Pamplona M, Ysunza A, Guerrero M, Mayer I, García-Velasco M
Sub-Dirección de Diagnóstico, Hospital Gea González, Calzada Tlalpan, México D.F.
Int J Pediatr Otorhinolaryngol. 1996 Jan;34(1-2):53-9. doi: 10.1016/0165-5876(95)01245-1.
The final speech outcome in cleft palate patients depends on two elements: normalization of nasal resonance and correction of compensatory articulation (CA). The purpose of this paper is to demonstrate whether early surgical correction of velopharyngeal insufficiency (VPI) may decrease total time of speech therapy (ST) necessary to completely eliminate CA. A group of 29 cleft palate patients in which VPI and CA were demonstrated, were selected for the study group. Fourteen patients were randomly selected and underwent surgical correction of VPI as soon as placement of articulation during isolated speech was normal. The other 15 patients underwent speech therapy aimed to correct CA, these patients were followed until articulation was normal during connected speech. At this point in time they underwent surgical correction of VPI as the other 14 patients. Success rate for correcting VPI after the operation was not significantly different for both groups. Furthermore, total time of ST was not significantly different for both groups. It is concluded that normalization of nasal resonance before articulation is corrected during connected speech does not seem to reduce total time of ST necessary to completely correct CA in cleft palate patients.
鼻共鸣的正常化和代偿性发音（CA）的纠正。本文的目的是证明早期手术矫正腭咽闭合不全（VPI）是否可以减少完全消除CA所需的语音治疗（ST）总时间。一组29例表现出VPI和CA的腭裂患者被选入研究组。随机选择14例患者，一旦孤立言语时的发音正常，就立即进行VPI手术矫正。另外15例患者接受旨在纠正CA的语音治疗，这些患者被随访至连贯言语时发音正常。此时，他们和其他14例患者一样接受VPI手术矫正。两组术后矫正VPI的成功率无显著差异。此外，两组的ST总时间也无显著差异。得出的结论是，在连贯言语中纠正发音之前鼻共鸣的正常化似乎并不能减少腭裂患者完全纠正CA所需的ST总时间。
