鼻咽腔構音を示す患者の特徴 —口唇口蓋裂とHemifacial microsomiaにおける検討—

平野 友紀子; 高橋 路子; 須佐美 隆史; 大久保 和美; 岡安 麻里; 井口 隆人; 杉山 円; 内野 夏子; 西條 英人; 星 和人

doi:10.11224/cleftpalate.43.202

Characteristics of Patients with Nasopharyngeal Articulation

―Consideration on Cleft Lip and Palate or Hemifacial Microsomia―

Yukiko HIRANO, Michiko TAKAHASHI, Takafumi SUSAMI, Kazumi OHKUBO, Mari OKAYASU, Takato INOKUCHI, Madoka SUGIYAMA, Natsuko UCHINO, Hideto SAIJO, Kazuto HOSHI

Author information

Yukiko HIRANO
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Michiko TAKAHASHI
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Takafumi SUSAMI
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Hiroi Dental and Susami Orthodontic Clinic
Kazumi OHKUBO
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Mari OKAYASU
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Takato INOKUCHI
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Madoka SUGIYAMA
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Natsuko UCHINO
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Hideto SAIJO
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital
Kazuto HOSHI
Department of Oral-Maxillofacial Surgery and Orthodontics, the University of Tokyo Hospital

Keywords: nasopharyngeal articulation, cleft lip and palate, velopharyngeal function, training of articulation

JOURNAL RESTRICTED ACCESS

2018 Volume 43 Issue 3 Pages 202-208

DOI https://doi.org/10.11224/cleftpalate.43.202

Details

Abstract

We investigated nasopharyngeal function, hearing, language development, improvement of articulation, and type of complicated nasopharyngeal articulation in 39 cases of complicated nasal articulation in which patients with cleft lip and palate or hemifacial microsomia consulted the Department of Oral-Maxillofacial Surgery and Orthodontics, The University of Tokyo Hospital.
Velopharyngeal insufficiency was detected in 38％ of cases, and hearing impairment in 20％, with hemifacial microsomia present in three of those cases. There was a high probability of language development delay in all cases.
When nasopharyngeal articulation was not accompanied by other articulation disorders, or when velopharyngeal function was good, there was a tendency for improvement of nasopharyngeal articulation.
Cases of complicated nasopharyngeal articulation were mostly cases of glottal stop articulation.

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