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目的:对大龄腭裂患者进行单纯行裂隙关闭术和同期行咽后壁咽成形术的术前、术后发音效果进行检测分析和对比。方法:对22例同期行腭裂关闭术及咽后壁组织瓣咽成形术治疗和10例单纯行裂隙关闭术的大龄腭裂患者,术前、术后用鼻咽纤维镜检测其腭咽闭合情况,应用通用音频谱分析系统,对术后患者腭裂语音进行声学分析。结果:所有腭裂修复术后,创口均达到临床I期愈合,语音也有不同程度改善。大龄腭裂患者采用腭裂关闭及同期咽成形术的修复组,术后发音明显优于单纯行裂隙关闭组。结论:大龄腭裂患者,采用腭裂关闭及同期咽成形术,是提高腭咽闭合和改善发音较好的手术方法。
OBJECTIVE: To analyze and compare the effect of preoperative and postoperative pharyngoplasty in patients with cleft palate and simple pharyngeal wall phacoemulsification. Methods: Twenty-two patients with cleft palate and cleft palate phacoemulsification and 10 patients with cleft palate cleft palate were treated with cleft palate and pharyngeal wall pharyngoplasty in the same period. Nasopharyngeal fibroscope was used to detect the velopharyngeal closure before and after operation. Acoustic analysis of postoperative cleft palate speech was performed using a universal audio spectrum analysis system. Results: All cleft palate repair achieved clinical I-phase wound healing with different degrees of improvement in speech. Cleft palate patients with cleft palate and the same period of phacoemulsification repair group, postoperative pronunciation was significantly better than simple line cleft closure group. Conclusion: Cleft palate patients with palate cleft palate and pharyngeal pharyngeal angioplasty are the best surgical methods to improve velopharyngeal closure and improve pronunciation.