McKinstry R E, Aramany M A
J Prosthet Dent. 1985 Jun;53(6):827-31. doi: 10.1016/0022-3913(85)90167-2.
Prosthodontic habilitation with speech aid prostheses for surgically compromised cleft palate patients has been discussed. It can be concluded that surgical redivision of the soft palate with removal of the levator veli palatini muscles as an aid to construction of a pharyngeal obturator is contraindicated. Surgical redivision with removal of the levator muscles prevents subsequent surgical procedures and commits the patient to a prosthesis for life. The management of nonfunctional pharyngeal flaps, large soft palate perforations, and patients with palatopharyngeal insufficiency and/or incompetency secondary to surgical repairs was also discussed. If the prosthodontist is routinely consulted in the initial treatment planning, alternatives to surgical management might be considered for patients with high potential for postsurgical deficiencies.
已讨论了为手术造成腭裂的患者使用语音辅助假体进行口腔修复。可以得出结论，禁忌通过切除腭帆提肌进行软腭再次手术以辅助咽阻塞器的构建。切除提肌的再次手术会妨碍后续手术，并使患者终身依赖假体。还讨论了对无功能咽瓣、大的软腭穿孔以及手术修复后继发腭咽功能不全和/或腭咽闭合不全患者的处理。如果在初始治疗计划中常规咨询口腔修复医生，对于术后缺陷可能性高的患者，可以考虑手术管理的替代方案。
