ALTERATIONS IN VELOPHARYNGEAL FUNCTION AFTER MAXILLARY ADVANCEMENT IN CLEFT-PALATE PATIENTS

ALTERATIONS IN VELOPHARYNGEAL FUNCTION AFTER MAXILLARY ADVANCEMENT IN CLEFT-PALATE PATIENTS
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DOI:
10.1016/0278-2391(90)90050-c
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发表时间:
1990-07-01
影响因子:
1.9
通讯作者:
DALSTON, R
DALSTON, R
中科院分区:
医学4区
文献类型:
--
作者:
WATZKE, I;TURVEY, TA;DALSTON, R

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对24例上颌骨前移的腭裂患者术前和术后至少1年的腭咽功能进行空气动力学评估。观察到5例(23%)患者的咽喉功能恶化,5例(23%)患者的咽喉功能改善。对于那些咽功能改善的患者,手术时放置咽瓣。5例患者术后咽功能恶化,术前4例患者咽功能良好,1例患者咽功能差。其余14例患者的咽功能无变化。上颌骨前移量或“需要比”与咽功能之间没有关系。
Velopharyngeal function was assessed aerodynamically prior to surgery and at least 1 year following surgery in 24 cleft palate patients who underwent maxillary advancement. In 5 patients (23%) deterioration and in 5 patients (23%) improvement of velophyaryngeal function was observed. In those patients whose velopharyngeal function improved, a pharyngeal flap was in place at surgery. Of the 5 patients whose velopharyngeal function deteriorated, 4 had adequate and 1 borderline adequate velopharyngeal function prior to surgery. In the remaining 14 patients, velopharyngeal function was unchanged. No relationship between the amount of maxillary advancement or the "need ratio" and velopharyngeal function was observed.