A comparison of the effects of Veau-Wardill-Kilner palatoplasty and Furlow double-opposing Z-plasty operations on eustachian tube function
A comparison of the effects of Veau-Wardill-Kilner palatoplasty and Furlow double-opposing Z-plasty operations on eustachian tube function
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DOI：
10.1597/1545-1569_2000_037_0266_acoteo_2.3.co_2
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发表时间：
2000-05-01
期刊：
影响因子：
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通讯作者：
Geary, PM
中科院分区：
文献类型：
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作者：
Güneren, E;Özsoy, Z;Geary, PM
目的：本研究的目的是比较Veau-Wardill-Kilner（VWK）双瓣腭裂修复术和Furlow双对向Z形腭裂修复术对腭裂患者咽鼓管（ET）开放的影响。设计：1993 ~ 1997年共行CP修补术26例，VWK术和Furlow术各13例，所有患者均在手术结束前由耳鼻喉科医生进行检查;平均随访时间为27.3个月。分泌性中耳炎（SOM），确定由鼓室图，是比较criterionsused.Results：SOM的患病率为69%（n = 18）在所有CP患者术前。在术前SOM的患者中，我们没有发现两种技术之间术后SOM的频率有任何统计学显著差异。这项研究表明，接受VWK或Furlow手术的患者术后ET功能没有差异，尽管这些手术中肌肉定位存在差异，我们讨论了这一发现的影响，手术解剖和组织学的软腭肌肉。
Objective: The purpose of this study was to compare the effects of Veau-Wardill-Kilner (VWK) two-flap palatoplasty and Furlow double-opposing Z-plasty operations on eustachian tube (ET) opening in patients with cleft palate (CP).Design: Twenty-six patients underwent CP repair between 1993 and 1997, VWK and Furlow operations were used in 13 patients each, All patients were examined by the otorhinolaryngologist before end after the operations; mean follow-up time was 27.3 months. Secretory otitis media (SOM), as identified by tympanograms, was the comparison criterion used.Results: The prevalence of SOM was 69% (n = 18) in all CP patients preoperatively. Among those with preoperative SOM, we did not find any statistically significant difference in the frequency of postoperative SOM between the two techniques.Conclusion: This study suggests that there is no difference in postoperative ET function between patients undergoing either VWK or Furlow operations, in spite of the differences in muscle positioning in these operations, We discuss the implications of this finding in relation to surgical anatomy and histology of the soft palate muscles.