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[不同年龄组腭裂修复术后腭咽功能的比较研究]

[A comparative study of velopharyngeal function after palatoplasty with different age group].

作者信息

Yuan W H, Xia J, Jiang L L, Yao L H, Yu C Q

机构信息

Department of Oral and Maxillofacial Surgery,School of Stomatology,Shanghai Second Medical University.Shanghai 200011,China.

出版信息

Shanghai Kou Qiang Yi Xue. 1993 Mar;2(1):7-9.

Abstract

That the most suitable age of palatoplasty is still an argumentative question.The final purpose of palatoplasty is to obtain the satisfactory effectiveness is to obtain the satisfactory effectiveness of phonetic distinctness.So,early palatoplasty is suported by more more experts and patient's parents.This study detected 60 cases velopharyngeal function after traditional palatoplasty with two flaps,adopting nasopharyngeal fiberscope and detective system of image processing and quantitative analysis of velopharyngeal function,for long term evaluation of traditional palatoplasty with different operative success iin early palatoplasty group (less than 3 years old) was 80.0% while that in later palatoplasty group (more than 6 years old) was 53.3%.From other aspects of types of velopharyngeal competence,mobility of soft palate and rate of velopharyngeal coronary contraction,the author described advantages of early palatoplasty.

摘要

腭裂修复术最合适的年龄仍然是一个有争议的问题。腭裂修复术的最终目的是获得令人满意的语音清晰度效果。因此,早期腭裂修复术得到了越来越多专家和患儿家长的支持。本研究采用鼻咽纤维镜及图像处理与腭咽功能定量分析检测系统,对60例行传统双瓣腭裂修复术患者的腭咽功能进行检测,以长期评估不同手术成功率的传统腭裂修复术。早期腭裂修复术组(小于3岁)手术成功率为80.0%,而晚期腭裂修复术组(大于6岁)为53.3%。作者从腭咽功能类型、软腭活动度和腭咽冠状收缩率等其他方面阐述了早期腭裂修复术的优势。

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