摘要
介绍我们应用 Furlow 腭裂修复术的术式和用以治疗61例腭裂,腭咽闭合不全的临床经验.40例获术后随访,初步观察结果表明,该手术具有设计合理。操作简便,于重建腭部肌肉解剖结构的同时,可使软腭延长等优点。术后腭咽闭合优良率为83.7%～90.5%.
The palatal muscle reconstruction has become an essential part of cleft palate repair. Sixty-one cases of various eleft palate and velopharyngeal incompetence after palatoplasty re- pair using the Furlow's double Z-plasty technique have been reported.A description of our surgical procedure along with the follow-up of 40 cases 1/2 to 1 year after operation demon- strate the advantages of the Furlow's palatoplasty.Our preliminary follow-up results show that the palatal competence rates are 90.5% in 21 cases of nasopharyngoscopic examination and 83.7% in 37 cases of still lateral X-ray.radiograph.For maintaining adequate muscle reposition and soft palate pushback,the unilateral or bilateral mucoperiosteal flaps from hard palate are recommended in wider cleft palate.The design and some key points in the Furlow's palatoplasty are also discussed.
