Thieme V, Selzer G, Günther L, Rustemeyer J, Bremerich A
Klinik für Mund-, Kiefer- und Gesichtschirurgie, Plastische Operationen und Spezielle Schmerztherapie, Klinikum Bremen-Mitte.
Mund Kiefer Gesichtschir. 2005 Sep;9(5):306-11. doi: 10.1007/s10006-005-0637-1.
In a 25-year retrospective review of 1976-2000, the postoperative course after cleft palate surgery and pharyngeal flap surgery in 87 children with Pierre Robin sequence was studied.
The study comprised 114 interventions with 87 primary palatoplasties; 17 patients required palatal fistulae repair and 10 children were treated with secondary pharyngoplasty procedures. All children were divided into three postnatal risk groups according to the severity of their symptoms at birth and in the course of the early months of life.
A direct correlation was seen between the incidence of early postnatal difficulties and the postoperative obstructive complications after cleft palate surgery and pharyngeal flap surgery. Thus, children experiencing obstructive problems at birth (high postnatal risk group) displayed more severe complications at the time after cleft palate repair. In children undergoing pharyngeal flap surgery not only early postoperative obstruction but also late obstructive sleep apnea can occur.
在一项对1976年至2000年的25年回顾性研究中，对87例患有皮埃尔·罗宾序列征的儿童进行腭裂手术和咽瓣手术的术后过程进行了研究。
该研究包括114次干预，其中87次为初次腭裂修复术；17例患者需要修复腭裂瘘管，10例儿童接受了二次咽成形术。根据出生时和生命最初几个月症状的严重程度，将所有儿童分为三个出生后风险组。
出生后早期困难的发生率与腭裂手术和咽瓣手术后的术后阻塞性并发症之间存在直接相关性。因此，出生时出现阻塞性问题的儿童（高出生后风险组）在腭裂修复术后出现更严重的并发症。在接受咽瓣手术的儿童中，不仅术后早期会出现阻塞，而且后期还可能出现阻塞性睡眠呼吸暂停。
