游离腓骨复合组织瓣上颌骨重建患者的语音功能评价  

Speech outcomes in patients of maxillary reconstruction with free fibula composite flap

作　　者：彭歆[1] 马莲[1] 毛驰[1] 俞光岩[1] 郭传瑸[1] 李晓京[1] 

机构地区：[1]北京大学口腔医学院口腔颌面外科,100081

出　　处：《中华口腔医学杂志》2003年第6期411-413,C002,共4页Chinese Journal of Stomatology

基　　金：首都医学科研发展基金资助项目 (ZD19980 5 )

摘　　要：目的　分析游离腓骨复合组织瓣上颌骨重建患者术后语音功能恢复情况。方法　对2 0例游离腓骨复合组织瓣上颌骨重建术后半年以上患者进行语音评价 ,通过鼻咽纤维镜检查腭咽闭合、软腭动度、软腭对称、过高鼻音和鼻漏气 ,并行语音清晰度检查 ,分析患者术后语音功能恢复情况。结果　 2 0例中无一例患者出现腭咽闭合不全 ,所有患者的软腭均对称 ,动度良好 ,平均语音清晰度为98.4 %。结论　游离腓骨复合组织瓣能重建口腔发音器官的完整性 ,并维持软腭功能 ,较好地恢复了上颌骨缺损患者的语音功能 ,是上颌骨重建的良好选择。Objective To evaluate speech outcomes in patients of maxillary reconstruction with free fibula composite flap. Methods Speech measurements of 20 patients of maxillary reconstruction with free fibula composite flap were collected. Palatopharyngeal valve, the symmetry and movement of soft palate, hypernasality and nasal emission were examined by nasoendoscopy. At the same time the speech intelligibility was measured. Results No palatopharyngeal valve insufficiency was found and all the soft palates had good symmetry and movement. The average speech intelligibility was 98.4% . Conclusions Free fibula composite flap can reconstruct the phonatory structure and support the function of soft palate, which can restorate speech function well. It is a good choice for maxillary reconstruction.

关 键 词：游离腓骨复合组织瓣 上颌骨重建 语音功能 修复外科手术 临床资料 

分 类 号：R782[医药卫生—口腔医学]