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

采用Furlow速度成形术对唇腭裂患儿腭咽功能及言语发育进行评价。自1992年1月至1998年12月，对25例唇腭裂患者（18UCLP, 7BCLP）和23例孤立性腭裂患者进行了福洛氏成形术。在两岁、三岁、四岁和五岁时评估腭咽功能和发音发育。按年龄分别行腭部运动、吹风检查、超声、纤维镜检查。综合评价，确定了有利、边界线、不利三个步骤的作用。通过鼻音、鼻音图、代偿性发音、多音分析仪频率分析来评价语音发育情况。结果与讨论：腭咽功能的评价…More n；在淋病中，虽然有很多边界线病例，2岁时占68%，但3岁时有利病例增加了52%，4岁时为77%，5岁时为83%。在CP中，边界线病例占65%，在2岁时表现出较早的功能习得倾向，而良好病例在4岁时占65%，5岁时占87%。语音评价；比较了淋病患者腭咽功能的获得时间，认识到咽喉炎的代偿性发音容易保持到较晚的趋势。建议CP患儿的正常发音的获得倾向与腭咽功能的获得时间相适应。腭咽功能的习得与语言发育的关系：3岁时，所有边线患儿均出现声门停止发音、腭化发音、鼻发音，此后发音发育不全。由于腭咽功能习得的明显延迟，它很难思考这个问题。并建议腭咽功能不全者参与腭化。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