Furlow L T
Plast Reconstr Surg. 1986 Dec;78(6):724-38. doi: 10.1097/00006534-198678060-00002.
In an attempt to improve speech results following palate repair while allowing adequate maxillary growth, a palatoplasty using two opposing Z-plasties of the soft palate, one of the oral and one of the nasal layers, has been used in 22 infants. Eight patients had unilateral cleft lip and palate, eight had bilateral cleft lip and palate, and six had cleft palate. The Z-plasties facilitate effective dissection and redirection of the palatal muscles to produce an overlapping muscle sling and lengthen the velum without using tissue from the hard palate, which permits hard palate closure without pushback or lateral relaxing incisions. Of the 20 children old enough for speech evaluation, 18 have no velopharyngeal insufficiency. Two have very mild velopharyngeal insufficiency. None has required a pharyngeal flap.
为了在腭裂修复后改善语音效果并保证上颌骨充分生长，对22例婴儿采用了一种腭成形术，即使用软腭的两个相对的Z形皮瓣，一个位于口腔层，一个位于鼻腔层。8例患者为单侧唇腭裂，8例为双侧唇腭裂，6例为腭裂。Z形皮瓣有助于有效地解剖和重新定位腭肌，以形成重叠的肌肉吊带，并且在不使用硬腭组织的情况下延长软腭，这使得硬腭能够在不进行后推或侧方松弛切口的情况下关闭。在20名年龄足够大可以进行语音评估的儿童中，18名没有腭咽闭合不全。2名有非常轻微的腭咽闭合不全。没有人需要咽瓣。
