To clarifyt he correlationb etweent he kind of hospit al in which primary palatoplastyw as performeda nd speechd isorders, a clinico-statisticaslt udy was carried out on 319 cleft lip and palate patients secondarily treated in the speech clinic of the School of Dentistry, Showa University from July 1977 to December 1990. The patients were divided into three groups based on the kind of hospital in which primary palatoplasty was performed: Group 1, hospitals whose staff regularly attend the meeting: of the Japanese Cleft Palate Association,153 patients; Group 2, other hospitals,138 patients; Group 3, unknown, 28 patients.
The results were as follows:
1. 53.0% of the patients firs t visited our clinic at the age of more than seven years, and 82.7% of the patients underwent primary palatoplasty before the age of 3 years.
2. 44.8% of the patients were referred to our clinic from Oral and Maxillofacial Surgery Clinics and their chief complaints were speech disorders.
3. Velopharyngeal function at the first visit to our clinic was as follows. Most patients who had adequate or marginally adequate function were in Group 1, but those in the other groups frequently had inadequate function.
4. 75.2% of the patients exhibited misarticulations. Most patients exhibiting Japanese Palatalized Misarticulation or Japanese Lateral Misarticulation were in Group 1. The patients in the other groups frequently exhibited glottal stops.
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