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題名 | The Speech Performance of Incomplete Cleft of Secondary Palate Patients after Furlow Palatoplasty=次生性不完全顎裂病人接受Furlow顎修補術後語言評估 |
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作者 | 張瓊文; 陳國鼎; 洪凱風; 羅綸洲; | 書刊名 | 中華民國整形外科醫學會雜誌 |
卷期 | 10:1 2001.03[民90.03] |
頁次 | 頁14-18 |
分類號 | 416.413 |
關鍵詞 | 次生性不完全顎裂病; Furlow顎修補術; 語言評估; Furlow palatoplasty; Cleft palate; |
語文 | 英文(English) |
中文摘要 | 顎裂修補的方法很多,其目的不外乎在不影響顏面骨骼的發育下能夠獲得正常的語言能力。Furlow在1978年提出double opposing Z plasty-利用Z整形術來重建提顎肌及延長軟顎的長度,使顎裂的小朋友能夠獲得較正常的語言能力而儘量不影饗顏面骨骼的發育。從1988到1994年,林口長庚醫院顱顏中心蒐集了68位約12個月大的次生性不完全顎裂的小朋友進行Furlow顎修補術。若小朋友有合併其他症候群,語言異常,或嚴重的聽力障礙則於以排除。術後這些小朋友從2歲半開始每6個月接受語言老師的語言評估;如果有問題的話,再輔以鼻咽內視鏡加以鑑定。我們的研究結果發現:高達90%以上接受Furlow顎修補術的小朋友可以得到滿意的顎咽功能。Furlow顎修補術最適用於單純軟顎裂及顎裂寬度小於1公分的小朋友。 |
英文摘要 | The major goal in cleft palate repair is to attain normal speech without disturbing facial bony growth. The double opposing Z-plasty first described by Furlow(1978)is supposed to achieve this goal by lengthening the soft palate and reconstructing the levator sling. We evaluated the speech results of 68 patients with incomplete cleft of the secondary palate who received Furlow palatoplasty around the age of 12 months old between 1988 to 1994 at the Craniofacial Center of Chung Gung Memorial Hospital. This study revealed that 94.1% patient had competent velopharyngeal function after Furlow palatoplasty. Besides, the gross facial growth seems more satisfactory for these patients though objective evaluation needs to be done in the future. |
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