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Fifteen patients received the primary FPBF as the surgical palatal repair technique, while the other 15 patients received the primary TFP as their cleft palate repair. All surgeries were done by a single surgeon at the age of 9\u201312 months. Speech assessment was done at the age of 4\u20138 years, including the amount of hypernasality, speech intelligibility, compensatory misarticulation, and nasopharyngoscopy VP valve competence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Statistically significant improvements were detected in the 4 assessment methods while comparing primary FPBF versus the TFP groups\u2019 scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Primary FPBF might be able to improve the speech outcome in comparison to TFP in patients with cleft palate.\u00a0<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical significance<\/jats:title>\n                    <jats:p>Primary FPBF improves the amount of hypernasality, speech intelligibility, compensatory misarticulation, and nasopharyngoscopy VP valve competence. Accordingly, it limits the need for further VP repair surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>Clinicaltrials.gov (NCT06856330).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00784-025-06695-6","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T04:35:00Z","timestamp":1766205300000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Speech outcome following primary furlow palatoplasty with buccal myomucosal flap versus two flap palatoplasty in patients with cleft palate"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7550-1913","authenticated-orcid":false,"given":"Shaimaa Mohsen","family":"Refahee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamdouh Ahmed","family":"Aboulhassan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1770-9492","authenticated-orcid":false,"given":"Iman Mohamed","family":"Elrouby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0870-1472","authenticated-orcid":false,"given":"Mohamed","family":"Abd-El-Ghafour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,20]]},"reference":[{"key":"6695_CR1","doi-asserted-by":"publisher","first-page":"1853","DOI":"10.1093\/hmg\/8.10.1853","volume":"8","author":"BC Schutte","year":"1999","unstructured":"Schutte BC, Murray JC (1999) The many faces and factors of orofacial clefts. 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