State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China; Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Ibb, Yemen.
State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China.
J Stomatol Oral Maxillofac Surg. 2023 Sep;124(4):101403. doi: 10.1016/j.jormas.2023.101403. Epub 2023 Jan 27.
To evaluate the postoperative outcomes together with analyzing the associated influencing factors following a late cleft palate repair by the Sommerlad-Furlow modified technique (S-F).
In a retrospective cohort, 320 consecutive patients with cleft palate, who received S-F technique between 2011 and 2017, were reviewed. The patients were divided into three age groups, less than one year (143), one to two years (113), and greater than 2 years (64). The postoperative outcomes included wound healing (complete/fistula) and velopharyngeal function (VPF).
The overall cleft width was 10 ± 3.07 mm. The overall rates of complete wound healing and proper velopharyngeal function were 96.6% and 81.56%, respectively. No significant difference was found between the age groups regarding wound healing, with an overall fistula rate of 3.4%. The VPF was significantly varied among the age groups (P<0.001). In context, the rates of velopharyngeal insufficiency (VPI) were 9.8%, 14.2%, and 45.4% among patients repaired at ˂1, 1-2, and >2 years old, respectively. The cleft type was the most potential factor associated with fistula. The age at repair was identified as the most implicating factor for VPI.
The S-F technique had achieved low fistula rate and satisfactory speech outcome, especially in early repair group and even in the wide cleft palate. The older age at repair and severe cleft type had a major impact on the postoperative outcomes.
评估 Sommerlad-Furlow 改良技术（S-F）修复迟发性腭裂术后的结果，并分析相关影响因素。
在一项回顾性队列研究中，对 2011 年至 2017 年间接受 S-F 技术治疗的 320 例连续腭裂患者进行了回顾分析。患者分为三组，小于 1 岁（143 例）、1 至 2 岁（113 例）和大于 2 岁（64 例）。术后结果包括伤口愈合（完全/瘘管）和腭咽功能（VPF）。
总的腭裂宽度为 10±3.07mm。完全愈合和适当的腭咽功能的总体发生率分别为 96.6%和 81.56%。各组之间在伤口愈合方面无显著差异，总瘘管发生率为 3.4%。VPF 在年龄组之间有显著差异（P<0.001）。具体而言，在 1 岁以下、1-2 岁和>2 岁的患者中，腭咽闭合不全（VPI）的发生率分别为 9.8%、14.2%和 45.4%。腭裂类型是与瘘管最相关的潜在因素。修复年龄是与 VPI 最相关的因素。
S-F 技术具有较低的瘘管发生率和满意的语音效果，尤其是在早期修复组，甚至在宽腭裂中。修复年龄较大和腭裂类型严重对术后结果有重大影响。
