The Outcome of Long‐Term Follow‐Up after Palatoplasty
The Outcome of Long‐Term Follow‐Up after Palatoplasty
复制标题
腭成形术后长期随访的结果
DOI：
10.1097/00006534-200001000-00002
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发表时间：
2000
影响因子：
3.6
通讯作者：
I. Kitano
中科院分区：
文献类型：
--
作者：
Susam Park;Y. Saso;O. Ito;K. Tokioka;T. Takato;Kogo Kato;I. Kitano
回顾性研究了140例接受后推式腭裂修复术的腭裂患者的语音结果。在4岁、7岁、10岁和10岁以上时，对腭咽功能和发音障碍进行了连续评价。在4岁和最近的回顾（>10年）之间的咽喉功能比较中，90例患者（64.3%）没有变化，而14例患者显示恶化，8例患者显示改善。其他28例患者接受咽瓣手术;该组还包括功能恶化的患者。咽功能的改变常发生在4 ~ 7岁，但有时发生在10岁以后。49名受试者（35.0%）在4岁时观察到发音障碍。许多声门塞音的患者在4 ~ 7岁时表现出改善。腭化发音的改善程度低于声门塞音（p < 0.01）。从4岁到最近一次审查，发音障碍患者的数量显著减少（p < 0.001）。这些研究结果表明，语音不会成为稳定的10岁之前，腭裂患者应仔细跟踪，直到他们超过这个年龄。（Plast。重建105：12，2000）。
The speech outcome was studied retrospectively in 140 cleft‐palate patients who underwent push‐back palatoplasty. Velopharyngeal function and articulation disorders were evaluated serially at 4, 7, 10, and more than 10 years of age. On comparison of velopharyngeal function between 4 years of age and the most recent review (>10 years), it was unchanged in 90 patients (64.3 percent), whereas it showed deterioration in 14 patients and showed improvement in 8 patients. The other 28 patients underwent pharyngeal flap surgery; this group also included patients with functional deterioration. Changes of velopharyngeal function often occurred between 4 and 7 years of age but sometimes occurred after 10 years of age. Articulation disorders were observed in 49 subjects (35.0 percent) at 4 years of age. Many of the patients with glottal stop showed improvement from 4 to 7 years of age. Palatalized articulation showed less improvement than glottal stop (p < 0.01). The number of patients with articulation disorders decreased significantly between 4 years of age and the most recent review (p < 0.001). These findings suggest that speech does not become stable before 10 years of age and that patients with cleft palate should be carefully followed until they are beyond this age. (Plast. Reconstr. Surg. 105: 12, 2000.)