구개봉합술 후 발생한 구비강누공의 폐쇄 후 말소리 결과 : 증례보고

• 영문명: Speech Outcome after Closure of Oronasal Fistula Following Cleft Palate Repair: A report of a case
• 발행기관: 대한구순구개열학회
• 저자명: 서민교 김다와 김은주 윤보근 김성일 임대호 고승오 문승영 김현기 신효근
• 간행물 정보: 『대한구순구개열학회지』제12권 제1호, 1~6쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2009.06.30

영문 초록

Oronasal fistula are a well-known complication of surgical treatment of cleft palate, occurring most frequently in the alveolus and hard palate. Previous reports have demonstrated that oronasal fistulas, particularly if greater than l cm in diameter,had an adverse effect on speech. The aim of this study was to demonstrate the relationship between the size of the fistula and the influence on velopharyngeal function. The site and size of the fistula were indicated on graph paper with calipers and measured in mm2 Speech assessment was carried out using a Nasometer, VPI articulation differential test, spectrography. Patient whose fistulas affected their speech had significantly larger fistulas than those whose fistulas did not. The study shows that the larger the fistula, the greater the risk of hypernasality and nasal emission, but even small fistulas can cause speech problems. If obstruction of the nasal passage is eliminated in a patient with a previously asymptomatic fistula, it may result in a fistula becoming symptomatic, resulting in hypernasality and nasal emission. In conclusion, even small fistulas can influence speech production and should be considered before any treatment is planned. The study lends support to early closure of oronasal fistulas, particularly before pharyngeal flap surgery is contemplated.

목차

ABSTRACT

Ⅰ. 서론

Ⅱ. 증례 보고

Ⅲ. 고찰

참고문헌

키워드

Oronasal fistula Hypernasality Nasometer