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Updated: Jun 13, 2025

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在整形外科实习生中揭开喉功能障碍-第1部分:解剖学和生理学
Molly F MacIsaac1, Joshua M Wright1, Jamilla Vieux2
1Division of Plastic and Reconstructive Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL.
The Journal of craniofacial surgery
|September 12, 2024
概括
耳鼻门功能障碍 (VPD) 影响言语和吞,原因是耳鼻门不适当关闭. 本系列详细介绍了VPD解剖学,生理学和评估,以改善诊断和管理.
科学领域:
- 解剖学和生理学的解剖学和生理学
- 语言病理学 语音病理学
- 手术科学 手术科学
背景情况:
- 大鼻 (VP) 端口对于分离鼻和口至关重要.
- 耳鼻功能障碍 (VPD) 损害了VP端口的关闭,影响了言语和吞.
- 脊椎病常与口腔裂有关,但有多种原因,包括结构性,神经肌肉和行为因素.
研究的目的:
- 提供一个全面的,三部分的讨论,关于velopharyngeal机制和velopharyngeal功能障碍 (VPD).
- 为手术学员提供关于VPD诊断和管理的基础知识.
- 为了澄清喉功能术语和评估原则.
主要方法:
- 第1部分侧重于喉口的解剖学和生理学以及VPD的原因.
- 讨论包括喉功能不足,无能和错误学习.
- 强调需要采用涉及外科医生和语音语言病理学家的多学科方法.
主要成果:
- VPD的分类包括结构性缺陷 (不足),神经肌肉问题 (无能),和不适应的习惯 (错误学习).
- 脊椎裂不引起的原因是多种多样的,包括先天性/遗传性缺陷,神经肌肉疾病和发育因素.
- 有效的诊断和管理需要外科和语言病理学团队之间的合作.
结论:
- 彻底了解VPD需要对其频谱,语音病理学原则和术语有所了解.
- 本系列旨在为新的外科实习生提供一个可访问的资源.
- 综合知识对于最佳的手术决策和患者结果至关重要.
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