CAJ | 학술논문

目的：探讨不同类型的腭裂行腭成形术后对患者语音改善的情况。方法90例腭裂患者分为三组行腭成形术，不论软腭裂、不完全性腭裂及完全性腭裂均采用两瓣法，全部患者术前和术后3个月均行鼻咽纤维镜检查和语音评估。结果90例患者术前语音评估均表现为腭裂语音，鼻咽纤维镜检查均存在腭咽闭合不全。行腭成形术后，软腭裂组患者有10例腭咽闭合良好，语音改善明显；不完全性腭裂组有3例鼻咽纤维镜检查腭咽闭合良好；完全性腭裂组患者术后仍存在腭咽闭合不全。结论软腭裂行腭裂整复术后语音改善较明显；不完全性腭裂及完全性腭裂术后语音改善较差，表明腭裂患者裂隙越严重，单行腭成形术仍难改善语音，还需行咽成形术。
목적：탐토불동류형적악렬행악성형술후대환자어음개선적정황。방법90례악렬환자분위삼조행악성형술，불론연악렬、불완전성악렬급완전성악렬균채용량판법，전부환자술전화술후3개월균행비인섬유경검사화어음평고。결과90례환자술전어음평고균표현위악렬어음，비인섬유경검사균존재악인폐합불전。행악성형술후，연악렬조환자유10례악인폐합량호，어음개선명현；불완전성악렬조유3례비인섬유경검사악인폐합량호；완전성악렬조환자술후잉존재악인폐합불전。결론연악렬행악렬정복술후어음개선교명현；불완전성악렬급완전성악렬술후어음개선교차，표명악렬환자렬극월엄중，단행악성형술잉난개선어음，환수행인성형술。
Objective The speech improvement of different cleft palate patients post palato- plasty have been investigated. Methods 90 cases were divided into three groups, the group of soft cleft palate and the group of uncompleted cleft and group of completed cleft were performed with Langenbeck’s method, al patients’ speech and nasopharyngeal fiberscope were evaluated before operation and after three months. Results al patients appeared cleft speech and VPI under nasopharyngeal fiberscope before operation. After palate plastic operation, 10 cases of soft palate cleft appeared VPC; 3 cases of uncompleted cleft appeared VPC; al patients of completed cleft appeared VPI. Conclusion the speech improvement of soft palate cleft operation is more obviously than that of uncompleted and completed cleft operation.