Van Demark D R, Gnoinski W, Hotz M M, Perko M, Nussbaumer H
Department of Otolaryngology, University of Iowa Hospitals.
Plast Reconstr Surg. 1989 Apr;83(4):605-13. doi: 10.1097/00006534-198904000-00003.
The purpose of this study was to describe perceptually the speech articulation, voice quality, and velopharyngeal competency of subjects with complete unilateral cleft lip and palate treated by the Zürich approach. The mean age of the 37 subjects was 10.5 years. Although only one subject had had secondary palatal management, no subject was rated as exhibiting a severe articulation or nasality problem. Subjects were rated as exhibiting adequate to marginal velopharyngeal competency 94.5 percent of the time, and the incidence of compensatory articulation errors was low. In comparison with other studies that evaluated the two-stage palatal repair, the Zürich approach appears to give the better results. The type of initial soft palate repair is probably the significant factor which contributes to the better speech of these subjects.
本研究的目的是从感知角度描述采用苏黎世方法治疗的完全性单侧唇腭裂患者的言语清晰度、嗓音质量和腭咽功能。37名受试者的平均年龄为10.5岁。尽管只有一名受试者接受过二期腭裂治疗，但没有受试者被评定为存在严重的发音或鼻音问题。受试者在94.5%的时间里被评定为腭咽功能足够至临界水平，代偿性发音错误的发生率较低。与其他评估两期腭裂修复的研究相比，苏黎世方法似乎能取得更好的效果。最初软腭修复的类型可能是这些受试者言语表现更好的重要因素。
