Speech outcome after cleft palate surgery with the Göteborg regimen including delayed hard palate closure.
Speech outcome after cleft palate surgery with the Göteborg regimen including delayed hard palate closure.
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采用哥德堡方案进行腭裂手术后的言语结果，包括硬腭闭合延迟。
DOI：
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发表时间：
1998
影响因子：
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通讯作者：
A. Lohmander
中科院分区：
文献类型：
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作者：
A. Lohmander
直到1996年，瑞典Göteborg对唇腭裂儿童的治疗方案包括6-8月龄早期软腭修复，8岁左右延迟关闭硬腭以促进上颌生长。本报告的目的是描述治疗的概念，并提出了59名儿童的语言数据治疗的这种方法。本文对38例单侧唇腭裂患儿和21例双侧唇腭裂患儿3 ~ 16岁时的重复句子和自发言语的标准化录音进行了感知评价。没有对所有患者的每个年龄水平进行评估。结果显示，只有5名儿童（8%）在硬腭闭合和咽瓣手术后出现低鼻音，这表明原发性腭咽功能不全的儿童不到10%。只有3名双侧唇裂儿童在学龄前有声门发音，而单侧唇裂儿童没有。这些结果被解释为大多数儿童腭咽能力（VPC）的指示。此外，在这些儿童中发现的言语问题包括牙槽牙压爆破器的口腔发音缩回，这几乎总是VPC的一个指标。然而，我们确实认为口腔发音收缩是一个问题，为了进一步改善我们的结果，我们决定稍微修改软腭闭合技术，并将腭瓣放置在更前的位置，以促进硬腭裂缝的缩小，并在3岁时关闭硬腭。
The regimen for treatment of children with cleft lip and palate in Göteborg, Sweden, until 1996 included early soft palate repair at 6-8 months of age and delayed closure of the hard palate at about 8 years of age to improve maxillary growth. The aims of this report were to describe the treatment concept and to present speech data of 59 children treated by this method. The speech of 38 children with unilateral and 21 with bilateral cleft lip and palate was evaluated perceptually from standardised tape recordings of repeated sentences and spontaneous speech at five ages from 3 to 16 years of age. All patients were not evaluated at each age level. The results showed a low prevalence of hypernasality after hard palate closure and pharyngeal flap surgery in only five children (8%), indicating a primary velopharyngeal insufficiency in less than 10% of the children. Only three children with bilateral clefts had glottal articulation when at pre-school age and no child with a unilateral cleft did. These results were interpreted as an indication of velopharyngeal competence (VPC) in most of the children. In addition, the speech problem found in these children consisted of retracted oral articulation of alveo-dental pressure plosives, which is almost always an indicator of VPC. However, we do consider that retracted oral articulation is a problem and to improve our results further we have decided to modify the technique for soft palate closure slightly and place the vomer flap further anteriorly to encourage narrowing of the cleft in the hard palate, and to close the hard palate at 3 years of age.
DOI：
10.1044/jshr.3806.1199
发表时间：
1995-12-01
期刊：
JOURNAL OF SPEECH AND HEARING RESEARCH
影响因子：
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作者：
DAVIS, BL;MACNEILAGE, PF
通讯作者：
MACNEILAGE, PF