Hu Shirley, Levinson Jared, Rousso Joseph J
Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Department of Otolaryngology-Head and Neck Surgery, SUNY Downstate Medical Center, Brooklyn, New York.
Semin Plast Surg. 2020 May;34(2):120-128. doi: 10.1055/s-0040-1709429. Epub 2020 May 6.
Cleft palate repairs often require secondary surgeries and/or revisions for a variety of reasons. The most common causes are symptomatic oronasal fistulas and velopharyngeal insufficiency. Complications from primary surgery, such as wound dehiscence, infection, and hematomas, contribute to the relatively high rate of revision surgery. Prevention of postoperative complications that may lead to fistula or velopharyngeal insufficiency is key, and many techniques have been described that have reportedly decreased the incidence of secondary surgery. Management varies depending on the nature of the fistulous defect and the type of velopharyngeal insufficiency. Numerous surgical options exist to fix this deficiency.
由于多种原因，腭裂修复手术通常需要二次手术和/或修复。最常见的原因是有症状的口鼻瘘和腭咽闭合不全。初次手术的并发症，如伤口裂开、感染和血肿，导致了相对较高的修复手术率。预防可能导致瘘管或腭咽闭合不全的术后并发症是关键，并且已经描述了许多技术，据报道这些技术降低了二次手术的发生率。治疗方法因瘘管缺损的性质和腭咽闭合不全的类型而异。有多种手术选择来修复这种缺陷。
