Härtel J, Gundlach K K, Ruickoldt K
Klinik und Poliklinik für Mund-Keifer-Gesichtschirurgie und Plastische Operationen, Rostock University, Germany.
J Craniomaxillofac Surg. 1994 Oct;22(5):272-5. doi: 10.1016/s1010-5182(05)80075-7.
A total of 474 patients with cleft palates were treated at the Department for Maxillofacial Surgery of Rostock University from 1971 to 1991. In 145 cases velopharyngoplasty was indicated. Primary velopharyngoplasty was performed on 36 and secondary velopharyngoplasty on 109 patients. In our opinion today primary velopharyngoplasty should be the exception. Intravelar veloplasty according to Kriens (1970) created particularly favorable conditions for good velar function so that secondary pharyngoplasty was only rarely indicated. Secondary pharyngoplasty should be performed and timed only in agreement with the speech therapist.
1971年至1991年期间，罗斯托克大学颌面外科共治疗了474例腭裂患者。其中145例需要进行腭咽成形术。36例患者接受了一期腭咽成形术，109例患者接受了二期腭咽成形术。如今我们认为，一期腭咽成形术应为例外情况。根据克里恩斯（1970年）提出的腭内成形术为良好的腭功能创造了特别有利的条件，因此二期咽成形术很少需要实施。二期咽成形术应仅在与言语治疗师协商一致后进行并确定时间。
