Sie K C Y
Childhood Communication Center, University of Washington, Childrens Hospital and Regional Medical Center, Seattle, WA 98105, USA.
B-ENT. 2006;2 Suppl 4:85-94.
Velopharyngeal insufficiency is the main morbidity associated with clefting of the secondary palate. Therefore, it is important to monitor speech production in all children with a history of cleft palate. Diagnosis and management of velopharyngeal insufficiency is an important function of the cleft palate team. The surgical approach used in the Craniofacial Center at Children's Hospital and Regional Medical Center, Seattle, Washington, USA is presented. Assessment of velopharyngeal function, as it relates to surgical intervention and measurement of outcome, is reviewed. Surgical management using Furlow palatoplasty and sphincter pharyngoplasty is discussed.
腭咽闭合不全是与继发腭裂开相关的主要发病情况。因此,对所有有腭裂病史的儿童进行言语产生监测很重要。腭咽闭合不全的诊断和管理是腭裂治疗团队的一项重要职能。本文介绍了美国华盛顿州西雅图儿童医院和区域医疗中心颅面中心所采用的手术方法。文中回顾了与手术干预及结果测量相关的腭咽功能评估。还讨论了使用Furlow腭成形术和括约肌咽成形术的手术管理。