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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >The role of cephalometry in assessing velopharyngeal dysfunction in velocardiofacial syndrome.
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The role of cephalometry in assessing velopharyngeal dysfunction in velocardiofacial syndrome.

机译：头颅测量法在评估快速面部面部综合征的咽喉功能障碍中的作用。

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OBJECTIVE: To report our experience with cephalometry in evaluating velopharyngeal dysfunction (VPD) in velocardiofacial syndrome (VCFS) and its utility in assessing the role of cervical spine abnormalities in VPD, prior to surgical correction of VPD. DESIGN: Clinical charts and cephalometric radiographs done prior to surgery for VPD were retrospectively analyzed to ascertain velopharyngeal measurements and cervical spine abnormalities. PATIENTS: Twenty-six patients (age: 6-23 years) with molecularly confirmed VCFS. SETTING: Wake Forest University Health Sciences (1997-2005). MEASUREMENTS: Cranial base angle, nasopharyngeal depth, velum length, and Need ratio at rest, velar dimple location, and velopharyngeal length during phonation; information on presence/absence of submucous cleft palate and cervical spine abnormalities were also obtained. The relationship between C1 anterior arch abnormalities and Need ratio was examined. RESULTS: Seventy-three percent of the VCFS patients had excessive nasopharyngeal depth, 80% had an abnormal Need ratio, 50% had a short velum, 81% had a submucous or occult submucous cleft palate, 90.5% had a cervical spine abnormality (C1 anterior arch abnormalities in 38%) and 11.5% had platybasia. There was a significant difference in the Need ratio between patients with and without C1 anterior arch abnormalities. CONCLUSION: Cephalometry can be used to delineate factors such as C1 vertebral abnormalities, excessive pharyngeal depth, and short velum that contribute to VPD in VCFS. This would help otolaryngologists better understand the anatomy prior to surgical treatment of VPD. This is the first study to highlight the frequent occurrence of C1 anterior arch abnormalities in VCFS.
机译：目的：报告我们的头颅测量技术在评估VPD手术矫正前的心室面综合征（VCFS）的鼻咽功能障碍（VPD）及其在评估颈椎异常在VPD中的作用方面的经验。设计：回顾性分析VPD手术前的临床图和头颅X线照片，以确定咽喉测量和颈椎异常。患者：26名分子确诊的VCFS患者（年龄：6-23岁）。地点：维克森林大学健康科学系（1997-2005年）。测量：发声时颅底角，鼻咽深度，长度和静息需要比、,窝位置和，咽长度;还获得了关于粘膜下裂和是否存在颈椎异常的信息。研究了C1前弓畸形与Need比之间的关系。结果：73％的VCFS患者鼻咽深度过大，Need比率异常的患者80％，短绒毛50％，粘膜下left或隐匿性粘膜下left裂，颈椎异常90％（C1）前弓畸形的发生率分别为38％和11.5％。有和没有C1前牙弓异常的患者之间的需要比率存在显着差异。结论：头颅测量法可用于描述导致VCFS中VPD的因素，例如C1椎体异常，咽深度过大和短绒毛。这将有助于耳鼻喉科医生在VPD手术治疗之前更好地了解其解剖结构。这是第一个强调VCFS中C1前牙弓异常频繁发生的研究。

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