of oral-nasal balance disorders improves listener agreement. DESIGN:Retrospective listening stu...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665619873506

    authors: de Boer G,Marino VCC,Dutka JCR,Pegoraro-Krook MI,Bressmann T

    更新日期:2020-04-01 00:00:00

  • A new scale to assess radiographic success of secondary alveolar bone grafts.

    abstract:OBJECTIVES:To propose a new scale for evaluating the position of the bone graft within the cleft and assess its inter- and intraobserver reliability. DESIGN:Sixty-six patients (70 cleft sites) over a 14-year period were assessed, 90% of patients retrospectively and 10% prospectively. The radiographs were reviewed by t...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2002_039_0255_anstar_2.0.co_2

    authors: Witherow H,Cox S,Jones E,Carr R,Waterhouse N

    更新日期:2002-05-01 00:00:00

  • An Intraoral Appliance to Retract the Protrusive Premaxilla in Bilateral Cleft Lip Patients Presenting Late for Primary Lip Repair.

    abstract::The protruding and deviated premaxilla in bilateral complete cleft lip and palate (BCL/P) patients causes a perplexing problem in achieving a tension-free primary lip closure. An innovative noninvasive active intraoral Fixed Pre-Surgical Cleft Orthopedic (FPSCO) appliance is presented that has enabled to successfully ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665617732783

    authors: Vura N,Gaddipati R,Palla Y,Kumar P

    更新日期:2018-04-01 00:00:00

  • New neonatal classification of unilateral cleft lip and palate part 2: to predict permanent lateral incisor agenesis and maxillary growth.

    abstract::Objectives : To bring a neonatal classification system of unilateral cleft lip and palate and to correlate this classification with the distribution of the permanent lateral incisor and maxillary growth. Design : Retrospective with longitudinal follow-up. Setting : Tertiary. Patients : A total of 112 individuals with ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/12-114

    authors: Doucet JC,Delestan C,Montoya P,Matei L,Bigorre M,Herlin C,Baümler C,Daures JP,Captier G

    更新日期:2014-09-01 00:00:00

  • Assessing Psychological Adjustment to Congenital Craniofacial Anomalies: An Illustration of Methodological Challenges.

    abstract:BACKGROUND:Recognition of the challenges inherent in psychology research related to cleft lip and/or palate (CL/P) and other craniofacial anomalies (CFAs) is far from novel; yet these challenges continue to limit progress within the field. The aim of the present article was to illustrate these challenges by utilizing d...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665618769661

    authors: Stock NM,Feragen KB

    更新日期:2019-01-01 00:00:00

  • Early consonant production in Swedish infants with and without unilateral cleft lip and palate and two-stage palatal repair.

    abstract:OBJECTIVE:To investigate consonant production at 12 and 18 months of age following early soft palate repair in infants with unilateral cleft lip and palate (UCLP), and to compare it with typically developing children without clefts. DESIGN:Randomized study with comparison group. PARTICIPANTS:Twenty Swedish infants bo...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章,随机对照试验

    doi:10.1597/09-105

    authors: Lohmander A,Olsson M,Flynn T

    更新日期:2011-05-01 00:00:00

  • Pneumatization of the skull base due to valsalva maneuver.

    abstract::Objectives : We herewith report the case of a 43-year-old patient who experienced a skull base fracture associated with minimal trauma. The computed tomography scan examination showed unusual extensive pneumatization of the skull base. This patient used to perform repeated Valsalva maneuvers on a daily basis sin...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/11-280

    authors: Lacout A,Marcy PY,Carlier RY,Thariat J

    更新日期:2013-01-01 00:00:00

  • Testing causal mechanisms of nonsyndromic craniosynostosis using path analysis of cranial contents in rabbits with uncorrected craniosynostosis.

    abstract:OBJECTIVE:Various causal mechanisms of familial nonsyndromic craniosynostosis have been presented. One hypothesis suggests that overproduction of bone at the suture is the primary origin of craniosynostosis, which affects brain and cranial growth secondarily through altered intracranial pressure (Primary Suture Fusion ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/05-107

    authors: Fellows-Mayle W,Hitchens TK,Simplaceanu E,Horner J,Barbano T,Losee JE,Losken HW,Siegel MI,Mooney MP

    更新日期:2006-09-01 00:00:00

  • Verification of speech spectrum audibility for pediatric Baha Softband users with craniofacial anomalies.

    abstract:OBJECTIVE:The purpose of this study was (1) to determine benefit of the Baha Softband coupled to the Softband for infants and children with bilateral conductive hearing loss; and (2) to verify audibility of the speech spectrum for octave frequencies 500 through 4000 Hz. DESIGN:The research design for this retrospectiv...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/08-178

    authors: Nicholson N,Christensen L,Dornhoffer J,Martin P,Smith-Olinde L

    更新日期:2011-01-01 00:00:00

  • Congenital heart disease in a patient with microform cleft lip.

