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学科主题: 口腔医学
题名:
A pilot study of the effects of transpalatal maxillary advancement on velopharyngeal closure in cleft palate patients
作者: Sell, D1; Ma, L1; James, D1; Mars, M1; Sheriff, M1
刊名: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
发表日期: 2002-12-01
DOI: 10.1054/jcms.2002.0319
卷: 30, 期:6, 页:349-354
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Dentistry, Oral Surgery & Medicine ; Surgery
研究领域[WOS]: Dentistry, Oral Surgery & Medicine ; Surgery
关键词[WOS]: SPEECH ; LIP ; OSTEOTOMIES
英文摘要:

Background and Aims: Impaired velopharyngeal closure function is sometimes a complication of a standard Le Fort I maxillary advancement in cleft palate patients. The transpalatal Le Fort I osteotomy has been suggested as an alternative technique that may avoid this problem. The aim of this pilot study was to examine the effects of the transpalatal approach on velopharyngeal function in a series of cleft palate patients. Patients: Sixteen consecutive patients with a history of cleft palate exhibiting maxillary hypoplasia who underwent a transpalatal Le Fort I osteotomy. Methods: All patients had a simultaneous audio/video speech recording and nasopharyngoscopy examination prior to maxillary advancement, followed by a repeat of the same examinations at least 1 year postoperatively. Velopharyngeal function was measured in two ways: by direct observation using nasopharyngoscopy, and indirectly by means of perceptual assessment. Reliability studies of the two measures were performed with satisfactory results. Results: No statistically significant difference was found between the pre- and post-operative data in either the perceptual speech assessment or nasopharyngoscopy examination. Conclusion: These results indicate that maxillary advancement by transpalatal Le Fort I osteotomy does not adversely affect velopharyngeal closure function. (C) 2002 European Association for Cranio-Maxillofacial Surgery. Published by Elsevier Science Ltd. All rights reserved.

语种: 英语
WOS记录号: WOS:000179451200004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50006
Appears in Collections:北京大学口腔医学院_期刊论文

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作者单位: 1.Great Ormond St Hosp Children NHS Trust, Dept Speech & Language Therapy, London WC1N 3JH, England
2.Peking Univ, Sch Stomatol, Beijing 100871, Peoples R China
3.Great Ormond St Hosp Children NHS Trust, Maxillofacial & Dent Dept, London WC1N 3JH, England
4.Guys Hosp, Dept Dent Biomat Sci, London SE1 9RT, England

Recommended Citation:
Sell, D,Ma, L,James, D,et al. A pilot study of the effects of transpalatal maxillary advancement on velopharyngeal closure in cleft palate patients[J]. JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY,2002,30(6):349-354.
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