American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review

The Cochrane Collaboration
Interventions for the Management of Submucous Cleft Palate

Nasser, M., Fedorowicz, Z., et al. (2008).
Cochrane Database of Systematic Reviews(1).

Indicators of Review Quality:

The review addresses a clearly focused question Yes
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes

Description: This is a systematic review of randomized controlled trials investigating the effectiveness of surgical interventions to treat velopharyngeal insufficiency. Although the treatment did not directly involve SLP services, it reports speech outcomes which may be helpful to clinicians treating individuals with craniofacial disorders.

Question(s) Addressed:

What is the effectiveness of surgical interventions to treat velopharyngeal insufficiency and improve speech in patients with submucous cleft palate?

Population: Children or adolescents, 3 years or older, with velopharyngeal insufficiency secondary to submucous cleft palate.

Intervention/Assessment: Surgical procedures to correct velopharyngeal insufficiency in submucous cleft palate.

Number of Studies Included: 1

Years Included: Through 2006

Findings:

Conclusions:

  • Treatment
    • Speech
      • There is limited evidence from 1 included study discussing the speech outcomes following palatal surgery to treat submucous cleft palate. The evidence from the study included in this review is of little value secondary to methodological weaknesses.

Keywords: Craniofacial Disorders

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Added to Compendium: January 2012

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