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《Chinese Journal of Stomatology》 2003-06
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Speech outcomes in patients of maxillary reconstruction with free fibula composite flap

PENG Xin, MA Lian, MAO Chi, YU Guang-yan, GUO Chuan-bin, LI Xiao-jing.Department of Oral and Maxillofacial Surgery,Peking University School of Stomatology, Beijing 100081, China  
Objective To evaluate speech outcomes in patients of maxillary reconstruction with free fibula composite flap. Methods Speech measurements of 20 patients of maxillary reconstruction with free fibula composite flap were collected. Palatopharyngeal valve, the symmetry and movement of soft palate, hypernasality and nasal emission were examined by nasoendoscopy. At the same time the speech intelligibility was measured. Results No palatopharyngeal valve insufficiency was found and all the soft palates had good symmetry and movement. The average speech intelligibility was 98.4% . Conclusions Free fibula composite flap can reconstruct the phonatory structure and support the function of soft palate, which can restorate speech function well. It is a good choice for maxillary reconstruction.
【Fund】: 首都医学科研发展基金资助项目 (ZD19980 5 )
【CateGory Index】: R782
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