METHODS: We conducted a retrospective analysis of 99 patients referred to our clinic for speech issues or anatomical abnormalities identified during routine oral examinations from January 2012 to June 2023. A single surgeon performed all physical examinations. We evaluated the presence of bony notch, zona pellucida, and bifid uvula, assigned a score to each abnormality, and analyzed their correlation with VPI. The correlation of each of the abnormalities with VPI development was examined, along with the relationship between the number of abnormalities and VPI.
RESULTS: Among the 99 patients, 27 were diagnosed with VPI. Only the bony notch had a significant correlation with VPI development. The incidence of VPI tended to increase with the presence of more anatomical abnormalities. VPI occurred in approximately 40% of patients exhibiting all three anatomical abnormalities.
CONCLUSIONS: The study findings highlight the importance of meticulous intraoral examinations in patients with SMCP and careful monitoring of patients with a bony notch or two or more anatomical abnormalities.
方法:我们对2012年1月至2023年6月因常规口腔检查中发现的语音问题或解剖学异常而转诊到我们诊所的99例患者进行了回顾性分析。一名外科医生进行了所有体检。我们评估了骨性缺口的存在,透明带,和双歧小舌,给每个异常分配一个分数,并分析了它们与VPI的相关性。检查了每种异常与VPI发展的相关性,随着异常数量与VPI的关系。
结果:在99名患者中,27例确诊为VPI。只有骨性缺口与VPI发育有显著相关性。随着更多解剖异常的存在,VPI的发生率趋于增加。VPI发生在所有三种解剖异常的患者中约40%。
结论:研究结果强调了对SMCP患者进行细致的口内检查以及对有骨性切迹或两个或两个以上解剖异常的患者进行仔细监测的重要性。