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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Koh, Kyung Suk (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Kim, Sung Chan (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Oh, Tae Suk (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제2호
발행연도
2013.1
수록면
97 - 103 (7page)

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Background Velopharyngeal insufficiency (VPI) may persist after primary repair of the cleft palate, and surgical correction is necessary in many cases. The purpose of this study is to evaluate the effect of double opposing Z-plasty (DOZ) in cleft palate patients suffering from VPI after primary two-flap palatoplasty. Methods Between March 1999 and August 2005, we identified 82 patients who underwent two-flap palatoplasty for cleft palate repair. After excluding the patients with congenital syndrome and mental retardation, 13 patients were included in the final study group. The average age of the patients who underwent DOZ at was 5 years and 1 month. Resonance, nasal emission, and articulation were evaluated by a speech pathologist. The velopharyngeal gaps were measured before and after surgery. Results Six patients attained normal speech capabilities after DOZ. The hypernasality grade was significantly improved after surgery in all of the patients (P=0.0015). Whereas nasal emission disappeared in 8 patients (61.5%), it was diminished but still persisted in the remaining 5 patients. Articulation was improved in all of the cases. In two cases, the velopharyngeal gap was measured using a ruler. The gap decreased from 11.5 to 7 mm in one case, and from 12.5 to 8 mm in the second case. Conclusions The use of DOZ as a surgical option to correct VPI has many advantages compared with other procedures. These include short surgery time, few troublesome complications, and no harmful effects on the dynamic physiological functioning of the pharynx. This study shows that DOZ can be another option for surgical treatment of patients with VPI after two-flap palatoplasty.
#Velopharyngeal insufficiency #Cleft palate #Palate

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참고문헌 (25)

참고문헌 신청
Bardach J / 1990 / Multidisciplinary management of cleft lip and palate / Saunder google schola Wyatt R / 1996 / Cleft palate speech dissected: a review of current knowledge and analysis / Br J Plast Surg :143~149 google schola Sloan GM / 2000 / Posterior pharyngeal flap and sphincter pharyngoplasty: the state of the art / Cleft Palate Craniofac J 37:112~122 google schola Witt PD / 1997 / Surgical management of velopharyngeal dysfunction: outcome analysis of autogenous posterior pharyngeal wall augmentation / Plast Reconstr Surg 99:1287~1296 google schola Peat BG / 1994 / Tailoring velopharyngeal surgery: the influence of etiology and type of operation / Plast Reconstr Surg 93:948~953 google schola

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