Velopharyngeal insufficiency: diagnosis and management.
Velopharyngeal insufficiency: diagnosis and management.
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DOI：
10.1097/moo.0b013e32832cbd6b
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发表时间：
2009-08
影响因子：
1.6
通讯作者：
Marrinan E
中科院分区：
文献类型：
--
作者：
Shprintzen RJ;Marrinan E
本文回顾了近年来国内外有关腭咽闭合不全（VPI）诊断和治疗的文献。通过PubMed检索确定的所有文章均纳入。文章报告了磁共振扫描的应用、国际工作组诊断方案的可靠性测试、鼻测量法的使用以及旨在评估咽机制功能的技术。治疗论文集中于小样本病例的结局和咽瓣的并发症发生率。一篇论文讨论了无效的语言治疗程序。去年的论文相对较少。那些发表的研究受到样本量小和异质性的阻碍，偶尔也会受到评估结果的方法不当的阻碍。这些发现均不会对VPI诊断的当前最新技术水平产生重大影响。语言治疗的论文有一个非常重要的信息，应该采取的心，所有临床医生参与管理的儿童与裂缝和颅面疾病。
Journal articles relevant to the diagnosis and treatment of velopharyngeal insufficiency (VPI) were reviewed. All articles ascertained by PubMed search were included. Articles reported on the application of magnetic resonance scanning, reliability tests of the International Working Group diagnostic protocol, the use of nasometry, and techniques designed to assess the function of the velopharyngeal mechanism. Treatment papers focused on outcomes in small samples of cases and complication rates from pharyngeal flap. One paper discussed ineffective speech therapy procedures. There were relatively few papers this past year. Those that were published were hindered by small and heterogeneous sample sizes, and occasionally by inappropriate methods for assessing outcomes. None of the findings will have a major impact on the current state-of-the-art for diagnosis of VPI. The speech therapy paper has a very important message that should be taken to heart by all clinicians involved in the management of children with clefts and craniofacial disorders.