Hudson D A, Grobbelaar A O, Fernandes D B, Lentin R
Department of Plastic Surgery, Red Cross Children's Hospital, Cape Town, South Africa.
Ann Plast Surg. 1995 Jan;34(1):23-6. doi: 10.1097/00000637-199501000-00005.
Velopharyngeal incompetence occurs in approximately 25% of cases after primary palatoplasty. There is controversy regarding the best method of surgical management of velopharyngeal incompetence. Between 1986 and 1993, 13 children with velopharyngeal incompetence after primary palatoplasty underwent Furlow Z-plasty repair. All children were assessed by a speech therapist and with videofluoroscopy pre- and postoperatively. The Furlow Z-plasty was performed at a mean age of 7.8 years (range, 4-12 years). Eleven children achieved normal resonance, and all 13 demonstrated improved velopharyngeal function on videofluoroscopy. The Furlow Z-plasty is effective treatment for children with velopharyngeal incompetence.
在初次腭裂修复术后，约25%的病例会出现腭咽闭合不全。关于腭咽闭合不全的最佳手术治疗方法存在争议。1986年至1993年间，13例初次腭裂修复术后出现腭咽闭合不全的儿童接受了弗洛氏Z形成形术修复。所有儿童术前和术后均由言语治疗师进行评估，并进行了电视荧光透视检查。弗洛氏Z形成形术的平均手术年龄为7.8岁（范围4 - 12岁）。11名儿童实现了正常共鸣，所有13名儿童在电视荧光透视检查中均显示腭咽功能有所改善。弗洛氏Z形成形术是治疗腭咽闭合不全儿童的有效方法。
