Haapanen M L, Laitinen S, Paaso M, Ranta R
Department of Plastic Surgery, Helsinki, University Central Hospital, Finland.
Folia Phoniatr Logop. 1996;48(5):215-22. doi: 10.1159/000266412.
The present study aims at examining the relationship between cephalometric craniofacial dimensions and speech performance in 30 young adult cleft palate patients with a Pierre Robin (PR) sequence. Speech was analyzed from tape-recorded speech samples and by using nasalance measurements. Veloparyngeal closure was assessed by using videonasendoscopy. Various cephalometric dimensions reflecting facial vertical height and sagittal nasopharyngeal length were measured and compared to speech data. The results indicated that the sagittal bony nasopharyngeal depth (AD1-PNS, AD2-PNS) is significantly related to speech impairment in terms of the need for velopharyngoplasty. After comparing the present results to those obtained from patients with isolated cleft palate without a PR sequence we concluded that the cleft patients with a PR sequence require more often velopharyngeal flaps to eliminate persisting signs of velopharyngeal insufficiency.
本研究旨在调查30例患有皮埃尔·罗宾序列征（PR）的年轻成年腭裂患者的头影测量颅面尺寸与言语表现之间的关系。通过对录音语音样本进行分析并使用鼻音测量法来分析言语。通过视频鼻内镜检查评估腭咽闭合情况。测量反映面部垂直高度和矢状鼻咽长度的各种头影测量尺寸，并与言语数据进行比较。结果表明，就腭咽成形术的需求而言，矢状骨性鼻咽深度（AD1-PNS，AD2-PNS）与言语障碍显著相关。将本研究结果与那些没有PR序列征的单纯腭裂患者的结果进行比较后，我们得出结论，患有PR序列征的腭裂患者更常需要腭咽瓣来消除持续存在的腭咽功能不全迹象。
