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Cleft Palate Surgery and Speech Development
This study has been completed.
Study NCT00004639   Information provided by National Institute of Dental and Craniofacial Research (NIDCR)
First Received: September 17, 1999   Last Updated: July 17, 2008   History of Changes

September 17, 1999
July 17, 2008
February 1996
March 2006   (final data collection date for primary outcome measure)
Velopharyngeal function for speech was identified to be better for patients who received the Furlow double opposing z-palatoplasty procedure than patients who received the von Langenbeck procedure, as determined by the Cul-de-Sac Test of Hypernasality. [ Time Frame: 6 months ] [ Designated as safety issue: No ]
Velopharyngeal function for speech was identified to be better for patients who received the Furlow double opposing z-palatoplasty procedure than patients who received the von Langenbeck procedure, as determined by the Cul-de-Sac Test of Hypernasality.
Complete list of historical versions of study NCT00004639 on ClinicalTrials.gov Archive Site
 
 
 
Cleft Palate Surgery and Speech Development
Velopharyngeal Function for Speech After Palatal Surgery

Compare the outcome of two primary surgeries techniques (von Langenbeck and Furlow double z-plasty) performed on children with cleft lip/palate to determine if one results in significantly better velopharyngeal competency for speech.

This study is conducted with patients with complete unilateral cleft lip and palate. The subjects will have their palatal clefts surgically repaired by either the von Langenbeck or the Furlow double z-plasty palatoplasty. Patients will be randomly assigned to four groups, to have with the von Langenbeck palatoplasty with intravelar veloplasty or the Furlow double opposing z-plasty palatoplasty between 9 and 12 months of age or between 15 and 18 months of age. Lip repair will be randomized to either the Spina or Millard method and will be accomplished by six months prior to palatoplasty. The major emphasis will focus on assessment of the near and long term outcomes of the palatal surgeries on velopharyngeal function for speech.

Phase II
Interventional
Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study
  • Cleft Lip
  • Cleft Palate
  • Procedure: Furlow double z-plasty palatoplasty palate repair
  • Procedure: Von Langenbeck palatoplasty palate repair
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
475
April 2007
March 2006   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Unrepaired unilateral cleft lip and palate
  • Lip repair surgery to be accomplished by 3-6 months of age
  • Able to return to research site at least once a year for follow-up

Exclusion Criteria:

  • Patients with concomitant conditions (ie. mental retardation, deafness)
  • Patients with Simonart Band of the cleft
  • Patients who could not return to research site on a yearly basis
Both
 
No
Contact information is only displayed when the study is recruiting subjects
United States,   Brazil
 
NCT00004639
Dr. William N. Williams, Ph.D., University of Florida
NIDCR-010, R01DE10437
National Institute of Dental and Craniofacial Research (NIDCR)
University of Sao Paulo
Principal Investigator: William N Williams, Ph.D Univerisity of Florida
National Institute of Dental and Craniofacial Research (NIDCR)
July 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP