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Timing of primary surgery for cleft palate

23 November 2023
Randomized clinical trials General
Gamble C, Persson C, Willadsen E, Albery L, Andersen HS, Antoneli MZ et al, for the TOPS Study Group.

N Engl J Med 2023; 389:795-807.

Some 552 infants were randomized to surgery at six or twelve months. Poor speech and language scores at age five were more common after surgery at twelve months: 15 versus 8.9 per cent, P=0.04.

Comment: Really useful study done in adequately resourced hospitals.

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