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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Low rate of fistula formation after Sommerlad palatoplasty with or without lateral incisions: An analysis of risk factors for formation of fistulas after palatoplasty
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Low rate of fistula formation after Sommerlad palatoplasty with or without lateral incisions: An analysis of risk factors for formation of fistulas after palatoplasty

机译：伴有或不伴有侧切口的Sommerlad成形术后瘘管形成率低：成形术后瘘管形成的危险因素分析

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摘要

The aim of palate repair is to restore normal eating and drinking function and normal speech development and still maintain undisturbed facial growth. The repair should be performed with a low frequency of complications. A number of factors are thought to contribute to the formation of fistulas after palatoplasty; they include patient factors and treatment issues. The aim of this study was to review all patients operated on with palatoplasties according to Sommerlad in our clinic, examine the fistula frequency and analyse risk factors for the development of fistulas after palate repair. During the study period, 175 patients were operated on with palatoplasties according to Sommerlad by the senior cleft surgeon. The group included 150 native patients and 25 adopted children. In the native population, seven patients developed fistulas and the fistula frequency was thus 5%. In the non-native group four patients developed fistulas, which gave a fistula frequency of 16%. In conclusion, the fistula frequency after Sommerlad repair of cleft palate is low in our material and few patients need fistula repair. The liberal usage of Langenbeck flaps might give a lower fistula rate. The most common place for fistulas is the junction of the soft and hard palate. No clear difference could be seen between different types of clefts. Syndromes and associated malformation seem to play a small role in the formation of fistulas. The fistula frequency in the non-native population is higher. A number of factors are different in the non-native population.
机译：修复味觉的目的是恢复正常的饮食功能和正常的言语发展，并保持面部不受干扰的生长。修复应减少并发症的发生。人们认为，有许多因素促成了椎体成形术后瘘管的形成。它们包括患者因素和治疗问题。这项研究的目的是回顾我们诊所中根据Sommerlad进行的所有接受裂手术的患者，检查瘘管发生频率，并分析pa修复后瘘管发展的危险因素。在研究期间，根据高级裂隙外科医师Sommerlad的研究，对175例患者进行了隆突手术。该组包括150名本地患者和25名领养儿童。在本地人口中，有7名患者出现了瘘管，因此瘘管发生率为5％。在非本地人组中，有四名患者发生了瘘管，瘘管发生率为16％。总之，在我们的材料中，Sommerlad修补left裂后的瘘管频率较低，几乎没有患者需要进行瘘管修补。随意使用Langenbeck皮瓣可能会降低瘘管发生率。瘘管最常见的部位是软pa和硬pa的交界处。不同类型的left裂之间没有明显的区别。综合征和相关的畸形似乎在瘘管的形成中起很小的作用。非本地人口的瘘管频率较高。非本地人口中有许多因素是不同的。

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