Effects of Suspension Pharyngeal Flap on Speech in Filipino Individuals with Velopharyngeal Insufficiency.

IF 1.1 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Folia Phoniatrica et Logopaedica Pub Date : 2024-08-06 DOI:10.1159/000540308

Cassandra Alighieri, Andrew Hodges, Jolien Verbeke, Katrien Kestens, Kim Bettens, Rica Albite, Raphaelle May Tan, Kristiane M Van Lierde

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引用次数: 0

Abstract

Introduction: This study investigated the effects of suspension pharyngeal flap surgery for velopharyngeal insufficiency (VPI) due to cleft palate.

Methods: Ten Filipino individuals (mean age = 20.63 years, range = 8.4-34.9 years) with a cleft palate who underwent suspension pharyngeal flap surgery for VPI were included in this study. Perceptual and instrumental speech assessments were conducted at two different time points: before surgery (data point 1) and after surgery (data point 2, range = 4-26 weeks postoperatively). Speech intelligibility in different contexts and satisfaction with speech were assessed by the participants themselves using a self-report questionnaire. Additionally, the risk for obstructive sleep apnea was assessed using the Berlin Questionnaire.

Results: Velopharyngeal gap size significantly decreased after the surgery. Additionally, significant improvements in speech understandability and acceptability were observed following the suspension pharyngeal flap procedure. Besides, a significant reduction in hypernasality, nasal emission, and the occurrence of passive articulation errors was seen. No difference in the occurrence of active articulation errors was observed when comparing data pre- and post-surgery. The ten individuals reported to be significantly more intelligible in different contexts after surgery.

Conclusion: Improved speech was observed in individuals who received the suspension pharyngeal flap procedure. This procedure also positively influences an individual's intelligibility in different contexts in daily life. In individuals with persisting active articulation errors, post-surgery speech therapy will still be necessary.

查看原文本刊更多论文

悬吊式咽瓣对菲律宾咽喉发育不全患者语言表达的影响。

简介：本研究探讨了悬吊式咽皮瓣手术治疗腭裂所致咽发育不全（VPI）的效果：本研究探讨了悬吊式咽皮瓣手术治疗腭裂引起的咽发育不全（VPI）的效果：本研究共纳入了 10 名因腭裂接受悬吊咽瓣手术治疗 VPI 的菲律宾人（平均年龄 = 20.63 岁，范围 = 8.4 至 34.9 岁）。在手术前（数据点 1）和手术后（数据点 2，范围 = 术后 4 至 26 周）两个不同的时间点进行了感知和工具性语言评估。不同情境下的言语清晰度和言语满意度由参与者自己使用自我报告问卷进行评估。此外，还使用柏林问卷对阻塞性睡眠呼吸暂停的风险进行了评估：结果：手术后，会厌间隙明显缩小。此外，在悬吊咽瓣手术后，患者的语言理解能力和接受能力也有明显改善。此外，高鼻音、鼻音和被动发音错误也明显减少。手术前后的数据对比显示，主动发音错误的发生率没有差异。十名患者表示，手术后他们在不同语境中的语言表达能力明显提高：结论：接受悬吊式咽皮瓣手术的患者的语言表达能力得到了改善。结论：接受悬吊式咽部皮瓣手术的患者的语言表达能力得到了改善，这种手术也对患者在日常生活中的不同语境中的可理解性产生了积极影响。对于持续存在主动发音错误的患者，术后仍需进行言语治疗。

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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来源期刊

Folia Phoniatrica et Logopaedica AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY

CiteScore

2.30

自引率

10.00%

发文量

审稿时长

>12 weeks

期刊介绍： Published since 1947, ''Folia Phoniatrica et Logopaedica'' provides a forum for international research on the anatomy, physiology, and pathology of structures of the speech, language, and hearing mechanisms. Original papers published in this journal report new findings on basic function, assessment, management, and test development in communication sciences and disorders, as well as experiments designed to test specific theories of speech, language, and hearing function. Review papers of high quality are also welcomed.