Abstract
Abstract Objective: To determine whether, in performing palatoplasty, fracture of the pterygoid hamulus is beneficial, detrimental, or neutral with respect to intraoperative and perioperative complications, hearing outcome, and speech outcome. Design: Prospective, alternating. Setting: Institutional, tertiary cleft palate center, Chang Gung Memorial Hospital, Taipei, Taiwan. Participants: A total of 173 patients enrolled in the study, of whom 161 had charts available for analysis. Interventions: During the performance of palatoplasty, 85 patients received hamulus fracture and 76 patients did not. All palatoplasties were performed by the same surgeon. Main Outcome Measures: (1) Surgical outcomes, including patient demographic data, palatoplasty type and duration, blood loss, incidences of oronasal fistulae, temporary mucosal dehiscence, and postoperative bleeding; (2) otolaryngological outcomes, including hearing results as judged by auditory brainstem response testing, myringotomy tube data describing rat...
Published Version
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