کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4111386 1605980 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Speech outcomes in children with 22q11.2 deletion syndrome following surgery for velopharyngeal insufficiency
ترجمه فارسی عنوان
نتایج گفتاری در کودکان مبتلا به سندرم حذف 22q11.2 پس از عمل جراحی برای نارسایی velopharyngeal
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

ObjectiveThe purpose of this study was to identify prognostic factors associated with improved speech outcomes following surgical correction for velopharyngeal insufficiency (VPI) in pediatric patients with 22q11.2 deletion syndrome (22q11DS).MethodsEighteen patients were identified via retrospective chart review of patients with 22q11DS between 2005 and 2014. Patient characteristics, medical histories, associated comorbidities, surgical procedures, and pre- and postoperative perceptual hypernasality (subjectively rated 1–5 with 5 being the most severe) were gathered for each patient.Results12 patients (67%) experienced improvement in hypernasality following corrective surgery for VPI. Higher severity of hypernasality preoperatively was found to be indicative of a lower chance of improvement with VPI surgery. Of 8 patients with a preoperative hypernasality score of 5, 3 (38%) showed improvement in hypernasality postoperatively, while 9 out of 10 (90%) of patients with a preoperative hypernasality score less than 5 showed postoperative improvement. Females were also found to have worse speech outcomes compared to males.Conclusion22q11DS patients presenting with severely hypernasal speech preoperatively are less likely to show improvement in hypernasality following corrective surgery for VPI. Those patients with moderate hypernasality are most likely to benefit from surgery.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 88, September 2016, Pages 34–37
نویسندگان
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