Comparing Two Flap Palatoplasty and Furlow with Buccinator Flap for Speech Development in Children with Cleft Palate Aged 3 to 5 Years

What this Trial Is About

This research aims to compare two surgical techniques used during primary palate repair in children with cleft palate, specifically focusing on how these procedures affect speech development. The study involves children aged 3 to 5 years who have previously undergone cleft lip and palate repair by the same craniofacial surgeon. It evaluates speech outcomes by analyzing speech samples recorded in Arabic, assessing aspects like hypernasality, speech clarity, and compensatory speech errors. The study groups consist of about 20 children divided evenly one group receiving the Furlow palatoplasty combined with a buccal myomucosal flap and the other undergoing two flap palatoplasty. These procedures are observed and their effects on speech are studied without additional intervention. Speech recordings are collected in a soundproof room and analyzed by a specialist in speech disorders. Participants will have their speech recorded through repeated syllables, sentences with high-pressure sounds, and counting from one to ten. These sessions are conducted in a controlled environment to ensure accurate assessment. The primary outcome includes a nasopharyngoscopic examination performed approximately one week after the study begins to observe functional results. The entire participation spans from initial speech recording through completion of this examination.

Effect of Furlow Palatoplasty With Buccal Myomucosal Flap on the Speech Development