McWilliams B J, Randall P, LaRossa D, Cohen S, Yu J, Cohen M, Solot C
Communication Department, University of Pittsburgh, USA.
Plast Reconstr Surg. 1996 Sep;98(4):610-9; discussion 620-1. doi: 10.1097/00006534-199609001-00003.
Reported here are the results of a retrospective study of the speech outcome for 63 cleft subjects who had Furlow repairs compared with 20 subjects who had other procedures. The two groups of children were similar in cleft type, sex, and race. The same two surgeons repaired the palates in both groups, and the same two speech pathologists with high reliability examined the children at least 5 years postoperatively using the Pittsburgh Weighted Values for Speech Symptoms Associated with VPI (velopharyngeal incompetence). Subjects who had had Furlow repairs were superior on measures of hypernasality, articulation, and total speech scores; and fewer pharyngeal flaps were required by Furlow subjects. These findings suggest the need for randomized, double-blind investigations comparing outcome of the Furlow procedure with the intravelar veloplasty, the V-Y pushback, and other specified procedures.
本文报告了一项回顾性研究的结果，该研究对63例接受Furlow修复术的腭裂患者与20例接受其他手术的患者的语音结果进行了比较。两组儿童在腭裂类型、性别和种族方面相似。两组的腭裂均由同两位外科医生修复，并且由两位可靠性高的同一位言语病理学家在术后至少5年使用匹兹堡与腭咽闭合不全相关的语音症状加权值对儿童进行检查。接受Furlow修复术的患者在鼻音过重、发音和总语音评分方面表现更优；并且接受Furlow手术的患者需要的咽瓣更少。这些发现表明需要进行随机双盲研究，比较Furlow手术与腭内肌成形术、V-Y后推术及其他特定手术的结果。
