摘要
目的探讨口内入路牵引成骨术配合语音治疗对唇腭裂术后继发上颌骨发育不良患者的治疗效果。方法对2007—2009年在南昌大学口腔医院接受治疗的9～12岁唇腭裂术后继发上颌骨发育不良畸形患者21例采用高位LeFortI型截骨术,将上颌骨完全断离,安装口内牵引器,术后3个月开始语音训练,定期接受发音指导和语音测评,记录结果并进行统计分析。结果 21例患者手术效果满意,未见严重并发症,通过语音治疗,发音改善明显。结论骨牵引成骨术用于矫治唇腭裂术后继发上颌骨发育不良,可早期解除上颌骨畸形,在一定程度上改善患者的腭咽闭合功能,再配合语音治疗可有效提高语音效果。
Objective To investigate the effect of distraction osteogenesis combined with voice training on maxillary hypoplasia in patients after cleft lip and palate plasty. Methods 21 patients who suffered from maxillary hypoplasia after cleft lip and palate plasty underwent distraction osteogenesis. Voice training and examination were done after the operation. The results were analyzed. Results All patients got a good pharyngeal and their voice function was improved. Conclusion Distraction osteogenesis is suitable for early correction of maxillary hypoplasia so that the secondary deformity and dysfunction of oromaxillary system can be avoided. Pharynplasty and voice training are helpful to repair voice.
出处
《中国实用口腔科杂志》
CAS
2010年第6期362-363,共2页
Chinese Journal of Practical Stomatology
关键词
牵引成骨术
唇腭裂
语音治疗
distraction osteogenesis
cleft lip and palate
voice training
