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Scandcleft randomis...
Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 4. Speech outcomes in 5-year-olds - velopharyngeal competency and hypernasality
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- Lohmander, Anette (author)
- Karolinska Institutet,Karolinska Institute, Sweden; Karolinska University Hospital, Sweden
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- Persson, Christina, 1959 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
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- Willadsen, Elisabeth (author)
- University of Copenhagen, Denmark
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- Lundeborg, Inger, 1956- (author)
- Linköpings universitet,Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi,Medicinska fakulteten
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- Alaluusua, Suvi (author)
- University of Helsinki, Finland
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- Aukner, Ragnhild (author)
- Statped Sorost, Norway
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- Bau, Anja (author)
- University of Copenhagen Hospital, Denmark
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- Boers, Maria (author)
- University of Copenhagen Hospital, Denmark
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- Bowden, Melanie (author)
- Royal Manchester Childrens Hospital, England
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- Davies, Julie (author)
- Royal Manchester Childrens Hospital, England
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- Emborg, Berit (author)
- Cleft Palate Centre, Denmark
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- Havstam, Christina (author)
- Sahlgrens University Hospital, Sweden
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- Hayden, Christine (author)
- Royal Hospital Sick Children, North Ireland
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- Henningsson, Gunilla (author)
- Karolinska University Hospital, Sweden
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- Holmefjord, Anders (author)
- Statped Vest, Norway
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- Hölttä, Elina (author)
- University of Helsinki, Finland
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- Kisling-Moller, Mia (author)
- Cleft Palate Centre, Denmark
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- Kjoll, Lillian (author)
- Statped Sorost, Norway
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- Lundberg, Maria (author)
- Karolinska University Hospital, Sweden
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- McAleer, Eilish (author)
- Royal Hospital Sick Children, North Ireland
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- Nyberg, Jill (author)
- Karolinska Institutet,Karolinska University Hospital, Sweden
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- Paaso, Marjukka (author)
- University of Helsinki, Finland
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- Pedersen, Nina Helen (author)
- Statped Vest, Norway
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- Rasmussen, Therese (author)
- Statped Vest, Norway
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- Reisaeter, Sigvor (author)
- Statped Vest, Norway
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- Sogaard Andersen, Helene (author)
- University of Copenhagen Hospital, Denmark
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- Schoeps, Antje (author)
- University of Copenhagen Hospital, Denmark
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- Tordal, Inger-Beate (author)
- Statped Sorost, Norway
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- Semb, Gunvor (author)
- Statped Sorost, Norway; University of Manchester, England; National Hospital Norway, Norway
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(creator_code:org_t)
- TAYLOR & FRANCIS LTD, 2017
- 2017
- English.
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In: Journal of Plastic Surgery and Hand Surgery. - : TAYLOR & FRANCIS LTD. - 2000-656X .- 2000-6764. ; 51:1, s. 27-37
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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https://gup.ub.gu.se...
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Abstract
Subject headings
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- Background and aim: Adequate velopharyngeal function and speech are main goals in the treatment of cleft palate. The objective was to investigate if there were differences in velopharyngeal competency (VPC) and hypernasality at age 5 years in children with unilateral cleft lip and palate (UCLP) operated on with different surgical methods for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy. Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Sweden, Norway, and the UK. Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with a non-syndromic UCLP. Speech audio and video recordings of 391 children (136 girls, 255 boys) were available and perceptually analysed. The main outcome measures were VPC and hypernasality from blinded assessments. Results: There were no statistically significant differences between the prevalences in the arms in any of the trials. VPC: Trial 1, A: 58%, B: 61%; Trial 2, A: 57%, C: 54%; Trial 3, A: 35%, D: 51%. No hypernasality: Trial 1, A: 54%, B: 44%; Trial 2, A: 47%, C: 51%; Trial 3, A: 34%, D: 49%. Conclusions: No differences were found regarding VPC and hypernasality at age 5 years after different methods for primary palatal repair. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
Keyword
- Randomised clinical trial; Scandcleft; primary palatal repair; unilateral cleft lip and palate; speech; intercentre study; cross-linguistic
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Lohmander, Anett ...
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Persson, Christi ...
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Willadsen, Elisa ...
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Lundeborg, Inger ...
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Alaluusua, Suvi
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Aukner, Ragnhild
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show more...
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Bau, Anja
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Boers, Maria
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Bowden, Melanie
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Davies, Julie
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Emborg, Berit
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Havstam, Christi ...
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Hayden, Christin ...
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Henningsson, Gun ...
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Holmefjord, Ande ...
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Hölttä, Elina
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Kisling-Moller, ...
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Kjoll, Lillian
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Lundberg, Maria
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McAleer, Eilish
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Nyberg, Jill
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Paaso, Marjukka
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Pedersen, Nina H ...
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Rasmussen, There ...
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Reisaeter, Sigvo ...
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Sogaard Andersen ...
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Schoeps, Antje
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Tordal, Inger-Be ...
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Semb, Gunvor
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Otorhinolaryngol ...
- Articles in the publication
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Journal of Plast ...
- By the university
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Linköping University
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Karolinska Institutet
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University of Gothenburg