Archives of Plastic Surgery

  • 제33권3호
  • /
  • Pages.308-312
  • /
  • 2006
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
권호 표지

4세 이후에 구개성형술을 시행받은 환자의 발음개선

Speech Improvement of the Patients Performed Primary Palatal Repair over 4 Years Old

  • 강철욱 (부산대학교 의과대학 성형외과학교실) ;
  • 배용찬 (부산대학교 의과대학 성형외과학교실) ;
  • 남수봉 (부산대학교 의과대학 성형외과학교실) ;
  • 강영석 (부산대학교 의과대학 성형외과학교실) ;
  • 권순복 (부산대학교 의과대학 언어치료실)
  • Kang, Cheol Uk (Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University) ;
  • Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University) ;
  • Nam, Su Bong (Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University) ;
  • Kang, Young Seok (Department of Plastic and Reconstructive Surgery, College of Medicine, Pusan National University) ;
  • Kwon, Soon Bok (Department of Speech & Language Clinic, College of Medicine, Pusan National University)
  • 투고 : 2006.02.06
  • 발행 : 2006.05.10
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초록

Time to time, we face patients who missed the proper time for primary palatal repair. Although we do not have enough available documents, it is important to establish efficacy of palatal repair in patients more than 4 years old. From May 1995 to March 2005, we selected 14 patients who underwent palatal repair in more than 4 years old patients and they are able to tolerate speech articulation tests. Out of 14 patients 5 males an 9 females in sex, aged form 4 to 50 years old. 6 patients with incomplete cleft palate and 8 patients with submucous cleft palate. Double reversing Z-plasty(n=5), pushback palatoplasty(n=4), two flap palatoplasty(n=2), von Langenbeck palatoplasty(n=2), and intravelar veloplasty(n=1) were performed. Preoperative and postoperative speech articulation test, "Simple method of speech evaluation in Korean patients with cleft palate", were conducted. Satisfaction rate was sorted into 5 levels. There is no significant statistical correlation in the speech improvement, satisfaction rate, patients sex, cleft type and operative method. But there is significant statistical correlation between the speech improvement and patienet's age. There were better result in younger patient group than aged patients group.

키워드

참고문헌

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