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과대비성을 동반한 점막하 구개열 환자에 대한 double opposing Z-plasty를 통한 수술적 치료 결과

Other Titles
 Outcomes for Patients with Submucous Cleft Palate Accompanying Hypernasality Treated with Double Opposing Z-plasty 
 최홍식  ;  김현준  ;  김진영  ;  배정호  ;  김광문 
 Journal of the Korean Society of Logopedics and Phoniatrics (대한음성언어의학회지), Vol.11(1) : 81-86, 2000 
Journal Title
Journal of the Korean Society of Logopedics and Phoniatrics(대한음성언어의학회지)
Issue Date
Submucous cleft palate ; Hypernasality ; Midfacial growth ; Velopharyngeal insufficiency ; Velophjaryngeal insufficiency
Submucous cleft palate is a relatively uncommon congenital anomaly accompanying velopharyngeal incompetence(VPI). Double opposing Z-plasty has many advantages including prolongation of soft palate, normal midfacial growth, midline scar. We analyzed postoperative results comparing with those of preoperative evaluation by several variables(nasometer, endoscopy, satisfactory scale) in 14 patients treated with double opposing Z-plasty due to submcous cleft palate. Nasalance score in Ah sound, Ma phrase, and Pa phrase decreased 20.23%, 3.25%, and 23.26% in the average, respectively. As a result, hypernasality improved significantly. Closure rate in velum evaluated by endoscopy was increased from 0.44 to 0.76. In objective satisfactory scale checked by each patient's guardian at the postoperative period, much improved in 3, improved in 6, minimally improved in 1, and no difference in 1 was reported. (n=11 patients) Double opposing B-plasty is a good surgical modality in patients accompanying VPI with submucous cleft palate or incomplete cleft palate and will be used more usefully and widely.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Hong Shik(최홍식)
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