CLAPP Classification Scheme and Treatment Algorithm for Submucous Cleft Palate.
Objective: This study aimed to introduce a classification scheme and treatment algorithm for Submucous Cleft Palate (SMCP) to improve surgical outcomes and standardize patient management. Design: A retrospective review of patients presenting with SMCP was conducted, categorizing them according to th...
| Publicado en: | Cleft Palate Craniofacial Journal Vol. 63; no. 6; pp. 1431 - 1444 |
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| Autores principales: | , , , , , , , , , |
| Formato: | algorithm pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193752682&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193752682 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10556656 DF1 jtl: Cleft Palate Craniofacial Journal issn: 10556656 maglogo: Y pubinfo: dt: Jun2026 vid: 63 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 193752682 185268087 193752682 193752682 10.1177/10556656251341093 193752682 ppf: 1431 ppct: 13 formats: tig: atl: CLAPP Classification Scheme and Treatment Algorithm for Submucous Cleft Palate. aug: au: Daiem, Muhammad Aslam Khalid, Farrukh Turk, Marvee Bashir, Muhammad Mustehsan Azam, Muhammad Breugem, Corstiaan Low, David da Silva Freitas, Renato Gill, Nauman Ahmad Fayyaz, Ghulam Qadir affil: CLAPP Hospital, Lahore, Pakistan sug: subj: Cleft Palate Surgery Cleft Palate Classification Algorithms Patient Care Treatment Outcomes Pakistan Human Female Male Infant Child, Preschool Child Adolescence Adult Retrospective Design Record Review Descriptive Statistics Zona Pellucida Surgery Palatal Muscles Surgery Velopharyngeal Insufficiency Surgery Postoperative Complications Surgical Flaps Speech and Language Assessment Surgery, Oral Hospitals Pretest-Posttest Design Protocols Fistula Speech Therapy Task Performance and Analysis Data Analysis Software Pearson's Correlation Coefficient Chi Square Test Fisher's Exact Test Age Factors Prospective Studies Disease Management Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Female Male ab: Objective: This study aimed to introduce a classification scheme and treatment algorithm for Submucous Cleft Palate (SMCP) to improve surgical outcomes and standardize patient management. Design: A retrospective review of patients presenting with SMCP was conducted, categorizing them according to the proposed classification scheme based on the extent of the zona pellucida and palatal length. Tailored surgical interventions were implemented for each category. Setting: CLAPP Hospital, Lahore, Pakistan, from 2015 to 2023. Patients/Participants: 252 patients with SMCP were identified (M age = 8.29 years; 52.8% male, 47.2% female). Patients with other cleft variants were excluded. Interventions: The classification scheme categorized patients into three types based on the extent of the zona pellucida and further stratified them by palatal length. Surgical interventions included midline incisions, modified and standard Von Langenbeck techniques, and adjunctive palatal lengthening or pharyngeal flaps for patients with inadequate palatal length. Main Outcome Measures: Speech was assessed pre- and post-operatively using a modified Ann Kummer Speech Evaluation Protocol. Post-operative complications, including fistula formation, were recorded. Results: Significant speech improvement was observed, with 89.9% of patients improving from moderate/severe hypernasality to mild hypernasality. Patients receiving a pharyngeal flap exhibited a significant improvement in speech (p <.001) compared to those who did not. Fistulas were observed in 8.7% of cases, consistent with rates reported in the literature. Conclusion: The proposed classification scheme and treatment algorithm show promise in providing a practical framework for SMCP management. This framework will help standardize the management of patients with SMCP and improve postoperative outcomes in these patients. pubtype: Academic Journal doctype: algorithm pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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