Luce E A, McGibbon B, Hoopes J E
Plast Reconstr Surg. 1977 Oct;60(4):602-6. doi: 10.1097/00006534-197710000-00017.
One-third of a group of 18 patients with hemifacial microsomia demonstrated velopharyngeal insufficiency of a significant degree. The ones with velopharyngeal insufficiency tended to have more severe soft tissue and skeletal deformities of the maxillary-malar complex, associated with a total unilateral palatal paralysis. Cinefluoroscopy was not helpful in diagnosing the velopharyngeal insufficiency. Fiberoptic nasopharyngoscopy, in contrast, proved to be an excellent diagnostic tool. We suggest that patients with hemifacial microsomia have a careful, periodic speech evaluation as an essential part of their overall management.
一组18例半侧颜面短小畸形患者中，三分之一表现出明显程度的腭咽闭合不全。存在腭咽闭合不全的患者往往上颌-颧骨复合体的软组织和骨骼畸形更严重，伴有完全性单侧腭麻痹。荧光透视检查对诊断腭咽闭合不全没有帮助。相比之下，纤维鼻咽镜检查被证明是一种出色的诊断工具。我们建议，半侧颜面短小畸形患者应进行仔细的定期言语评估，作为其整体治疗的重要组成部分。
