Klippel-Feil 症候群で粘膜下口蓋裂を合併した1症例の言語障害と治療

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A typical case of klippel-Feil syndrome with submucous cleft palate of one year six months old boy was presented and its speech disorders were discussed.<BR>1. In speech findings, hyper nasality, articulation disorders and speech retardation as low as physical development were observed.<BR>2. In oral findings, midline posterior bony palate notching defect, midline soft palate muscle separation with an intact mucosal surface and morphic abnormity of uvula for submucous cleft palate were observed.<BR>3. It was though that his speech disorders were caused by incomplete of nasopharyngeal closure.<BR>4. In treatment involved 1) instructing his mother, 2) food chewing, 3) dental treatment, 4) wearning speech aid, and 5) articulatory therapy. But, his reactive behavior was such that wearing speech aid as in No.4 above of the treatments could not be used, so we performed palatoplasty on him at four years three months. After this, we will perform speech control and follow up a long range plan with various related departments.