成人咽瓣手术

Pharyngeal flap surgery in adults.

作者信息

Hall C D, Golding-Kushner K J, Argamaso R V, Strauch B

机构信息

Center for Craniofacial Disorders, Montefiore Medical Center, Bronx, New York 10467.

出版信息

Cleft Palate Craniofac J. 1991 Apr;28(2):179-82; discussion 182-3. doi: 10.1597/1545-1569_1991_028_0179_pfsia_2.3.co_2.

DOI:10.1597/1545-1569_1991_028_0179_pfsia_2.3.co_2

PMID:2069974

Abstract

The elimination of hypernasal speech in patients with cleft palate following pharyngeal flap surgery in childhood is well established. However, pharyngeal flaps in adults have been considered to yield more modest results. This study reports on 20 adult patients with cleft palate-related hypernasality who underwent pharyngeal flap surgery. Normal nasal resonance was achieved in 15 cases, hyponasality occurred in 3 cases, and hypernasality persisted in 2 cases. However, speech intelligibility was not always dramatically improved. Indications and outcome were found to be highly dependent on preoperative articulation.

摘要

腭裂患儿行咽瓣手术后高鼻音的消除已得到充分证实。然而，成人咽瓣手术的效果一直被认为较为有限。本研究报告了20例患有腭裂相关高鼻音的成年患者接受咽瓣手术的情况。15例患者实现了正常的鼻腔共鸣，3例出现了鼻音不足，2例仍存在高鼻音。然而，言语清晰度并不总是显著提高。研究发现适应证和结果高度依赖于术前的发音情况。