Schweckendiek W, Doz P
Cleft Palate J. 1978 Jul;15(3):268-74.
Primary veloplasty during the first year of life enables normal growth of the upper jaw and of the facial skeleton in patients with clefts. In spite of the remaining cleft in the hard palate, intelligible speech can be learned. The closure of the residual cleft of the hard palate is generally postponed until the age of 12 to 14 years, when the normal growth of the jaw is virtually completed. This method has been used in the clinic by the author and his father for thirty years. The results after primary veloplasty for some hundred adult patients show normal maxillary and cranial growth both clinically and radiologically. Primary veloplasty operations constitute acceptable restorative surgical treatment of the maxilla. Various problems of timing and methods of cleft palate treatment are discussed. The author's cases are summarized.
在生命的第一年进行原发性腭成形术可使腭裂患者的上颌骨和面部骨骼正常生长。尽管硬腭仍有裂隙，但仍可学会清晰的语音。硬腭残余裂隙的闭合通常推迟到12至14岁，此时颌骨的正常生长基本完成。作者及其父亲已在临床使用这种方法三十年。数百名成年患者接受原发性腭成形术后的结果在临床和放射学上均显示上颌骨和颅骨生长正常。原发性腭成形术是对上颌骨可接受的修复性外科治疗。文中讨论了腭裂治疗的时机和方法等各种问题。并总结了作者的病例。
