Perko M A
J Maxillofac Surg. 1979 Feb;7(1):46-80.
In order to achieve palatal closure with the least possible impediment to maxillary growth, the two-stage repair seems to be the best procedure in our hands. The technique and timing of closure of soft and hard palate are described. For soft palate closure a modification of Widmaier's (1959) technique is used. Of the 216 cases operated upon this manner, usually at the age of 18 months (total and partial clefts included), the great majority show a soft palate of sufficient length and good elevation, a definite improvement in comparison with the one-stage procedure used formerly. Hard palate closure is postponed until between 5 and 8 years, the timing of surgery is chosen individually on the assessments of speech and dento-maxillary development.
为了在对上颌生长阻碍最小的情况下实现腭部闭合，两阶段修复术在我们看来似乎是最佳方法。本文描述了软腭和硬腭闭合的技术及时机。软腭闭合采用了对维德迈尔（1959年）技术的改良。以这种方式进行手术的216例病例（包括完全性和部分性腭裂），通常在18个月大时进行手术，绝大多数病例显示软腭长度足够且提升良好，与之前使用的单阶段手术相比有明显改善。硬腭闭合推迟至5至8岁，根据语音和牙颌面发育评估单独选择手术时机。
