Wilhelmi B J, Appelt E A, Hill L, Blackwell S J
Division of Plastic Surgery, University of Texas Medical Branch, 77555-0724, USA.
Plast Reconstr Surg. 2001 Feb;107(2):315-8. doi: 10.1097/00006534-200102000-00002.
The purpose of this study was to examine the palatal fistula rate after repair with the two-flap palatoplasty technique. This is a retrospective review of 119 consecutive cleft-palate repairs performed over a 5-year interval by a single surgeon. The two-flap palatoplasty technique was used to provide tension-free, multilayer repairs. The age of these children at the time of repair ranged from 7 to 84 months (mode, 9 months). The initial follow-up visit occurred 2 to 12 weeks after the repair operation (mean, 4 weeks). The postoperative follow-up duration ranged from 7 to 48 months. This review of 119 cleft-palate repairs revealed a fistula rate of 3.4 percent (four fistulas in 119 repairs). This experience demonstrates the lowest reported palatal fistula complication rate with use of the two-flap palatoplasty technique.
本研究的目的是检查采用双瓣腭裂修复术修复后的腭瘘发生率。这是一项对一位外科医生在5年时间内连续进行的119例腭裂修复手术的回顾性研究。采用双瓣腭裂修复术进行无张力的多层修复。这些患儿在修复时的年龄为7至84个月（众数为9个月）。首次随访在修复手术后2至12周进行（平均4周）。术后随访时间为7至48个月。对119例腭裂修复手术的回顾显示，腭瘘发生率为3.4%（119例修复中有4例出现瘘管）。该经验表明，使用双瓣腭裂修复术报告的腭瘘并发症发生率最低。
