Clinical Analysis of Operative Treatment for Hypernasality

과대비성을 호소한 환자에 있어서 수술적 치료에 대한 임상적 고찰

The authors compared 20 cases of preoperative and postoperative results in patients with hypernasality who were treated at Yongdong Severance hospital from January 1994 to August 1996. According to the severity of the hypernasality, types of operations such as superior based pharyngeal flap surgery or posterior pharyngeal wall augmentation was selected. The preoperative and postoperative results wert analyzed by 2 otorhinolaryngologists and 1 speech therapist through an endoscopic examination and voice evaluation. follow up period was 1 month to 17 months and mean was 5.6 months. Types of the velopharyngeal closure according to the mobility of soft palate and pharyngeal wall could be divided into 3 types : coronal type(2 cases), sagittal type(4 cases), and circular types(14 cases), The results indicated that sagittal type showed the best result. In surgical treatment for hypernasality, the mobility of the pharyngeal lateral wall and making suitable size of lateral per during surgery were the most important factors affecting the patient's satisfaction.

과대비성의 수술적 치료에 있어서 인두측벽의 운동성이 수술 후 어느 정도 남아있는가와 측두문의 크기를 어느 정도 유지하는 것이 적당한가를 결정하는 것이 환자의 만족도를 높이고 좋은 결과를 얻는데 중요한 부분을 차지함을 알 수 있었다.