비인강폐쇄기능부전의 치료에 있어서 Furlow 이중 Z-성형술의 효과
The Effectiveness of Furlow’s Double Opposing Z-plasty for Treatment of Velopharyngeal Insufficiency
김수호, 김유진, 박형욱, 천강용, 황순정,
소속 상세정보
김수호 ( Kim Soo-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
김유진 ( Kim Eu-Gene ) - 서울대학교 치의학대학원 구강악안면외과학교실
박형욱 ( Park Hyong-Wook ) - 서울대학교 치의학대학원 구강악안면외과학교실
천강용 ( Cheon Kang-Yong ) - 서울대학교 보라매병원 구강악안면외과학교실
황순정 ( Hwang Soon-Jung ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0952820120150020097
Abstract
Velopharyngeal insufficiency (VPI) is improper closure of velopharynx during the phonation and swallowing due to various causes, especially appeared in cleft palate patients. The several surgical techniques and speech therapy can be considered in treatment of VPI. The surgical techniques such as Furlow’s double opposing Z-plasty, pharyngeal flap, push-back palatoplasty, etc. have been widely used when the speech therapy is not so much effective. However, there is considerable variability in the methods for evaluation and in success criteria making difficult to compare among surgical techniques. This article reviewed the recent articles about comparing the surgical techniques in treatment of VPI. Although there is no significant difference in speech assessment by speech pathologist, Furlow’s double opposing Z-plasty is a useful technique especially diminishing hypernasality and nasal emission.
키워드
Velopharyngeal insufficiency; Furlow’s double opposing Z-plasty; Cleft palate; Hypernasality; Nasal emission
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