Etiological Study of Persistent Velopharyngeal Insufficiency in Children With Operated Velopalatine Cleft by Analysis of Velopharyngeal Motor Skills in Static and Dynamic MRI

NCT06072495 | Unknown

• 1 other identifier: PI2021_843_0208
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Velopharyngeal insufficiency is defined as the inability of the soft palate to isolate the nasopharynx from the oropharynx. It is a frequent sequela in patients with a velopalatine cleft despite anatomical restoration of the soft palate by intravelar veloplasty at 6 months. If rehabilitation by a speech therapist is not successful, a pharyngoplasty can be discussed. In the last ten years, MRI was used in dynamic and static way, to analyzed velopharyngeal muscles, in particular Levator Veli Palatini. MRI could be used to identify the etiology of VPI in those patients, and thus allow personalized rehabilitation and surgical management. The aim of this study is to examine the differences in velopharyngeal motricity as well as velar muscles morphology, positioning, and symmetry of children with repaired cleft palate with different degrees of severity of velopharyngeal insufficiency (VPI), and children with labial cleft (noncleft palate anatomy).

Conditions

Velopharyngeal Insufficiency; Real Time MRI; Cleft Palate

Keywords

Velopharyngeal Insufficiency; real time MRI; Cleft palate

Outcome Measures

Primary Outcomes (3)

• ratio between the diameter of pharynx at rest and during phonation.

  day 1

• closure distance between the velar knee and the posterior pharyngeal wall

  day 1

• distance between the velar knee and the posterior pharyngeal wall

  day 1

Study Arms (4)

child with operated isolated labial cleft

EXPERIMENTAL

Other: real time MRI

child with isolated operated velopalatal cleft with severe VPI ( IIB//IIM) and normal velum anatomy

EXPERIMENTAL

Other: real time MRI

child with isolated operated velopalatal cleft with soft VPI (I/I-II) and abnormal velum anatomy

EXPERIMENTAL

Other: real time MRI

child with isolated operated velopalatal cleft with normal anatomy and soft VPI

EXPERIMENTAL

Other: real time MRI

Interventions

real time MRI OTHER

ubjects will be scanned in the supine position using ACHIEVA 3T TX DStream Philips® and a 33 channels head and neck coil. An elastic strap will be fixed to the forehead to limits movement during scan. Headset will be used to cancel the loud MRI noise and to communicate with the subjects

child with isolated operated velopalatal cleft with normal anatomy and soft VPI; child with isolated operated velopalatal cleft with severe VPI ( IIB//IIM) and normal velum anatomy; child with isolated operated velopalatal cleft with soft VPI (I/I-II) and abnormal velum anatomy; child with operated isolated labial cleft

Eligibility Criteria

• Age: 7 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children aged 7 to 12 years with Isolated cleft lip
• isolated velopalatal cleft
• Without a diagnosis of syndromic cleft or Pierre Robin sequence
• French speaking, and French is the native language
• Operated with a cheiloplasty (for cleft lip) or an intravelar Veloplasty (according to Sommerlad) at the Amiens University Hospital
• Whose follow-up is done at the Amiens University Hospital

You may not qualify if:

• Refusal of the parents and/or the patient
• With a contraindication to MRI
• Whose follow-up was initiated in another center and/or whose surgery was performed in another center
• Whose surgical schedule has not been followed
• Patient with severe neurological or neuropsychiatric disorders or Severe speech and language delay not related to the cleft anatomy
• Patients treated with fixed, non-removable orthodontic treatment.

Sponsors & Collaborators

• Centre Hospitalier Universitaire, Amiens: lead

Study Sites (1)

CHU Amiens-Picardie

Amiens, 80054, France

RECRUITING

MeSH Terms

Conditions

Velopharyngeal Insufficiency; Cleft Palate

Condition Hierarchy (Ancestors)

Mouth Abnormalities; Mouth Diseases; Stomatognathic Diseases; Pharyngeal Diseases; Stomatognathic System Abnormalities; Otorhinolaryngologic Diseases; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Jaw Abnormalities; Jaw Diseases; Musculoskeletal Diseases; Maxillofacial Abnormalities; Craniofacial Abnormalities; Musculoskeletal Abnormalities

Central Study Contacts

Cica-Carole GBAGUIDI, MD

CONTACT

0322089050; Gbaguidi.Cica-Carole@chu-amiens.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 3, 2023
• First Posted: October 10, 2023
• Study Start: October 1, 2023
• Primary Completion: October 1, 2024
• Study Completion: December 1, 2024
• Last Updated: October 10, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)