Cheng N X
Chinese Academy of Medical Sciences, Beijing.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1992 Mar;8(1):41-3, 86.
The palatal muscle reconstruction has become an essential part of cleft palate repair. Sixty-one cases of various cleft palate and velopharyngeal incompetence after palatoplasty repair 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 demonstrate 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.
腭肌重建已成为腭裂修复的重要组成部分。已有报道使用Furlow双Z成形术修复各类腭裂及腭裂修复术后腭咽闭合不全61例。本文描述了我们的手术过程，并对40例术后半年至1年的患者进行了随访，证实了Furlow腭裂修复术的优势。我们的初步随访结果显示，21例经鼻咽喉镜检查腭功能恢复率为90.5%，37例经静态侧位X线片检查腭功能恢复率为83.7%。对于较宽的腭裂，建议采用硬腭单侧或双侧粘骨膜瓣，以保持肌肉的充分复位和软腭后推。文中还讨论了Furlow腭裂修复术的设计及一些要点。
