芬兰北部腭裂一期修复术后咽成形术的发生率
Frequency of pharyngoplasty after primary repair of cleft palate in northern Finland.
作者信息
Lithovius Riitta H, Ylikontiola Leena P, Sándor George K B
机构信息
PhD candidate, Institute of Dentistry, University of Oulu, Oulu, Finland.
Director of Cleft Lip and Palate Program, Oulu University Hospital, Institute of Dentistry, University of Oulu, Oulu, Finland.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Apr;117(4):430-4. doi: 10.1016/j.oooo.2013.12.409. Epub 2013 Dec 28.
OBJECTIVE
One measure of primary cleft palate repair success is the subsequent need for secondary pharyngoplasty due to velopharyngeal insufficiency. This study aimed to assess primary palatoplasty outcomes and frequency of secondary pharyngoplasty.
STUDY DESIGN
A total of 138 patients underwent palatoplasty between 1998 and 2011. All patients were treated with 1-stage palatoplasty closing the hard and soft palate concurrently.
RESULTS
Overall frequency of pharyngoplasty after palatoplasty was 21% of patients. The rate of secondary surgery was significantly higher for girls (27%) than for boys (13%). Patients with cleft lip and palate were more likely to require secondary pharyngoplasty (24%) than the patients with soft and hard cleft palate (20%). Surgical technique and cleft severity were significant factors for secondary surgery. Pharyngoplasty was least common in patients whose palatal clefts were treated at 9 to 12 months of age.
CONCLUSIONS
The majority of patients undergoing primary palatal repair do not need secondary pharyngoplasty.
目的
腭裂一期修复成功的一个衡量标准是后续因腭咽闭合不全而进行二期咽成形术的必要性。本研究旨在评估一期腭裂修复术的效果及二期咽成形术的发生率。
研究设计
1998年至2011年间共有138例患者接受了腭裂修复术。所有患者均接受一期腭裂修复术，同时关闭硬腭和软腭。
结果
腭裂修复术后咽成形术的总体发生率为患者总数的21%。女孩（27%）二期手术的发生率显著高于男孩（13%）。唇腭裂患者比软硬腭裂患者更有可能需要二期咽成形术（分别为24%和20%）。手术技术和腭裂严重程度是二期手术的重要因素。腭裂在9至12个月龄接受治疗的患者中最不常见。
结论
大多数接受一期腭裂修复的患者不需要二期咽成形术。
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