患者,男,22岁。因自幼言语不清20余年入院。患者自幼言语不清,呈开放性鼻音,婴幼儿期偶有进食鼻腔返流,儿童期后逐渐缓解,无鼻阻塞及呼吸异常,无耳聋及颜面部发育异常。既往体健,否认家族史及手术史。检查:开放性鼻音。腭咽腔宽畅,发“啊”音时腭咽闭合不全,咽鼓管及圆枕未见明 Patient, male, 22 years old. Due to childhood speechless more than 20 years admitted to hospital. Patients with unclear speech since childhood, was open nasal, infantile nasal regurgitation occasionally eat, gradually ease after childhood, no nasal obstruction and respiratory abnormalities, no deafness and facial abnormalities. Past physical health, family history and denied the history of surgery. Check: open nasals. Palatal and pharyngeal wide, hair “ah” sound velopharyngeal closed incomplete, eustachian tube and the occipital did not see the Ming