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首页> 外文期刊>Brazilian Journal of Otorhinolaryngology >Buccinator myomucosal flap for the treatment of velopharyngeal insufficiency in patients with cleft palate and/or lip ☆ , ☆☆
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Buccinator myomucosal flap for the treatment of velopharyngeal insufficiency in patients with cleft palate and/or lip ☆ , ☆☆

机译：Buccinator肌粘膜瓣治疗for裂和/或唇裂☆，☆☆患者的咽咽功能不全

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Introduction: The interpretation of the speech results obtained with the buccinator myomucosal flap in the treatment of velopharyngeal insufficiency in patients with cleft palate has been limited by the restriction in the number of patients and the time of postoperative follow-up. Objective: To evaluate the effect of the buccinator myomucosal flap on speech hypernasality in the treatment of patients with cleft palate and velopharyngeal insufficiency. Methods: Patients with repaired cleft palate (± lip) who were submitted to surgical correction of velopharyngeal insufficiency using the bilateral buccinator myomucosal flap were assessed. Hypernasality (scores 0 [absent], 1 [mild], 2 [moderate], or 3 [severe]) was analyzed by three evaluators by measuring the audiovisual records collected in early and late preoperative and postoperative periods (3 and 12 months, respectively). The values were considered significant for a 95% Confidence Interval ( p 0.05). Results: Thirty-seven patients with cleft palate (± lip) showing moderate (16.2%) or severe (83.8%) hypernasality in the preoperative period were included. Analyses of the late postoperative period showed that hypernasality (0.5 ± 0.7) was significantly ( p 0.05) lower than the hypernasality of the preoperative and recent postoperative periods (2.8 ± 0.4 and 1.7 ± 0.9, respectively). Conclusion: The buccinator myomucosal flap is effective in reducing/eliminating hypernasality in patients with cleft palate (± lip) and velopharyngeal insufficiency.
机译：简介：对于患者的数量和术后随访时间的限制，对使用琥珀酸化肌粘膜皮瓣皮瓣治疗c裂患者的咽喉功能不全所获得的言语结果的解释受到了限制。目的：评价新生肌膜黏膜瓣对言语性鼻涕在in裂和咽咽功能不全患者中的治疗作用。方法：评估c裂修复的患者（±唇），他们使用双侧颊肌粘膜皮瓣进行手术治疗咽咽功能不全。由三名评估人员通过测量术前和术后早期和术后（分别为3和12个月）收集的视听记录，分析了鼻鸣（分数0 [缺席]，1 [轻度]，2 [中度]或3 [严重]）。 ）。对于95％的置信区间（p <0.05），该值被认为是有意义的。结果：包括37例（裂（±唇）术前出现中度（16.2％）或重度（83.8％）鼻虚的患者。术后晚期的分析表明，鼻腔增高（0.5±0.7）显着（p <0.05）低于术前和近期术后鼻腔增高（分别为2.8±0.4和1.7±0.9）。结论：buccinator肌粘膜瓣可有效减少/消除c裂（±唇）和咽喉功能不全患者的鼻涕。

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