BACKGROUND: Due to many confounding factors, it is not easy to answer which method of cleft repair is superior to others. The purpose of this study is to try to compare the treatment result of different types of palatoplasty in @entity1 who had the same cleft type and same treatment protocol besides the method of cleft repair. We selected nonsyndromic @entity1 with incomplete cleft of the secondary palate. The speech results after the two palatoplasties were compared. METHODS: Ninety-six @entity1 with nonsyndromic incomplete clefts of the secondary palate who received palatoplasty at the Craniofacial Center of Chang Gung Memorial Hospital from 1989 to 1997 were studied. Forty-six @entity1 received Furlow palatoplasty and 50 @entity1 received @entity2880 . Velopharyngeal function was evaluated by speech pathologists periodically after the @entity1 was two and half years old. Adequacy of velopharyngeal function was used as a measurement of speech outcome. RESULTS: The Furlow palatoplasty group showed excellent results with 98% (45/46) adequacy in velopharyngeal function. In the @entity2880 group, only 70% (35/50) of the @entity1 had adequate velopharyngeal function. Statistical analysis with Fisher's exact test showed a significant difference (p < 0.0001, p < 0.05). Only one @entity1 had an oronasal fistula after Furlow palatoplasty. After @entity2880 , one @entity1 had an oronasal fistula and one had wound dehiscence. CONCLUSION: In this study, there was a better speech outcome after Furlow palatoplasty than @entity2880 for repair of incomplete cleft of the secondary palate. Also, the number of complications after a Furlow palatoplasty was low. It should be a recommended treatment.

Comparison of speech results after Furlow palatoplasty and XXXX in incomplete cleft of the secondary palate.

@entity1 :: ('9606', 'Species') :: ['patients', 'children', 'patient'] @entity2880 :: ('MESH:D014842', 'Disease') :: ['von Langenbeck palatoplasty']
@entity2880 :: (MESH:D014842,Disease) :: ['von Langenbeck palatoplasty']
