Research Professor Health of Science Faculty School of Human Medicine, Peruvian University Union (UpeU) Lima, Peru.
South American Medical (SAMAC) and Research and Innovation (STRIAC) Advisory Councils, Smile Train Foundation, New York City, NY.
J Craniofac Surg. 2023 Jun 1;34(4):1301-1303. doi: 10.1097/SCS.0000000000009323. Epub 2023 Apr 27.
Numerous authors have reported their outcomes after using Furlow's palatoplasty for cleft palate repair. However, little attention has been given to the operative complications associated with this technique. The present study was carried out to present cases and analyze the various factors influencing the development of this complication accompanying Furlow's palatoplasty.
This is a case report study of patients with cleft palate admitted to our center due to sequelae after primary cleft palate repair using Furlow palatoplasty between 2003 and 2021. Patient information was identified from the Smile Train cleft charity organization, parents' reports, and hospital records (intake forms and operating room registries).
Five patients were identified as having secondary cleft palate with palatal flap necrosis and associated with Furlow palatoplasty during patient evaluation at our center between 2003 and 2021. The observed prevalence was 1.54%.
Palatal flap necrosis is a rare but serious complication after primary Furlow's palatoplasty. The occurrence of this complication can be reduced by careful preoperative planning, and prevention is possible.
许多作者都报告了他们在使用 Furlow 腭裂修补术修复腭裂后的结果。然而，人们很少关注与该技术相关的手术并发症。本研究旨在介绍病例并分析影响 Furlow 腭裂修补术相关的这种并发症发展的各种因素。
这是一项对 2003 年至 2021 年间因初次使用 Furlow 腭裂修补术修复腭裂后出现后遗症而在我院就诊的腭裂患者的病例报告研究。患者信息是从 Smile Train 腭裂慈善组织、家长报告和医院记录（入院表和手术室登记册）中确定的。
在 2003 年至 2021 年期间，我们中心对患者进行评估时，发现 5 名患者存在继发性腭裂，伴有腭瓣坏死，并与 Furlow 腭裂修补术相关。观察到的患病率为 1.54%。
腭瓣坏死是初次 Furlow 腭裂修补术后一种罕见但严重的并发症。通过仔细的术前规划可以减少这种并发症的发生，并且可以进行预防。
