연구개인두 폐쇄 부전 환자의 진단과 치료
The Diagnosis and Management of Velopharyngeal Insufficiency
이용권, 최재평, 최진영,
소속 상세정보
이용권 ( Lee Yong-Kwon ) - 서울대학교 치과대학 구강악안면외과학교실
최재평 ( Choi Jae-Pyong ) - 서울대학교 치의학대학원 구강악안면외과학교실
최진영 ( Choi Jin-Young ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0952820080110010013
Abstract
Velopharyngeal insufficiency(VPI), characterized by hypernasal resonance and nasal air emission, is a speech disorder that can significantly compromise speech intelligibility. Cleft palate, previously repaired cleft palate and submucous cleft palate are associated with VPI. Less commonly, patients may acquire it after adenoidectomy with or without tonsillectomy or as a result of neuromuscular dysfunction. Comprehensive evaluation by a VPI team includes medical assessment focusing on airway obstructive symptoms, perceptual speech analysis, MRI and instrumental assessment. Options for intervention include speech therapy, intraoral prosthetic devices and surgery. Surgical methods can be categorized as palatal, palatopharyngeal or pharyngeal procedures. Each surgical approach has its strengths and limitations. Oro-maxillofacial surgeons are increasingly involved in the referral, evaluation, and treatment of velopharyngeal function. Therefore, understanding of physiology, anatomic structures, evaluation and treatment protocols in VPI is very important. This article presents protocol for evaluation of velopharyngeal function with a focus on indications for surgical interventions.
키워드
VPI;Pharyngoplasty
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