Author(s): 1.Edwar Alvarez MD, 2. David Alvarez MD, 3 .Andrea Iñiguez MD, 4.Cleidys Pereira Sp. T.
Received: 22/05/2021 | Published: 05/06/2021 | Pages: 20-23 |
Normal speech is an important parameter in an optimal palate repair. The Alvarez Speech Score was developed to evaluate post-repair and post-speech therapy phonation quality. Methodology: Patients older than four years who came for consultation, regardless of their underlying pathology, severity of palatal malformation, sex, and previous surgical repair techniques were included in the study. Speech was assessed in the immediate pre-operative period and then one month postoperatively. The Score was used in 3 countries, by twenty-seven specialists who were trained in the score application. Audio recordings of the corresponding words in each level of Speech articulation were submitted for analysis. Speech was measured at the nasolabial, dental-palatine and velopharyngeal level.5 tests were applied, with a score of 1 – 3 allotted to each test, giving a maximum total of 15. At the end of the practice the results that each specialist obtained were compared in a collective way. Results: 27 patients were included in the study. Comparable and satisfactory scores were obtained between the specialists who scored the speech samples. Table 1, 2,3 and 4 depict the breakup of the results obtained. Conclusion: The Alvarez Score proved to be an easy and reproducible application instrument. It provides a useful measure of parameters for the evaluation of surgical results, and gauges the competency level and technical skills of the Cleft Surgeons. It can also serve as a quality control tool.
1. Reddy GS, Webb RM, Reddy RR, Reddy LV, Thomas P, Markus AF. Choice of incision for primary repair of unilateral complete cleft lip: a comparative study of outcomes in 796 patients. Plast Reconstr Surg 2008;121(3):932-40 2. Rose W. Harelip and cleft palate. London: HK Lewis, 1891. CID:629CD4B6-71AB-49B4-9E99- 8106BAE63DC0
3. Millard DR. Refinements in rotation advancement cleft lip technique. Plast Reconstr Surg 1964;33: 26 38.
4. Nordoff MS. Reconstruction of vermillion in unilateral and bilateral cleft lips. Plast Reconstr Surg 1984;73(1):52-61.
5. Perko M. The history of treatment of cleftlip and palate. In Historical Aspects of Pediatric Surgery 1986 (pp. 238-251). Springer, Berlin, Heidelberg.
6. Larossa D. The state of the art in cleft palate surgery. The Cleft palate-craniofacial journal. 2000 May;37(3):225-8.
7. Strong EB, Buckmiller LM. Management of the cleft palate. Facial plastic surgery clinics of North America. 2001 Feb 1;9(1):15-25.
8. Pamplona M, Ysunza A, Patiño C. Speech summer camp for treating articulation disorders in cleft palate patients. Int J Pediatr Otorhinolaryngol 2005; 69: 351-359.
9. Kuehn DP, Moller KT. Speech and language issues in the cleft palate population: the state of the art. Cleft Pal Craniofac J 2000; 37: 348-1- 348-35
10. Edwar Alvarez, Romaisa Shamim Khan, David Alvarez MD, Andrea Iñiguez: Third generation veloplasty: elongation of the soft palate, a new concept and technique; Pak J of plastic surgery
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