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구순구개열의 삼킴 및 언어문제

Management of Swallowing and Speech Problems in Patients with Cleft Lip and Palate

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초록

Proper management of swallowing problem in patients with cleft lip and cleft palate before and after proper operation is important for appropriate nutrition. Speech problem is common in patients with cleft palate because of the velopharyngeal insufficiency. I will review in this paper the characteristics of speech problem caused by the velopharyngeal insufficiency and offer several options for evaluation and management of swallowing and speech problems in cleft lip and palate. (JKDS 2013;3:58-61)

Abstract

Proper management of swallowing problem in patients with cleft lip and cleft palate before and after proper operation is important for appropriate nutrition. Speech problem is common in patients with cleft palate because of the velopharyngeal insufficiency. I will review in this paper the characteristics of speech problem caused by the velopharyngeal insufficiency and offer several options for evaluation and management of swallowing and speech problems in cleft lip and palate. (JKDS 2013;3:58-61)

참고문헌 (9)

  1. Arvedson JC, "Pediatric swallowing and feeding Assessment and management", pp.13~79 (2002), Thompson Delmar Learning
  2. Logemann JA, "Evaluation and treatment of swallowing disorders", pp.37~45 (1998), Pro-ed
  3. Alexander MA, "Pediatric rehabilitation principles and practice", pp.69~76 (2010), Demos-MEDICAL
  4. Groher ME, "Dysphagia: Clinical Management in Adults and Children", pp.43~49 (2009), Mosby
  5. Peterson-Falzone S, "The clinician's guide to treating cleft palate speech" (2005), Mosby
  6. Ruda JM, "A review of the evaluation and management of velopharyngeal insufficiency in children", Otolaryngol Clin North Am, 45, pp.653~669 (2012)
  7. Karnell MP, "Instrumental assessment of velopharyngeal closure for speech", Semin Speech Lang, 32, pp.168~178 (2011)
  8. Rudnick EF, "Velopharyngeal insufficiency: current concepts in diagnosis and management", Curr Opin Otolaryngol Head Neck Surg, 16, pp.530~535 (2008)
  9. Smith BE, "Speech evaluation of velopharyngeal dysfunction", J Craniofac Surg, 18, pp.251~261 (2007)

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