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Speech outcomes after soft palate reconstruction with the soft palate insufficiency repair procedure
Author(s) -
Rieger Jana M.,
Zalmanowitz Jana G.,
Li Shirley Y. Y.,
Tang Judith Lam,
Williams David,
Harris Jeffrey,
Seikaly Hadi
Publication year - 2008
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20884
Subject(s) - soft palate , medicine , velopharyngeal insufficiency , dentistry , orthodontics , surgery
Abstract Background. Measurement of functional outcomes related to different methods of soft palate reconstruction is necessary to determine efficacy of surgical intervention after resection for oropharyngeal cancer. Methods. Speech data were collected across 4 evaluation times for 4 groups of patients (2 groups consisted of patients with ≤ half the soft palate resected followed by conventional reconstruction; 2 groups consisted of patients with half or more of the soft palate resected followed by reconstruction with an adhesion or the soft palate insufficiency repair (SPIR). Results. Sixty‐two patients were included. Speech was preserved when conventional reconstructive procedures were used to close smaller defects. For larger defects, reconstruction with an adhesion resulted in poorer speech outcomes than the SPIR. The SPIR group achieved normal speech results at all points of evaluation. Conclusions. The results demonstrate that the SPIR is emerging as an efficacious surgical technique for reconstruction of larger soft palate defects. © 2008 Wiley Periodicals, Inc. Head Neck, 2008