The effects of Le Fort I osteotomy with maxillary movement on articulation, resonance, and velopharyngeal function.

The Cleft palate journal Pub Date : 1989-07-01
A W Kummer, J L Strife, W H Grau, N A Creaghead, L Lee
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Abstract

Articulation, resonance, and velopharyngeal function were evaluated before and after Le Fort I maxillary advancement in 16 patients (seven with cleft lip and palate, one with cleft lip only, and eight without clefts). On the postoperative evaluation, seven of 11 patients with preoperative articulation errors showed an improvement in articulation after surgery. Two patients without clefts showed slight changes in nasal resonance, and two patients (one with cleft lip and palate and one with cleft lip only) developed mild nasal emission. Nine patients showed diminished velopharyngeal contact during speech on videofluoroscopic studies. Compensatory changes in velopharyngeal function were also observed, which included velar stretching and lengthening and increased lateral pharyngeal wall movement.

Le Fort I型截骨伴上颌运动对关节、共振和腭咽功能的影响。
对16例患者(7例唇腭裂,1例唇裂,8例无唇裂)在Le Fort I上颌推进前后的发音、共振和腭咽功能进行了评估。在术后评估中,11例术前关节错误的患者中有7例术后关节改善。2例无唇裂患者鼻共振有轻微变化,2例唇腭裂患者和1例唇裂患者出现轻度鼻分泌物。9例患者在讲话时表现出腭咽接触减少。还观察到舌咽功能的代偿性变化,包括舌瓣拉伸和延长以及咽壁外侧运动增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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