鼻咽镜、阻塞器在治疗腭咽闭合不全中的应用

The use of nasopharyngeal fiberoscope and obturator for treating velopharngeal incompetence

目的应用鼻咽纤维镜、腭咽阻塞器治疗腭裂术后腭咽闭合不全。方法腭咽闭合不全患者通过鼻咽镜检查，根据腭咽孔大小、形状制作腭咽阻塞器。结果４５例腭咽闭合不全患者经戴阻塞器治疗后，１００％腭咽闭合不全得到改善，其中１５例（３３％）２年后摘掉阻塞器发音正常。

Objective Using NPF and obturator to treat velopharyngeal incompetence. Methods Obturator was made based on the size of the velopharyngeal aperture determined with NPF. Results All of 45 cases was better in the velopharyngeal function, 15 cases (33%) had normal speech when the obturator was taken away after 2 years. Conclusion This is a good conservative method for treating VPI of cleft palate postsurgery.