Mayo R, Dalston R M, Warren D W
Department of Medical Allied Health Professions, School of Medicine, University of North Carolina at Chapel Hill 27599-7455.
Cleft Palate Craniofac J. 1993 Jul;30(4):397-400. doi: 10.1597/1545-1569_1993_030_0307_paordi_2.3.co_2.
The purpose of this study was to examine the frequency with which five speech-language pathologists made judgments of hypernasality during the clinical assessment of young children with unoperated and repaired clefts of the secondary palate. Among the 293 nonsyndromic patients with secondary palate clefts included in this study, 219 were between 1 and 2 years of age. Of those, 83 had undergone primary palatoplasty whereas 136 had not. The remaining 74 children were between the ages of 4 and 5 years and presented with repaired secondary palatal clefts. The results showed that the clinicians were unable or unwilling to assess hypernasality in 31% of the 1 to 2 year old children with unoperated clefts. The same clinicians failed to evaluate oral-nasal resonance balance in only 12% of the children in the 1- to 2-year age group who had undergone palate repair. Only 1 of the 74 older children (1.4%) was not evaluated for hypernasality. Possible explanations for these findings are presented and discussed.
本研究的目的是调查五位言语语言病理学家在对未手术和已修复的继发腭裂幼儿进行临床评估时判断高鼻音的频率。在本研究纳入的293例非综合征性继发腭裂患者中，219例年龄在1至2岁之间。其中，83例接受过一期腭裂修复术，136例未接受过。其余74名儿童年龄在4至5岁之间，患有已修复的继发腭裂。结果显示，临床医生无法或不愿意对31%的1至2岁未手术腭裂患儿进行高鼻音评估。在1至2岁接受过腭裂修复术的患儿中，同样的临床医生仅在12%的患儿中未评估口鼻共鸣平衡。74名大龄儿童中只有1名（1.4%）未接受高鼻音评估。文中给出并讨论了这些发现的可能解释。
