关键词: 先天性腭咽闭合功能不全, 过度鼻音, 腭心面综合征, 咽成形术

Abstract:

Objective　To study effective operation method of congenital velopharyngeal insufficiency by reviewing clinical data of 29 patients with pharyngoplasties.Methods　29 patients (9 male and 20 female, ranged from 4 to 25 years old, mean age was 13·5) with congenital velopharyngeal insufficiency were available for this study. All cases received Chinese speech intelligibility test and blowing test before and after the pharyngeal flap surgery.Results　Chinese speech intelligibility of 29 cases who under- went pharyngoplasties was improved from 33·86% to 43·13%, and the blowing time was increased from 4·60 to 17·72 seconds, the degree of abnormal speech was reduced.Conclusion　The pharyngeal flap surgery is an effective method for congenital velo- pharyngeal insufficiency, which reduces hypernasality and increases oral pressure, improves the velopharyngeal function.

Key words: congenital velopharyngeal insufficiency, hypernasality, velo-cardiofacial syndrome, paryngoplasty