联合应用Sommerlad与Furlow术式治疗腭咽闭合不全

Abstract

Abstract: Objective: To investigate the feasibility and effectiveness of combination of Sommerlad and Furlow technique for the treatment of velopharygeal incomplete. Methods: In treatment of VPI after palatoplasty, Sommerlad technique was used to reconstruct veli palatine levator, and Furlow technique was used to lengthen the soft palate. Both techniques were adopted at the same time. After follow-up of The nasopharyngeal fiberscope examination were carried out 1mon after operation to evaluate the results. Results: The improved combined operation design can significantly improve the closure rate of the patients with VPI. Conclusion: The combined application of two different techniques have a strong feasibility and operability. Fine anatomy is the key in this combination procedure. Exact reconstruction of veli palatine lavatory and reliable suture technology is important to ensure the good result. This design could be used for the treatment of VPI after the closure of the cleft palate.

Key words: VPI, Furlow, Sommerlad, veli palatine levator

CLC Number:

R782.05

References

1. Woo, A. S. Velopharyngeal Dysfunction. Semiars in Plastic Surgery 26, 170–177 (2012).
2. Review, C. Recent Advances in Surgical Pharyngeal Modification Procedures for the Treatment of Velopharyngeal Insufficiency in Patients With Cleft Palate. Archives of Facial Plastic Surgery 14, 85–89 (2012).
3. Lam, D. J., Chiu, L. L., Sie, K. C. Y. & Perkins, J. a. Impact of Cleft Width in Clefts of Secondary Palate on the Risk of Velopharyngeal Insufficiency. Archives of Facial Plastic Surgery 14, 360 (2012).
4. Rogers, D. J., Ashland, J. E., Rozeboom, M. J. & Hartnick, C. J. Modified superior pharyngeal flap for the treatment of velopharyngeal insufficiency in children. International journal of pediatric otorhinolaryngology 77, 1083–7 (2013).
5. Mdi, B. A. H. et al. Contractility of sphincter pharyngoplasty?: Relevance to speech outcomes. Canadian Journal of Plastic Surgery 21, 15–19 (2013).
6. Emara, T. A. & Quriba, A. S. Posterior pharyngeal flap for velopharyngeal insufficiency patients: a new technique for flap inset. The Laryngoscope 122, 260–5 (2012).
7. Nabi, S., Tan, S., Husein, M. & Dworschak-stokan, A. Superiorly Based Pharyngeal Flap for Velopharyngeal Insufficiency?: Intermediate and Longer-Term Perceptual Speech and Nasometric Outcomes. Journal of Otolaryngology -- Head & Neck Surgery 40, 157–166 (2011).
8. Hirschberg, J. Results and Complications of 1104 Surgeries for Velopharyngeal Insufficiency. ISRN Otolaryngology 2012, 1–10 (2012).
9. Dong, Y. et al. An effect comparison between Furlow double opposing Z-plasty and two-flap palatoplasty on velopharyngeal closure. International journal of oral and maxillofacial surgery 41, 604–11 (2012).
10. Boseley, M. Double- Reversing Z- Plasty ( Furlow Palatoplasty ). Pediatric Airway Surgery 73, 145–148 (2012).
11. Muntz, H. R. in Sleep Apnea and Snoring 370–377 (2009).
12. Sloan, G. M. Posterior pharyngeal flap and sphincter pharyngoplasty: The state of the art. Cleft Palate-Craniofacial Journal 37, 112–122 (2000).
13. Article, O. Outcomes of Sphincter Pharyngoplasty and Palatal Lengthening for Velopharyngeal Insufficiency. Archives of Otolaryngology-Head &Neck Surgery 137, 763–767 (2011).
14. Chegar, B. E., Shprintzen, R. J., Curtis, M. S. & Tatum, S. a. Pharyngeal Flap and Obstructive Apnea. Archives of Facial Plastic Surgery 9, 252–260 (2007).
15. Christel Saint Raymond, Georegs Bettege, Christel Deschaus, Jacques Lebeau, Bernard Raphael, Patrick Levy, J.-L. P. Sphincter Pharyngoplasty as a Treatment of Velopharyngeal Incompetence in Young People. Chest 864–871 (2004).
16. Collins, J., Cheung, K., Farrokhyar, F. & Strumas, N. Pharyngeal flap versus sphincter pharyngoplasty for the treatment of velopharyngeal insufficiency: A meta-analysis. Journal of Plastic, Reconstructive and Aesthetic Surgery 65, 864–868 (2012).
17. Sommerlad, B. C. A technique for cleft palate repair. Plastic and reconstructive surgery 112, 1542–1548 (2003).
18. Sommerlad, B. C. et al. Palate Re-Repair Revisited. The Cleft Palate-Craniofacial Journal 39, 295–307 (2002).
19. Moses, M. H. et al. Treatment of Submucous Cleft Palate With Selective Use of the Furlow Z-Palatoplasty. Journal of the Louisiana State Medical Society 166, 15–21 (2014).
20. Abdel-aziz, M. Speech outcome after early repair of cleft soft palate using Furlow technique. International Journal of Pediatric Otorhinolaryngology 77, 85–88 (2013).
21. Hsu, P., Wang, S., Yun, C. & Lo, L. Redo double-opposing Z-plasty is effective for correction of marginal velopharyngeal insufficiency. British Journal of Plastic Surgery 68, 1215–1220 (2015).
22. Ferreira, G. Z. et al. Nasoendoscopic findings after primary palatal surgery: can the Furlow technique result in a smaller velopharyngeal gap? CoDAS 27, 365–371 (2015).

[1]	. [J]. , 2018, 38(11): 1003-1006.
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Combined application of Sommerlad and Furlow technique in the treatment of velopharygeal incomplete

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