期刊
JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
卷 49, 期 6, 页码 456-461出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.jcms.2021.01.022
关键词
Fistula; Cleft palate; Relaxation incision; Surgical technique
资金
- Sichuan University [2018SCUH0028]
The study aimed to investigate the incidence of postoperative fistula formation from different cleft palate repair techniques, and found that the Sommerlad-Furlow technique had lower fistula rates compared to other techniques, especially in patients with both hard and soft palate clefts without a cleft lip.
The aim of the present study was to investigate the incidence of postoperative fistula formation from a hybrid cleft palate repair compared to that from two well-established techniques. We performed a modified technique, Sommerlad-Furlow (SF), which combined the repositioning of the levator veli palatini muscles as described by Sommerlad with the double opposing Z-plasty of Furlow to lengthen the soft palate. A retrospective cohort study was conducted to evaluate patients who underwent cleft palate repair utilizing SF, Sommerlad, or Furlow techniques with the incidence of palatal fistula as the target endpoint. A total of 1,164 patients were included in the present study and underwent the following techniques: 603 cases with SF, 244 cases with Furlow, and 317 cases with Sommerlad. In addition to not requiring relaxing incisions, SF advantages included a consistently lower fistula rate compared to that of the Sommerlad technique, as well as the lowest fistula rate in patients with both hard and soft palate clefts without a cleft lip (OR:2.62 95% CI: 1.35, 5.09). However, the differences among the three techniques did not reach statistical significance in terms of a bilateral or unilateral cleft lip/palate, or in patients with a soft palate only or a submucosal cleft palate(OR: 2.22,95% CI:0.77, 6.37). Based on the results of our study, the Somerlad-Furlow technique should be preferred whenever possible. (C) 2021 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
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