摘要
边缘性腭咽闭合不全(MVPI)是腭裂术后腭咽功能的一类特殊状态。MVPI患者的腭咽生理和语音特征同典型腭咽闭合不全存在显著差异。目前针对MVPI病理机制和诊断标准尚存争议,在手术与非手术治疗方式选择问题上循证依据有限,治疗模式也缺乏相应的公认标准。本文基于对相关文献的系统梳理,明确目前对MVPI诊疗认识不足的具体问题,为进一步探索更加规范合理的MVPI干预模式提供指引。
Marginal velopharngeal inadequacy(MVPI)is a particular state of postoperative velopharyngeal function after cleft-palate repair.Patients with MVPI demonstrate a unique pattern in velopharyngeal closure and speech performance compared with more evident velopharyngeal insufficiency.Currently,researchers disagree over the pathological mechanism and diagnositic criteria for MVPI.Evidence suggesting the selection of surgical or nonsurgical intervention to MVPI is scarce,and no standard MVPI management protocol is available.By summarizing literature relevant to MVPI management,this review aims to identify aspects of MVPI requiring further investigation and to provide guidance to the exploration of rational evidence-based MVPI management protocol.
作者
毛奇蓉
尹恒
李精韬
Mao Qirong;Yin Heng;Li Jingtao(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of Cleft Lip and Palate Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)
出处
《国际口腔医学杂志》
CAS
CSCD
北大核心
2024年第1期116-123,共8页
International Journal of Stomatology
关键词
腭裂
腭咽闭合不全
语音训练
手术
cleft palate
velopharyngeal incompetence
speech therapy
surgery
