Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age
Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age
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DOI：
10.1097/00006534-199809030-00009
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发表时间：
1998-09-01
影响因子：
3.6
通讯作者：
Guerrero, E
中科院分区：
文献类型：
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作者：
Ysunza, A;Pamplona, C;Guerrero, E
对腭裂患者的言语预后和颌面部生长进行了前瞻性研究。随机选择76例腭裂患者作为研究组；12月龄手术41例，6月龄手术35例。所有患者都被跟踪到4岁。所有患者都进行了完整的语音评估、鼻咽镜、透视镜和颌面镜评估。两组间舌咽部功能不全的发生率没有差异（17%到19%；p < 0.05）。然而，6月龄手术患者的语音发育明显更好（p < 0.05）。此外，6月龄手术的患者均未出现代偿性关节障碍。相比之下，62%的术后12月龄腭咽功能不全患者出现代偿性发音障碍（p < 0.05）。颌面部评估显示两组患者颌面部生长差异无统计学意义（p < 0.05）。所有患者上颌塌陷程度相似（p < 0.05）。本研究结果表明，在6月龄时进行腭裂修复可显著提高言语预后，并预防代偿性发音障碍。
A prospective study of speech outcome and maxillofacial growth was carried out in cleft palate patients. Seventy-six cleft palate patients were randomly selected for the study group; 41 patients were operated on at 12 months of age, and 35 patients were operated on at 6 months of age. All patients were followed until they were 4 years of age. All patients underwent a complete speech evaluation, videonasopharyngoscopy, videofluoroscopy, and maxillofacial assessment. The rate of velopharyngeal insufficiency did not differ between the two groups (17 to 19 percent; p > 0.05). However, phonologic development was significantly better (p < 0.05) in the patients operated on at 6 months of age. Furthermore, none of the patients operated on at 6 months of age showed compensatory articulation disorder. In contrast, 62 percent of the patients with postoperative velopharyngeal insufficiency operated on at 12 months of age showed compensatory articulation disorder (p < 0.05).Maxillofacial assessment showed that there were nonsignificant differences (p > 0.05) in maxillofacial growth in both groups of patients. All patients showed similar degrees of maxillary collapse (p > 0.05).The results of this study suggest that cleft palate repair performed at 6 months of age significantly enhances speech outcome and prevents compensatory articulation disorder.