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

Efficacy of Two Flap Palatoplasty (TFP) Versus Furlow With Buccinator Flap (FPBF) During Primary Palatoplasty on the Speech Development

About 20 patient will be collected according to the eligibility criteria and grouped into Group I : 10 patients were treated with furlow with buccinators flap Group II : 10 patients were treated with 2 flap palatoplasty All patients will be examined by an expert Phoniatrician by Recording of speech samples in Arabic language for the children in a soundproof room including repeated syllables, sentences with high-pressure sounds and counting from 1 to 10. The records will be analyzed to assess the degree of hypernasality, speech intelligibility and compensatory speech errors

Inclusion Criteria:

• 3-5 years old childreen with previous treated complete cleft lip and palate, nonsyndromic.
• lip and palate repair performed by one craniofacial surgeon

Exclusion Criteria:

• Patients with syndromic cleft lip.
• Redu cases
• Bilateral cleft lip
• Patient older 5years or younger 3 years.
• Associated Cardiac anomalies.
• Any systemic condition