【作者】 施星辉； 邢树忠； 陈宁； 陶震江； 刘杰；

【机构】 南京医科大学口腔医学院口腔颌面外科；

【摘要】 <正>目的:分析评价颞肌瓣即刻修复上颌骨及腭部术后缺损患者的语音功能恢复情况,为临床应用提供信息指南和依据。方法:通过对19例应用颞肌瓣修复上颌骨及腭部缺损的患者进行腭咽闭合功能头颅腭咽侧位X片测量和语音清晰度测定,分析评价颞肌瓣即刻修复上颌骨及软腭部术后缺损患者的语音功能恢复情况。结果:19例患者中,有15例(78％)为完全腭咽闭合,3例(15．8％)发／i／音时腭咽间有2- 5mm的间隙,为边缘性腭咽闭合,1例(5．26％)的间隙达11mm,为腭咽闭合不全。本组的平均语音清晰度为94．3％,接近正常人语音清晰水平。发音错误率较高的音大多是以辅音／d／、／t／、／g／、／k／、／j／、／ q／、／zh／、／ch／、／Z／、／c／等音开头的音,且缺损修复的部位越小、越远离软腭,则患者的语音清晰度越高;更多还原

【Abstract】 OBJECTIVE To evaluate recovery situation of the speech function on repairing defects of maxilla and palate with temporalis muscle flap. METHODS The lateral cephalograph and speech intelligibility were detected on 19 cases of patients who were carried on the operation of repairing defects of maxilla and palate with temporalis muscle flap, and their recovery situation of the speech function were analyzed. RESULTS Among the 19 patients, there were 15 cases (78% ) with complete velopharygeal, 3 (15. 8% ) with marginal velopharygeal, and 1 case (5. 26% ) with velopharygeal insufficiency. The average speech intelligibility was 94. 3% , being close to the normal speech intelligibility. CONCLUSION : The operation of repairing defects of maxilla and palate with temporalis muscle flap may have capability to reconstruct the phonatory structure, preserve the palate function and recover the speech function after operation.更多还原