Comparison of the Furlow double-opposing Z-palatoplasty with the Wardill-Kilner procedure for isolated clefts of the soft palate.
Comparison of the Furlow double-opposing Z-palatoplasty with the Wardill-Kilner procedure for isolated clefts of the soft palate.
复制标题
Furlow 双对 Z 形腭成形术与 Wardill-Kilner 手术治疗孤立性软腭裂的比较。
DOI：
10.1097/00006534-199505000-00003
复制
发表时间：
1995
影响因子：
3.6
通讯作者：
Lawrence,WT
中科院分区：
文献类型：
--
作者：
Brothers,DB;Dalston,RW;Peterson,HD;Lawrence,WT
这项回顾性研究比较了21例接受Furlow双对向Z型腭裂修复术的患者与10例接受改良Wardill-Kilner手术的患者的手术经验和语音结果。修改包括不切开鼻粘膜。所有患者均表现为孤立性软腭裂，并由一名外科医生进行手术。手术技术的选择完全基于外科医生随着时间的推移越来越倾向于Furlow手术这一事实。Furlow组和Wardill-Kilner组的平均手术年龄分别为1.3岁和1.5岁。平均术后随访时间分别为2.5年和3.1年。两组的平均手术时间和住院时间相同。术后语音评估包括鼻音过重和鼻分泌物的等间隔量表评级，以及压力-流量测试和整体鼻咽充分性的感知判断。分析未能揭示两组之间的任何统计学或临床显著差异。（Plast。重建95：969，1995）。
This retrospective investigation compared the operative experience speech results of 21 patients who underwent a Furlow double-opposing Z-palatoplasty with those of 10 patients who underwent a modified Wardill-Kilner procedure. The modification consisted of not incising the nasal mucosa. All patients presented with an isolated cleft of the soft palate and were operated on by a single surgeon. The choice of operative technique was based solely on the fact that the surgeon developed an increasing preference for the Furlow procedure over time. The mean age at surgery was 1.3 and 1.5 years for the Furlow group and the Wardill-Kilner group, respectively. The average postoperative follow-up was 2.5 and 3.1 years, respectively. The mean operative times and hospital stay were the same for both groups. Postoperative speech assessments involved equal-appearing interval scale ratings of hypernasality and nasal emission, as well as pressure-flow testing and perceptual judgments of overall velopharyngeal adequacy. Analysis failed to reveal any statistically or clinically significant differences between the two groups.(Plast. Reconstr. Surg. 95: 969, 1995.)