Hanai Ushio, Akamatsu Tadashi, Sakata Noriaki, Niikura Ryoichi, Muramatsu Hiroyuki, Okawa Tomoe, Sakuma Yuko
Department of Plastic and Reconstructive Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan:
Tokai J Exp Clin Med. 2018 Dec 20;43(4):168-172.
We aimed to assess whether patients who underwent early palatoplasty have normal speech.
19 patients with unilateral cleft lip and palate were enrolled in this study. At 6 months of age, we performed simultaneous lip, maxilla, and palate repair using presurgical orthodontics. Speech development was assessed by evaluating velopharyngeal function (VPF) and development of articulation for 10 years.
No articulation disorders were observed after 4 years of age. Although palatalized articulation was evidently temporary in 3 cases before 4 years of age, all patients recovered without any speech training. Normal VPF rates were as follows: at 4 and 7 years of age 78.9% (n = 15), 10 years of age 73.7% (n = 4). 10 patients temporarily presented with mild VPI after 5 years of age although they had a normal VPF until 4 years of age.
Early palatoplasty after narrowing the cleft palate using presurgical orthodontics is beneficial for development of articulation. The rate of normal VPF did not decrease over the years.
我们旨在评估接受早期腭裂修复术的患者言语是否正常。
本研究纳入了19名单侧唇腭裂患者。在患者6个月大时，我们使用术前正畸治疗同时进行唇、上颌骨和腭裂修复。通过评估腭咽功能（VPF）和发音发展情况，对患者的言语发育进行了10年的评估。
4岁以后未观察到发音障碍。虽然4岁前有3例患者出现明显的腭化发音，但均未经过任何言语训练便恢复正常。正常VPF率如下：4岁和7岁时为78.9%（n = 15），10岁时为73.7%（n = 4）。10例患者在5岁后暂时出现轻度腭咽闭合不全，尽管他们在4岁前VPF正常。
术前正畸治疗缩窄腭裂后进行早期腭裂修复术有利于发音发展。正常VPF率多年来并未下降。
