华西口腔医学杂志2017，Vol.35Issue(3)：296-300,5.DOI:10.7518/hxkq.2017.03.013
黏膜下腭裂的腭咽闭合状态及语音表现分析
Velopharyngeal closure pattern and speech performance among submucous cleft palate patients
摘要
Abstract
Objective To characterize the velopharyngeal closure patterns and speech performance among submucous cleft palate patients.Methods Patients with submucous cleft palate visiting the Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University between 2008 and 2016 were reviewed. Outcomes of subjective speech evaluation including velopharyngeal function, consonant articulation, and objective nasopharyngeal endoscopy including the mobility of soft palate, pharyngeal walls were retrospectively analyzed.Results A total of 353 cases were retrieved in this study, among which 138 (39.09%) demonstrated velopharyngeal competence, 176 (49.86%) velopharyngeal incompetence, and 39 (11.05%) marginal velopharyngeal incompetence. A total of 268 cases were subjected to nasopharyngeal endoscopy examination, where 167 (62.31%) demonstrated circular closure pattern, 89 (33.21%) coronal pattern, and 12 (4.48%) sagittal pattern. Passavant's ridge existed in 45.51% (76/167) patients with circular closure and 13.48% (12/89) patients with coronal closure. Among the 353 patients included in this study, 137 (38.81%) presented normal articulation, 124 (35.13%) consonant elimination, 51 (14.45%) compensatory articulation, 36 (10.20%) consonant weakening, 25 (7.08%) consonant replacement, and 36 (10.20%) multiple articulation errors.Conclusion Circular closure was the most prevalent velopharyngeal closure pattern among patients with submucous cleft palate, and high-pressure consonant deletion was the most common articulation abnormality. Articulation error occurred more frequently among patients with a low velopharyngeal closure rate.关键词
黏膜下腭裂/腭咽闭合模式/腭裂语音Key words
submucous cleft palate/velopharyngeal closure pattern/cleft palate speech分类
医药卫生引用本文复制引用
尹恒,郭春丽,石冰,李杨,李精韬..黏膜下腭裂的腭咽闭合状态及语音表现分析[J].华西口腔医学杂志,2017,35(3):296-300,5.基金项目
国家自然科学基金(81500829) （81500829）
