Abstract
唇?裂患者的語言異常主要原因為?咽閉鎖功能不全；是否患者的解剖構造有缺陷，文獻回顧缺乏完整而有系列的探討。本實驗的目的是利用鼻咽內視鏡評估其?咽功能並分析測顱×光片上一系列的參數，以尋找關聯性。
受試59名平均年齡13.7歲，為長庚紀念醫院顱顏中心之唇?裂患者，除了觀察鏡下?咽瓣閉瑣形式外並參考臨床聽覺判別語言功能為以下三組：1.?咽閉鎖健全2.邊際性?咽功能3.?咽閉鎖不全，同時攝取受試之中心咬合位置之靜態側面測顱×光片，分析三組9種?咽構造之距離，比較其差異性；並和30位同年齡層語言正堂之非唇?裂者比較其?咽構造之差異。
本實驗的結果顯示：1.唇?裂者之?咽瓣閉瑣形式以冠形為主。2.需要比例值在唇?裂者三組語言功能有顯著差異。3.?咽閉瑣不全者和以下因素有關：a需要比例值較大b咽喉深度較大c後咽壁較窄d硬?長度較短。4.正常人和和唇?裂但?咽閉鎖健全者在軟?長度，硬?長度有顯著差異；正常人和?咽參鎖不全者在咽喉深度，軟?長度，需要比例值和後咽壁厚度有顥著差異。
According to our data, several conclusion can be made: 1.The coronal pattern is predominant in velopharyngeal closure in our subjects. 2.The need ratio differed significantly in three speech rating groups. 3.The inadequacy of velopharyngeal closure was related strongly to: excessive large need ratio, deep pharyngeal depth. narrow posterior pharyngeal tissue and short hard palatal length. 4.Normal and cleft individuals with VPC differed significantly in velar length and hard palatal length; normal and VPI group differed significantly in pharyngeal depth, velar length. need ratio, hard palate length and thickness of pharyngeal wall.
According to our data, several conclusion can be made: 1.The coronal pattern is predominant in velopharyngeal closure in our subjects. 2.The need ratio differed significantly in three speech rating groups. 3.The inadequacy of velopharyngeal closure was related strongly to: excessive large need ratio, deep pharyngeal depth. narrow posterior pharyngeal tissue and short hard palatal length. 4.Normal and cleft individuals with VPC differed significantly in velar length and hard palatal length; normal and VPI group differed significantly in pharyngeal depth, velar length. need ratio, hard palate length and thickness of pharyngeal wall.
| Original language | American English |
|---|---|
| Pages (from-to) | 61-72 |
| Journal | 聽語會刊 |
| Issue number | 7 |
| State | Published - 1991 |