D'Antonio L L, Muntz H R, Marsh J L, Marty-Grames L, Backensto-Marsh R
Department of Otolaryngology, Washington University Medical Center, St. Louis, Mo.
Plast Reconstr Surg. 1988 Oct;82(4):611-8. doi: 10.1097/00006534-198810000-00009.
Flexible fiberoptic nasopharyngoscopy increasingly is recognized as a valuable tool for assessing velopharyngeal function. There are, however, few reports in the literature describing a method for routine use of nasoendoscopy, the outcome of such evaluations, the criteria for referral, and a mechanism for communicating findings. Results from a 2-year clinical nasoendoscopy data base are presented. Ninety-eight patients were referred for evaluation of velopharyngeal function during speech. Flexible fiberoptic nasopharyngoscopic evaluations were conducted in 85 patients. Patients ranged in age from 3 years to adult. Eighty-nine percent of the evaluations were completed successfully on a first attempt. A standard format has been designed to communicate the results of nasoendoscopic examinations to primary and tertiary care providers. Nasoendoscopy has become an integral part of our cleft team care and is used routinely for decisions regarding palatal management, fabrication and fitting of palatal prostheses, and treatment of resonance disorders following pharyngeal flap surgery.
可弯曲纤维鼻咽喉镜检查日益被视为评估腭咽功能的一种重要工具。然而，文献中鲜有报道描述鼻内镜常规使用方法、此类评估结果、转诊标准以及结果沟通机制。本文展示了一个为期两年的临床鼻内镜数据库的结果。98例患者因言语时腭咽功能评估前来就诊。对85例患者进行了可弯曲纤维鼻咽喉镜检查。患者年龄范围从3岁至成人。89%的评估在首次尝试时即成功完成。已设计出一种标准格式，用于向初级和三级医疗服务提供者传达鼻内镜检查结果。鼻内镜检查已成为我们腭裂治疗团队护理不可或缺的一部分，并常规用于有关腭裂处理、腭托制作与佩戴以及咽瓣手术后共鸣障碍治疗的决策。
