Effect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic Review
BACKGROUND: The purpose of this study was to compare 2 techniques used for primary muscular repair and perform a systematic review of the literature to evaluate the effects of radical intravelar veloplasty (IVV) on nonsyndromic unilateral cleft lip and palate. METHODS: This is an ambispective study...
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2021
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| author | Percy Rossell‐Perry Carolina Romero-Narváez Claudia Olivencia-Flores Renato Marca-Ticona Melissa Herencia Anaya Jimmy Pumamango Cordova Margot Luque-Tipula |
| author_browse | Carolina Romero-Narváez Claudia Olivencia-Flores Jimmy Pumamango Cordova Margot Luque-Tipula Melissa Herencia Anaya Percy Rossell‐Perry Renato Marca-Ticona |
| author_facet | Percy Rossell‐Perry Carolina Romero-Narváez Claudia Olivencia-Flores Renato Marca-Ticona Melissa Herencia Anaya Jimmy Pumamango Cordova Margot Luque-Tipula |
| author_sort | Percy Rossell‐Perry |
| collection | Producción científica |
| description | BACKGROUND: The purpose of this study was to compare 2 techniques used for primary muscular repair and perform a systematic review of the literature to evaluate the effects of radical intravelar veloplasty (IVV) on nonsyndromic unilateral cleft lip and palate. METHODS: This is an ambispective study between 2 groups of patients with unilateral cleft lip and palate who were operated using a radical and conservative form of IVV in Lima Peru. Data collection was accomplished by evaluation of speech development and middle ear function of the patients. A systematic review of the literature for studies published until June 2020 to evaluate the effect using the radical IVV in patients with cleft lip and palate. RESULTS: Our comparative study did not find statistically significant differences in speech development between the studied techniques for unilateral cleft palate repair. Increased number of ear tube placements have been observed in the group treated with radical form of IVV. After systematic literature searching, 10 identified studies were qualified for the final analysis, which included 1367 patients. The overall study quality according to Oxford CEBM and GRADE scale was low. CONCLUSIONS: The results arising from this study provides statistical evidence that one technique let us obtain better speech outcomes. A technique with conservative IVV has statistical significant fewer rate of middle ear disorders after primary cleft palate repair. Based on available scientific evidence, definitive conclusions about the effectiveness of radical IVV on velopharyngeal and middle ear function cannot be drawn. |
| format | Other |
| id | oai:cris.upeu.edu.pe:20.500.15037/1298 |
| institution | UPeU |
| language | English |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/12982026-10-30T16:15:31ZEffect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic ReviewPercy Rossell‐PerryCarolina Romero-NarváezClaudia Olivencia-FloresRenato Marca-TiconaMelissa Herencia AnayaJimmy Pumamango CordovaMargot Luque-TipulaMedicineDentistrySystematic reviewAudiologyOrthodonticsMEDLINEPolitical scienceLawMedicineDentistrySystematic reviewAudiologyOrthodonticsMEDLINECleft Lip surgeryCleft Lip surgeryCleft Lip surgeryCleft Palate surgeryCleft Palate surgeryCleft Palate surgeryHumansHumansHumansPalate, SoftPalate, SoftPalate, SoftVelopharyngeal InsufficiencyVelopharyngeal InsufficiencyVelopharyngeal InsufficiencyTreatment OutcomeTreatment OutcomeTreatment OutcomeLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchHealth Sciences Medicine Surgery Reconstructive Facial Surgery TechniquesHealth Sciences Medicine Otorhinolaryngology Ear Surgery and Otitis MediaBACKGROUND: The purpose of this study was to compare 2 techniques used for primary muscular repair and perform a systematic review of the literature to evaluate the effects of radical intravelar veloplasty (IVV) on nonsyndromic unilateral cleft lip and palate. METHODS: This is an ambispective study between 2 groups of patients with unilateral cleft lip and palate who were operated using a radical and conservative form of IVV in Lima Peru. Data collection was accomplished by evaluation of speech development and middle ear function of the patients. A systematic review of the literature for studies published until June 2020 to evaluate the effect using the radical IVV in patients with cleft lip and palate. RESULTS: Our comparative study did not find statistically significant differences in speech development between the studied techniques for unilateral cleft palate repair. Increased number of ear tube placements have been observed in the group treated with radical form of IVV. After systematic literature searching, 10 identified studies were qualified for the final analysis, which included 1367 patients. The overall study quality according to Oxford CEBM and GRADE scale was low. CONCLUSIONS: The results arising from this study provides statistical evidence that one technique let us obtain better speech outcomes. A technique with conservative IVV has statistical significant fewer rate of middle ear disorders after primary cleft palate repair. Based on available scientific evidence, definitive conclusions about the effectiveness of radical IVV on velopharyngeal and middle ear function cannot be drawn.Otherhttps://pubmed.ncbi.nlm.nih.gov/3353432710.1097/scs.0000000000007481https://hdl.handle.net/20.500.15037/1298W3127185810enJournal of Craniofacial Surgery1049-22751536-37322021-01-282026-06-13T09:52:41Z2026-06-13T09:52:41Z |
| spellingShingle | Medicine Dentistry Systematic review Audiology Orthodontics MEDLINE Political science Law Medicine Dentistry Systematic review Audiology Orthodontics MEDLINE Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Humans Humans Humans Palate, Soft Palate, Soft Palate, Soft Velopharyngeal Insufficiency Velopharyngeal Insufficiency Velopharyngeal Insufficiency Treatment Outcome Treatment Outcome Treatment Outcome Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques Health Sciences Medicine Otorhinolaryngology Ear Surgery and Otitis Media Percy Rossell‐Perry Carolina Romero-Narváez Claudia Olivencia-Flores Renato Marca-Ticona Melissa Herencia Anaya Jimmy Pumamango Cordova Margot Luque-Tipula Effect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic Review |
| title | Effect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic Review |
| title_full | Effect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic Review |
| title_fullStr | Effect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic Review |
| title_full_unstemmed | Effect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic Review |
| title_short | Effect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic Review |
| title_sort | effect of nonradical intravelar veloplasty in patients with unilateral cleft lip and palate a comparative study and systematic review |
| topic | Medicine Dentistry Systematic review Audiology Orthodontics MEDLINE Political science Law Medicine Dentistry Systematic review Audiology Orthodontics MEDLINE Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Humans Humans Humans Palate, Soft Palate, Soft Palate, Soft Velopharyngeal Insufficiency Velopharyngeal Insufficiency Velopharyngeal Insufficiency Treatment Outcome Treatment Outcome Treatment Outcome Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques Health Sciences Medicine Otorhinolaryngology Ear Surgery and Otitis Media |
| topic_facet | Medicine Dentistry Systematic review Audiology Orthodontics MEDLINE Political science Law Medicine Dentistry Systematic review Audiology Orthodontics MEDLINE Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Humans Humans Humans Palate, Soft Palate, Soft Palate, Soft Velopharyngeal Insufficiency Velopharyngeal Insufficiency Velopharyngeal Insufficiency Treatment Outcome Treatment Outcome Treatment Outcome Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques Health Sciences Medicine Otorhinolaryngology Ear Surgery and Otitis Media |
| url | https://pubmed.ncbi.nlm.nih.gov/33534327 https://hdl.handle.net/20.500.15037/1298 |
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