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使用升腭贋復體重建咽腭帆關閉不足患者發音及吞嚥功能-病例報告

Use Palatal Lift Prosthesis to Restore Deglutition and Articulation Function of Velopharyngeal Incompetency Patient-A Case Report

摘要


咽腭帆關閉不足是指患者的咽腭帆結構正常,但無法有效地完成咽腭帆關閉。主要爲中樞運動神經產生病變所導效,譬如重症肌無力、腦血管病變、腦部外傷、腦部麻痺等患者。升腭贋復體是用來將此類思者的軟腭往後、往上推至接觸到側及後咽喉壁以完成其咽喉壁關閉。本文主要敘述升腭贋復體的製作方法,以用來重建息者因腦血管病變造成軟無法產生運動的發音及吞嚥功能。

並列摘要


Velopharyngeal incompetency defines as patients with essentially normal velopharyngeal structures, but they are unable to complete the velopharyngeal closure. The main reasons that cause the problem is the patient with neurological diseases, such as the myasthenia gravis, cerebrovascular accident, head injury, or cerebral palsy. The palatal lift prosthesis push the soft palate superiorly and posteriorly to assist the soft palate in effecting closure with the lateral and posterior pharyngeal walls. This article describes the method of fabricating the palatal lift prosthesis to improve the articulation and deglutition functions of the patient who had immobile of soft palate cause by cerebrovascular disease.

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