대한구순구개열학회지 (Korean Journal of Cleft Lip And Palate)
- 제15권2호
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- Pages.97-108
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- 2012
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- 1229-0734(pISSN)
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- 2586-2359(eISSN)
비인강폐쇄기능부전의 치료에 있어서 Furlow 이중 Z-성형술의 효과
The Effectiveness of Furlow's Double Opposing Z-plasty for Treatment of Velopharyngeal Insufficiency
- 김수호 (서울대학교 치의학대학원 구강악안면외과학교실) ;
- 김유진 (서울대학교 치의학대학원 구강악안면외과학교실) ;
- 박형욱 (서울대학교 치의학대학원 구강악안면외과학교실) ;
- 천강용 (서울대학교 치의학대학원 구강악안면외과학교실) ;
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황순정
(서울대학교 치의학대학원 구강악안면외과학교실)
- Kim, Soo-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
- Kim, Eu-Gene (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
- Park, Hyong-Wook (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
- Cheon, Kang-Yong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
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Hwang, Soon-Jung
(Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
- 발행 : 2012.12.30
초록
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