Bettens Kim, Wuyts Floris L, Van Lierde Kristiane M
Department of Speech, Language and Hearing Sciences, Ghent University, Ghent, Belgium.
Department of Speech, Language and Hearing Sciences, Ghent University, Ghent, Belgium; Biomedical Physics, University of Antwerp, Antwerp, Belgium.
J Commun Disord. 2014 Nov-Dec;52:170-83. doi: 10.1016/j.jcomdis.2014.05.004. Epub 2014 May 26.
The purpose of this literature review is to describe and discuss instrumental assessment techniques of the velopharyngeal function in order to diagnose velopharyngeal disorders and resonance characteristics. Both direct and indirect assessment techniques are addressed, in which successively nasopharyngoscopy, videofluoroscopy, magnetic resonance imaging (MRI), cephalometric radiographic analysis, computed tomography (CT), ultrasound, acoustic and aerodynamic measurements are considered. Despite the multiple instrumental assessments available to detect and define velopharyngeal dysfunction, the ideal technique is not yet accessible. Therefore, a combination of different quantitative parameters can possibly form a solution for a more reliable determination of resonance disorders. These multi-dimensional approaches will be described and discussed. The combination of quantitative measurement techniques and perceptual evaluation of nasality will probably remain necessary to provide sufficient information to make appropriate decisions concerning the diagnosis and treatment of resonance disorders.
The reader will be able to describe and discuss currently available instrumental techniques to assess the velopharyngeal mechanism and its functioning in order to diagnose velopharyngeal disorders. Additionally, he will be able to explain the possible advantages of the combination of several types of complementary measurement techniques.
本综述的目的是描述和讨论腭咽功能的仪器评估技术，以便诊断腭咽障碍和共鸣特征。文中涉及直接和间接评估技术，依次考虑了鼻咽喉镜检查、视频荧光透视检查、磁共振成像（MRI）、头影测量放射分析、计算机断层扫描（CT）、超声、声学和空气动力学测量。尽管有多种仪器评估方法可用于检测和定义腭咽功能障碍，但理想的技术尚未出现。因此，不同定量参数的组合可能为更可靠地确定共鸣障碍提供解决方案。将描述和讨论这些多维方法。定量测量技术与鼻音感知评估的结合可能仍然是必要的，以便提供足够的信息，就共鸣障碍的诊断和治疗做出适当决策。
读者将能够描述和讨论目前可用的仪器技术，以评估腭咽机制及其功能，从而诊断腭咽障碍。此外，读者将能够解释几种互补测量技术结合的可能优势。
