비인강 폐쇄 부전증 성인 환자에서 인두피판술 수술 후 객관적 언어평가: 증례보고

• 영문명: The Objective Speech Evaluation after Pharyngeal Flap Surgery in Adult Patients with Velopharyngeal Insufficiency: A Case Report
• 발행기관: 대한구순구개열학회
• 저자명: 박종훈(Jong-Hoon Park) 김다와(Da-Wa Kim) 석현(Hyun Seok) 백진아(Jin-A Baek) 고승오(Seung-O Ko)
• 간행물 정보: 『대한구순구개열학회지』제24권 제1호, 42~52쪽, 전체 11쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2021.06.30

영문 초록

The purpose of this study is to objectively evaluate the post-surgical aerodynamic and acoustic characteristics of patients with velopharyngeal insufficiency (VPI) who received superiorly based pharyngeal flap surgery. Parameters for post-surgical evaluation of speech improvements vary by study designs, and the availability of objective research data is limited. VPI, also known as velopharyngeal Dysfunction (VPD), is a condition in which the soft palate and muscles of the posterior and lateral wall cannot form a velopharyngeal port. Objective evaluation of velopharyngeal closure is essential in the diagnosis and treatment of VPI. Hypernasality and limitations in speech articulation can be managed through various modalities, including speech therapy, speech-aid prosthetics, and surgical interventions. For patients with severe hypernasality, a superiorly based pharyngeal flap is the most commonly used procedure for the surgical correction of VPI. In this study, three patients (two male, one female) status post superiorly based pharyngeal flap surgery for hypernasality and inaccurate pronunciation were evaluated by a speech-language pathologist. Nasometers were used for objective measurement of post-surgical nasalance scores. The study results confirmed a significant and sustained improvement in nasality post superiorly based pharyngeal flap. Nasalance scores improved or reached normal limits during 1-2 months after surgical procedure, but with a tendency to relapse over time.

목차

서론

증례보고

고찰

결론

References

키워드

VPD VPI Adults Cleft palate Pharyngoplasty Posterior pharyngeal flap Nasometer Nasalance