Marsh J L
Cleft Palate and Craniofacial Deformities Institute, St. Louis, MO 63110.
Clin Commun Disord. 1991 Fall;1(3):29-34.
Surgical and prosthetic interventions are effective means of managing cleft palate and velopharyngeal dysfunction. Most patients are managed surgically because usually there is life-long benefit from that type of intervention and an operation does not require continued cooperation from the patient. In selected cases, prosthetic intervention is preferred. Over the past century, the efficacy of such interventions has increased markedly. Not all of the factors responsible for these improved results are understood. Disagreement among care providers persists regarding the specific criteria for intervention, the use of ancillary tools beyond perceptual speech evaluation for both pre-intervention and postintervention assessments, the technical details of intervention, and the ideal age for intervention. In spite of general success of interventions for cleft palate and velopharyngeal dysfunction, much fertile ground remains to be tilled and harvested by current and future students of the problem.
手术和修复干预是治疗腭裂和腭咽功能障碍的有效手段。大多数患者接受手术治疗，因为这种干预通常能带来终身益处，而且手术不需要患者持续配合。在某些特定情况下，修复干预更为可取。在过去的一个世纪里，此类干预的疗效有了显著提高。并非所有导致这些改善结果的因素都已明了。护理人员对于干预的具体标准、在干预前后评估中使用感知语音评估以外的辅助工具、干预的技术细节以及理想的干预年龄仍存在分歧。尽管腭裂和腭咽功能障碍的干预总体上取得了成功，但当前和未来研究该问题的学者仍有许多肥沃的领域有待耕耘和收获。
