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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 28巻3・4号
  1. 部局別インデックス
  2. その他

[原著]The effects of Palatal Plate on Velopharyngeal Function and Occlusion for Children with Cleft Lip and Palate after Primary Palatoplasty

http://hdl.handle.net/20.500.12000/0002016225
http://hdl.handle.net/20.500.12000/0002016225
4774bcd7-494b-4cb5-aff8-17c820b74149
名前 / ファイル ライセンス アクション
v28p23.pdf v28p23.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2010-09-28
タイトル
タイトル [原著]The effects of Palatal Plate on Velopharyngeal Function and Occlusion for Children with Cleft Lip and Palate after Primary Palatoplasty
言語 ja
作成者 Nakama, Yoshihiko

× Nakama, Yoshihiko

en Nakama, Yoshihiko

Arakaki, Keiichi

× Arakaki, Keiichi

en Arakaki, Keiichi

Ishikawa, Taku

× Ishikawa, Taku

en Ishikawa, Taku

Nakama, Joji

× Nakama, Joji

en Nakama, Joji

Tengan, Toshimoto

× Tengan, Toshimoto

en Tengan, Toshimoto

Sunakawa, Hajime

× Sunakawa, Hajime

en Sunakawa, Hajime

アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 cleft lip and palate
言語 en
主題Scheme Other
主題 the Goslon Yardstick score
言語 en
主題Scheme Other
主題 palatal plate
内容記述
内容記述タイプ Other
内容記述 We employ palatal plates (obturator) immediately after palatoplasty to close the fistula in the alveolar cleft arising from push-back surgery. The aim of the present study is to evaluate the effect of palatal plate on the velopharyngeal function and maxillofacial growth. The subjects were 115 patients who underwent palatoplasty, followed by consistent treatment. The period of time required to achieve velopharyngeal competency (VPC-T) was examined in 107 patients (14 with bilateral cleft lip and palate: BCLP, and 20 with unilateral cleft lip and palate: UCLP) who received palatal plates within 3 months after surgery to close a fistula, and 31 patients without palatal plates (9 BCLP, and 22 UCLP), and 42 patients with cleft palate who didn't receive palatal plates. For occlusal evaluation by the Goslon Yardstick method, we evaluated 30 UCLP patients (14 palatal plate wearers, and 16 non-palatal plate wearers) who underwent palatoplasty, followed by the placement of a palatal plate within 3 months postoperatively, subsequent occlusal management, and eventually achieved a II C or III A occlusal relationship. Evaluation items included: 1. velopharyngeal competency evaluation, 2. VPC-T for speech, and 3. occlusal evaluation of cases with and without a palatal plate, and the following results were obtained: 1. Velopharyngeal competency (VPC) was achieved in 93.5% of all cases we analyzed. 2. The average of VPC-T was 10.3 (BCLP) and 8.9 (UCLP) months for palatal plate wearers, and 18.8 (BCLP) and 15.1 (UCLP) months for non-palatal plate wearers. 3. palatal plate (p<0.0001) and fistula (p=0.0002) were selected for variables by logistic regression analysis, but cleft type was not. The odds ratio of palatal plate (20.978) showed strong association with VPC-T. Palatal plate attachment from an early stage may be a measure to acquire velopharyngeal function as early as possible. 4. The Goslon Yardstick scores were 2.49 for palatal plate wearers and 3.56 for non-palatal plate wearers, and 3.06 for all cases we analyzed. A palatal plate not only facilitates the acquisition of VPC, but promotes harmonized upper and lower occlusion and maxillofacial growth. This suggests the important role of the palatal plate in the esthetic improvement and acquisition of normal occlusion, which is one of the final goals of consistent treatment.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
言語
言語 eng
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346-888X
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 28, 号 3・4, p. 23-34
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