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Achievement of Velopharyngeal Function in the Children with Cleft Lip and Palate -Relationship Velopharyngeal Function with Speech DevelopmentィイD1ィエD1

Research Project

Project/Area Number 09672040
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Surgical dentistry
Research InstitutionNiigata University

Principal Investigator

NAKANO Hisashi  University Dental Hospital, Niigata University Lecturer, 歯学部・附属病院, 講師 (60180329)

Co-Investigator(Kenkyū-buntansha) ISONO Shinsaku  University Dental Hospital, Niigata University Assistant, 歯学部・附属病院, 助手 (10168289)
ONO Kazuhiro  School of Dentistry, Niigata University Lecturer, 歯学部, 講師 (40224266)
Project Period (FY) 1997 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 1999: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1998: ¥200,000 (Direct Cost: ¥200,000)
Fiscal Year 1997: ¥2,700,000 (Direct Cost: ¥2,700,000)
Keywordscleft lip and palate / velopharyngeal function / articulation development / two-stage palatoplasty / palatalization / sound analysis / nasogram / 口唇口蓋裂児 / 鼻咽腔閉鎖機能 / 構音発達 / 2段階口蓋形成手術 / 口蓋化構音 / 構音獲得 / 音響分析 / 構音訓練 / 声門破裂音 / 口蓋形態 / 口唇口蓋裂 / 2段階口蓋形成 / 音圧分析
Research Abstract

It was evaluated about velopharyngeal function and speech development in the children with cleft lip and palate following Furlow's veloplasty
Research subject and method : Subject ; 25patients with cleft lip and palate (18UCLP, 7BCLP) and 23patients with isolated cleft palate, who are performed Fulow's veloplasty from January, 1992 by December, 1998. Velopharyngeal function and articulation development were evaluated at the age of two years, three years, four years, and five years. Velopharyngeal function was examined by velar movement, blowing examination, videofluoloscopy, ultrasonnography, fiberscopy, corresponding to the age. It was evaluated synthetically, and a decision made a unction three steps of favorably, border line, unfavorably. The evaluation of the speech development was went by the existence of nasality, nasogram, the compensatory articulation, the frequency analysis by the sound analytic device (multi-speech).
Results and Discussion : Evaluation of velopharungeal functio … More n ; In CLAP, though there were many border line cases with 68% at the time of 2 years old, favorable cases increased with 52% at the time of 3 years old, and it was 77% in 4 years old and 83% in 5 years old. In CP, border line cases were 65%, it shows a tendency to make function acquisition early at the time of 2 years old, but favorable cases were 65% at 4 years old, 87% at 5 years old. Speech evaluation ; It was compared in the acquired time of velopharyngeal function in CLAP, and the tendency that co m pensatory articulationun remained easily till late was recognized. The acquired tendency of normal articulation which was suitable for the acquired time of the velopharyngeal function was suggested with CP child.
Relationship of the acquisition of the velopharyngeal function and the speech development : At the time of three years old, with the all border line cases, they have articulation with glottal stop, palatalizafion, nasal articulation, incomplete articulation development after that. It thought about this with the difficulty by obviously velopharyngeal function acquisition's being delayed. And the participation of velopharyngeal incompetence was suggested as for the palatalization as well. Less

Report

(4 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (23 results)

All Other

All Publications (23 results)

  • [Publications] H. Nakano: "Application of Furlow's Double Opposing Z-plasty in Patients with Velopharyngeal Incompetence following Primary Repair"International Journal of Oral and Maxillofacial Surgery. 26. 136 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 中野 久: "口唇口蓋裂児の鼻咽腔閉鎖機能の獲得に関する研究―機能獲得と構音発達"日本口蓋裂学会雑誌. 24(2). 245-246 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] K. Ono: "Application of the Furlow's method to Primary Velar Closure in Two-Stage Palatoplasty"International Journal of Oral and Maxillofacial Surgery. 26. 136 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] N. Imai: "Muscle Activity Changes of Soft Palate in Cleft Lip and patate Patients"Transactions 8th International Congress on Cleft and Related Craniofacial Anomalies. 720-727 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y. Kannari: "Clinical Study of the Hotz Plate for Cleft Lip and Palate Patients"International Journal of Oral and Maxillofacial Surgery. 26. 207 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 磯野信策: "Hotz床併用2段階口蓋形成手術法を実施した唇顎口蓋裂児ノ言語発達に関する研究―言語成績を中心に―"新潟歯学会雑誌. 28(1). 15-24 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 磯野信策: "シリーズ言語臨床事例集第1巻 口蓋裂:二段階手術例"学苑社. 15 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hisashi NAKANO: "Application of Funlow's Double Opposing Z-plasty in Patients with Veopharyngeal Incompetence following Primary Repair."International Journal of Oral and Maxillofacial Surgery. 26. 136 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hisashi NAKANO: "Achievement of Velopharyngeal Function in the Childeren with Cleft Lip and Palate -Relationship Velopharyngeal Function with Speech Development-"Japanese Journal of Cleft Lip and palate. 24(2). 245-246 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kazuhiro ONO: "Application of The Furlow Method to Primary Velar Closure in Two-stage Palatoplasty."International Journal of Oral and Maxillofacial Surgery. 26. 136 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Nobuyuki IMAI: "Muscle Activity Changes of Soft Palate in Cleft Lip and Palate Patients. Transactions 8th International Congress on Cleft and Related Craniofacial Anomalies"ST Lee Editore. 720-727 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Youji KANNARI: "Clinical Study of The Hotz Plate for Cleft Lip and Palate Patients."International Journal of Oral and Maxillofacial Surgery. 26. 207 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Shinnsaku ISONO: "Speech Results and Speech Development after Two-Stage Palatoplasty Combined with Hotz's Plate in Cleft Lip and Palate Children."Niigata Dental journal. 28 (1). 15-24 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Shinsaku ISONO: "GENGORINSHOJIREISHU 1"GAKUENSHA. 15 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 中野 久: "口唇口蓋裂児の鼻咽腔閉鎖機能の獲得に関する研究-機能獲得と構音発達"日本口蓋裂学会雑誌. 24巻2号. 244-245 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 小野和宏: "二段階口蓋形成手術法と顎発育"日本口蓋裂学会雑誌. 24巻2号. 147-148 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 磯野信策: "シリーズ言語臨床事例集第1巻 口蓋裂 二段階手術例(分担)"学苑社. 15 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 磯野信策: "Hotz床併用二段階口蓋形成手術法を実施した唇顎口蓋裂患児の言語発達に関する研究" 新潟歯学会雑誌. 28巻1号. 15-24 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 中野 久: "唇顎口蓋裂児の顎発育-H_0t_22床治療の形態的機能的評価" 日本口腔科学会雑誌. 46-5. 478-479 (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] Nakano H.: "Application of Furlows dauble opposing 2-plasty in patients wiht vpi." Int.J.Oral Maxillofac.Surg.26. 136- (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Ono.K.: "Application of the Fulow method to primary velar claosave in two-stagge palatop" Int.J.Oral.Maxillofac.Surg.26. 136- (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 磯野信策: "二段階口蓋形成手術後の言語成績" 日本口蓋裂学会雑誌. 22(4). 263- (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 磯野信策: "H_0t_22床併用二段階口唇形成手術法と実施した唇頭口蓋裂患児の言語発達に関する研究" 新潟歯学会雑誌. 281. (1998)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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