目的:应用Furlow腭成形术和两瓣法对腭裂患者进行修复,评估并比较其术后语音效果及腭咽闭合功能,为进一步的语音治疗或手术治疗提供依据,同时预测可能影响术后效果的因素。方法:选取2010年1月~2016年12月来武汉大学口腔医院唇腭裂专科...目的:应用Furlow腭成形术和两瓣法对腭裂患者进行修复,评估并比较其术后语音效果及腭咽闭合功能,为进一步的语音治疗或手术治疗提供依据,同时预测可能影响术后效果的因素。方法:选取2010年1月~2016年12月来武汉大学口腔医院唇腭裂专科就诊的84例腭裂患者,其中男40例,女44例,年龄8~12个月,采用Furlow腭成形术进行修复者为45例,两瓣法39例,术者均为同一资深的手术医师。术后定期随访3~5年,由专业语音师评估其语音效果,拍摄头影测量侧位片并用鼻咽纤维镜检测其腭咽闭合情况。结果:Furlow腭成形术的患者与两瓣法的患者在术后PSA评分,the need ratio(咽腔深度/软腭长度,PW/PU)、矢状位软腭运动闭合程度(BC/BD)及腭咽闭合率等指标有统计学差异(P<0.05);而在软腭上抬角度∠B2PC2上没有统计学差异。结论:Furlow腭成形术和两瓣法均能有效修复腭裂患者,Furlow腭成形术结合腭帆提肌重建和反向双Z成形能获得更好的腭咽闭合和语音效果。展开更多
Objectives:This study aimed to assess the effect of hearing and speech rehabilitation in patients with Nurotron■cochlear implants.Design:Ninety-eight paediatric patients with bilateral severe-to-profound sensorineura...Objectives:This study aimed to assess the effect of hearing and speech rehabilitation in patients with Nurotron■cochlear implants.Design:Ninety-eight paediatric patients with bilateral severe-to-profound sensorineural deafness who received cochlear implantation were divided into three groups according to age:group A(≤3 years),group B(4-7 years),and group C(8-16 years).All patients were followed up for one year for hearing and speech performance after the surgery.The comprehensive Auditory Perception Assessment,MAIS,CAP and SIR hearing and speech assessments and rating materials were used for assessment before the surgery and at 3,6,and 12 months after implant activation.Results:The scores of patients in the open-set speech assessment,Chinese Auditory Perception Assessment,MAIS,CAP and SIR significantly improved after cochlear implantation in all age groups.The younger the age at implantation,the better the results.Moreover,the hearing and speech performance of cochlear implant recipients gradually improved with the extension of rehabilitation time.Conclusions:Nurotron■Venus^TM cochlear implantation can improve the hearing and speech performance of patients with bilateral severe-to-profound sensorineural deafness.展开更多
文摘目的:应用Furlow腭成形术和两瓣法对腭裂患者进行修复,评估并比较其术后语音效果及腭咽闭合功能,为进一步的语音治疗或手术治疗提供依据,同时预测可能影响术后效果的因素。方法:选取2010年1月~2016年12月来武汉大学口腔医院唇腭裂专科就诊的84例腭裂患者,其中男40例,女44例,年龄8~12个月,采用Furlow腭成形术进行修复者为45例,两瓣法39例,术者均为同一资深的手术医师。术后定期随访3~5年,由专业语音师评估其语音效果,拍摄头影测量侧位片并用鼻咽纤维镜检测其腭咽闭合情况。结果:Furlow腭成形术的患者与两瓣法的患者在术后PSA评分,the need ratio(咽腔深度/软腭长度,PW/PU)、矢状位软腭运动闭合程度(BC/BD)及腭咽闭合率等指标有统计学差异(P<0.05);而在软腭上抬角度∠B2PC2上没有统计学差异。结论:Furlow腭成形术和两瓣法均能有效修复腭裂患者,Furlow腭成形术结合腭帆提肌重建和反向双Z成形能获得更好的腭咽闭合和语音效果。
文摘Objectives:This study aimed to assess the effect of hearing and speech rehabilitation in patients with Nurotron■cochlear implants.Design:Ninety-eight paediatric patients with bilateral severe-to-profound sensorineural deafness who received cochlear implantation were divided into three groups according to age:group A(≤3 years),group B(4-7 years),and group C(8-16 years).All patients were followed up for one year for hearing and speech performance after the surgery.The comprehensive Auditory Perception Assessment,MAIS,CAP and SIR hearing and speech assessments and rating materials were used for assessment before the surgery and at 3,6,and 12 months after implant activation.Results:The scores of patients in the open-set speech assessment,Chinese Auditory Perception Assessment,MAIS,CAP and SIR significantly improved after cochlear implantation in all age groups.The younger the age at implantation,the better the results.Moreover,the hearing and speech performance of cochlear implant recipients gradually improved with the extension of rehabilitation time.Conclusions:Nurotron■Venus^TM cochlear implantation can improve the hearing and speech performance of patients with bilateral severe-to-profound sensorineural deafness.
