上蒂瓣咽成形术联合根治性腭帆内成形术的功能和语音结果
Functional and speech outcomes of superiorly based flap pharyngoplasty combined with radical intravelar veloplasty.
作者信息
Ezzat Abdelrahman E M, Khalifa Rana A, Akel Mabrouk M, El-Shenawy Hanna M
机构信息
Department of ENT, Phonatric unite of ENT department, Faculty of Medicine, Al-Azhar University, Cairo.
Department of Pediatric Surgery, Faculty of Medicine, Al-Azhar University, Cairo.
出版信息
J Cleft Lip Palate Craniofacial Anomalies. 2015 Jan-Jun;2(1):41-48. doi: 10.4103/2348-2125.150746.
OBJECTIVE
The aim of this study was to evaluate functional and speech outcomes of superiorly based pharyngeal flap (SBF) pharyngoplasty combined with radical intravelar veloplasty (RIVVP) for the management of velopharyngeal insufficiency (VPI) following surgically repaired cleft palate.
DESIGN
A case series with chart review. The study was conducted in academic tertiary care medical centre.
PATIENTS AND METHODS
Fifteen patients with VPIs following surgically repaired cleft palate were managed between May 2011 and August 2014, with SBF pharyngoplasty combined with RIVVP.
RESULTS
We found that the speech defects improved by a success rate of 93.4%; the VP function became normal (circular pattern of closure) in 80% of patients and the postoperative overall success rate of VP competence grades was 93.4%. Moreover, we found that the overall incidence of complications were 33.3%.
CONCLUSION
By doing SBF pharyngoplasty combined with RIVVP the surgical procedure was satisfactory in both functional and speech outcomes.
目的
本研究旨在评估以咽瓣上提术（SBF）联合腭帆内根治性成形术（RIVVP）治疗腭裂术后腭咽闭合不全（VPI）的功能及语音效果。
设计
病例系列研究并进行病历回顾。研究在学术性三级医疗中心开展。
患者和方法
2011年5月至2014年8月期间，对15例腭裂术后发生VPI的患者采用SBF咽成形术联合RIVVP进行治疗。
结果
我们发现语音缺陷改善成功率为93.4%；80%的患者腭咽功能恢复正常（呈环状闭合模式），术后腭咽功能分级的总体成功率为93.4%。此外，我们发现并发症的总发生率为33.3%。
结论
通过实施SBF咽成形术联合RIVVP，手术在功能和语音效果方面均令人满意。
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