    abstract:OBJECTIVE:Microform cleft lip (MCL), also known as congenital healed cleft lip, is a rare anomaly that is thought to be a spontaneously healed variant of the more common clefting of lip and palate. Although conventional clefting is known to be associated with congenital heart disease (CHD), MCL has not been similarly a...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2000_037_0596_chdiap_2.0.co_2

    authors: Grech V,Lia A,Mifsud A

    更新日期:2000-11-01 00:00:00

  • Three-Dimensional Printing of Personalized Nasal Stents for Patients With Cleft Lip.

    abstract:OBJECTIVE:This report describes the design and printing of personalized nasal stents for cleft lip using 3-dimensional (3D) technology. MATERIALS AND METHODS:We used silicone rubber to make the impressions, a 3D laser scanner to obtain 3D data, and Dental SG resin cartridges as printing material. We printed the person...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665618782804

    authors: Luo D,Li T,Wang H,Chen Y

    更新日期:2019-04-01 00:00:00

  • Comparative assessment of dental arch relationships using Goslon Yardstick in patients with unilateral complete cleft lip and palate using dental casts, two-dimensional photos, and three-dimensional images.

    abstract:OBJECTIVE:Comparison of the use of two-dimensional (2D) and three-dimensional (3D) images for rating dental arch relationships. MATERIALS AND METHODS:The sample consists of pretreatment dental casts, 2D photographs, and 3D images of 70 patients with unilateral complete cleft lip and palate. Two experienced examiners u...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/10-269

    authors: Dogan S,Olmez S,Semb G

    更新日期:2012-05-01 00:00:00

  • Spontaneous Growth of the Palatal Plates in the Cleft Lip and Palate.

    abstract:OBJECTIVE:This is a prospective study examining palatal casts from patients with unilateral cleft lip and palate (UCLP) in the first month of life, immediately before cheiloplasty, and immediately before palatoplasty. None of the patients receives presurgical orthopedics (nasoalveolar molding). DESIGN:In this prospect...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665620982789

    authors: Pontes F,Callegaris G,Freitas RDS

    更新日期:2020-12-29 00:00:00

  • Apples and oranges-midface hypoplasia and the Le Fort I osteotomy in cleft lip and palate patients: a classification scheme and treatment protocol.

    abstract:OBJECTIVE:To present a classification and treatment protocol for cleft lip and palate patients with midface hypoplasia. DESIGN:Retrospective case series. SETTING:Craniofacial center. PATIENTS:The study included 133 patients with cleft lip and palate and maxillary hypoplasia treated with Le Fort I osteotomy between J...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/08-161.1

    authors: Felemovicius J,Taylor JA

    更新日期:2009-11-01 00:00:00

  • Blepharo-cheilo-dontic (BCD) syndrome: case report.

    abstract:OBJECTIVE:To report a case of blepharo-cheilo-dontic (BCD) syndrome, to compare with the previous cases, and to discuss the possible treatment. PATIENT:The patient was a 14-day-old boy born uneventfully on August 7, 2002. His scalp hair was sparse and curly. A tumor on the top of his head, which was thought to be a de...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章,评审

    doi:10.1597/04-200.1

    authors: Iida A,Narai S,Takagi R,Ono K,Ikeda N

    更新日期:2006-03-01 00:00:00

  • Contributions of PTCH gene variants to isolated cleft lip and palate.

    abstract:OBJECTIVE:Mutations in patched (PTCH) cause the nevoid basal cell carcinoma syndrome (NBCCS), or Gorlin syndrome. Nevoid basal cell carcinoma syndrome may present with developmental anomalies, including rib and craniofacial abnormalities, and predisposes to several tumor types, including basal cell carcinoma and medull...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/04-169r.1

    authors: Mansilla MA,Cooper ME,Goldstein T,Castilla EE,Lopez Camelo JS,Marazita ML,Murray JC

    更新日期:2006-01-01 00:00:00

  • Economy of Hand Motion During Cleft Palate Surgery Using a High-Fidelity Cleft Palate Simulator.

    abstract:OBJECTIVE:The objectives of this study were to assess economy of hand motion of residents, fellows, and staff surgeons using a high-fidelity cleft palate simulator to (1) stratify performance for the purpose of simulator validation and (2) to estimate the learning curve. DESIGN:Two residents, 2 fellows, and 2 staff su...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665618793768

    authors: Ghanem A,Podolsky DJ,Fisher DM,Wong Riff KW,Myers S,Drake JM,Forrest CR

    更新日期:2019-04-01 00:00:00

  • Onlay silicone and hydroxyapatite-tricalciumphosphate composite (HAP-TCP) blocks interfere with nasal bone growth in rabbits.

    abstract::We investigated how a new type of synthetic porous hydroxyapatite ceramic (HAP-TCP) acts when it is implanted in growing membranous bone. Seventy-six New Zealand White infant male rabbits (4-week-olds) were used. Rabbits received HAP-TCP block or silicone block implantation in their right nasal bone. The left nasal bo...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1995_032_0282_osahtc_2.3.co_2

    authors: Arakaki M,Yamashita S,Mutaf M,Naito S,Fujii T

    更新日期:1995-07-01 00:00:00