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兰氏和双反Z法腭裂修复术后患儿语音清晰度对比

田素宝 郅媛媛 杨宇 许云龙 郑晓丽 王会女 孟巍

组织工程与重建外科杂志2018,Vol.14Issue(2):87-88,2.
组织工程与重建外科杂志2018,Vol.14Issue(2):87-88,2.

兰氏和双反Z法腭裂修复术后患儿语音清晰度对比

Comparison of Speech Intelligibility between von Langenbeck Palatoplasty and Double-Opposing Z-Plasty Repair in Children with Cleft Palate

田素宝 1郅媛媛 1杨宇 1许云龙 1郑晓丽 1王会女 1孟巍1

作者信息

  • 1. 150010黑龙江省哈尔滨市 哈尔滨市儿童医院口腔外科
  • 折叠

摘要

Abstract

Objective To explore a best surgical method for the correction of velopharyngeal closure by comparing the speech intelligibility between von Langenbeck palatoplasty and double-opposing Z-plasty in children with cleft palate. Methods From 2009 to 2013, 69 cases with cleft soft palate were selected. Thirty-five cases were repaired using double-opposing Z-plasty (double-opposing Z-plasty group), others were repaired using von Langenbeck palatoplasty (von Langen-beck group).All cases were followed up after the age of 3.5 years.A single blind hearing was conducted by 3 phonetics,and the speech intelligibility between the two groups was compared. Results The speech assessment showed that the average speech intelligibility was 88.72%±6.05% in double-opposing Z-plasty group, which was significantly higher than that in von Langenbeck group 71.31%±3.46%. Conclusion Double-opposing Z-plasty repair can decrease the pharyngeal cavity and increase the length of soft palate to reconstruct the soft palate muscle,which is beneficial for the correction of velopharyngeal closure.

关键词

腭裂/兰氏法腭裂修复术/双反Z法腭裂修复术/语音清晰度

Key words

Cleft palate/von Langenbeck palatoplasty/Double-opposing Z-plasty repair/Speech intelligibility

分类

医药卫生

引用本文复制引用

田素宝,郅媛媛,杨宇,许云龙,郑晓丽,王会女,孟巍..兰氏和双反Z法腭裂修复术后患儿语音清晰度对比[J].组织工程与重建外科杂志,2018,14(2):87-88,2.

组织工程与重建外科杂志

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