Achievement of Velopharyngeal Function in the Children with Cleft Lip and Palate -Relationship Velopharyngeal Function with Speech DevelopmentィイD1ィエD1

研究对象和方法：1992年1月至1998年12月，对25例唇腭裂（UCLP 18例，BCLP 7例）和23例孤立性唇腭裂（孤立性腭裂）患儿行Fulow腭成形术。在2岁、3岁、4岁和5岁时评价腭咽功能和关节发育。根据年龄分别采用软腭运动、吹气、荧光、超声、纤维内窥镜等检查腭咽功能。通过综合评价，得出了有利、边界、不利三个步骤的决策结果。通过鼻音的存在、鼻音图、代偿性清晰度、声音分析仪的频率分析（多语音）对语音发育进行评价。 ...更多信息 n ;在CLAP中，虽然2岁时有68%的边界病例，但3岁时有利病例增加了52%，4岁时为77%，5岁时为83%。脑瘫患儿中，边缘型占65%，2岁时有早期功能获得的趋势，4岁时功能获得良好者占65%，5岁时功能获得良好者占87%。言语评价;比较两组患者在CLAP中获得咽功能的时间，发现代偿性发音易延迟。CP儿童的正常构音发育趋势与其咽功能发育的时间相适应。咽功能发育与语音发育的关系：3岁时，全缘线病例的构音出现声门塞音、腭化、鼻音，以后构音发育不全。由于明显的咽功能获得延迟，这一思考有困难。腭化也有咽闭合不全的参与。少

It was evaluated about velopharyngeal function and speech development in the children with cleft lip and palate following Furlow's veloplastyResearch subject and method : Subject ; 25patients with cleft lip and palate (18UCLP, 7BCLP) and 23patients with isolated cleft palate, who are performed Fulow's veloplasty from January, 1992 by December, 1998. Velopharyngeal function and articulation development were evaluated at the age of two years, three years, four years, and five years. Velopharyngeal function was examined by velar movement, blowing examination, videofluoloscopy, ultrasonnography, fiberscopy, corresponding to the age. It was evaluated synthetically, and a decision made a unction three steps of favorably, border line, unfavorably. The evaluation of the speech development was went by the existence of nasality, nasogram, the compensatory articulation, the frequency analysis by the sound analytic device (multi-speech).Results and Discussion : Evaluation of velopharungeal functio … More n ; In CLAP, though there were many border line cases with 68% at the time of 2 years old, favorable cases increased with 52% at the time of 3 years old, and it was 77% in 4 years old and 83% in 5 years old. In CP, border line cases were 65%, it shows a tendency to make function acquisition early at the time of 2 years old, but favorable cases were 65% at 4 years old, 87% at 5 years old. Speech evaluation ; It was compared in the acquired time of velopharyngeal function in CLAP, and the tendency that co m pensatory articulationun remained easily till late was recognized. The acquired tendency of normal articulation which was suitable for the acquired time of the velopharyngeal function was suggested with CP child.Relationship of the acquisition of the velopharyngeal function and the speech development : At the time of three years old, with the all border line cases, they have articulation with glottal stop, palatalizafion, nasal articulation, incomplete articulation development after that. It thought about this with the difficulty by obviously velopharyngeal function acquisition's being delayed. And the participation of velopharyngeal incompetence was suggested as for the palatalization as well. Less