Abstract：
The purpose of this study was to introduce the surgical process of Sommerlad-Furlow modified (S-F) palatoplasty and compare its surgical and functional outcomes with conventional Sommerlad (S) palatoplasty. Patients with non-syndromic cleft palate who had undergone either S-F palatoplasty or S palatoplasty were retrospectively reviewed. Data on the outcomes of velopharyngeal function and postsurgical palatal fistula incidence were collected for all patients. Data for preselected factors, including gender, age at palatoplasty, and cleft type, were also collected. Chi-square tests were conducted. 1254 patients were included. The postsurgical velopharyngeal competence (VPC) rate after S-F palatoplasty was significantly higher than after S palatoplasty (total, 70.5% vs 57.9%, p < 0.0001; age ≤ 1, 87.0% vs 69.2%, p < 0.0001; 1 < age ≤ 2, 78.3% vs 69.3%, p = 0.0479). With regard to different types of cleft palate, the postsurgical VPC rates after S-F palatoplasty were all significantly higher than for S palatoplasty in all patients younger than 2 years of age (complete cleft palate, 78.7% vs 62.4%, p = 0.0016; hard and soft palate cleft, 84.4% vs 74.8%, p = 0.0172; submucosal cleft and soft palate cleft, 96.6% vs 68.4%, p = 0.0114). The postoperative fistula rate after S-F palatoplasty was 4.3%. This modified palatoplasty technique provided adequate cleft palate closure, with satisfactory speech outcomes and low fistula rates, while older age at palatoplasty may affect the postsurgical outcomes. Within the limitations of the study it seems that the Sommerlad-Furlow modified technique is an option for cleft palate repair.
摘要：
这项研究的目的是介绍Sommerlad-Furlow改良（S-F）腭成形术的手术过程，并将其手术和功能结果与常规Sommerlad（S）腭成形术进行比较。回顾性分析了接受S-F腭成形术或S腭成形术的非综合征性腭裂患者。收集所有患者的腭咽功能和术后腭瘘发生率的结果数据。预选因素的数据，包括性别,腭成形术的年龄，裂隙类型，也被收集了。进行卡方检验。纳入1254例患者。S-F腭成形术后的咽喉功能（VPC）率明显高于S腭成形术后（总，70.5%vs57.9%，p<0.0001；年龄≤1，87.0%vs69.2%，p<0.0001；1<年龄≤2，78.3%vs69.3%，p=0.0479)。关于不同类型的腭裂，在所有年龄小于2岁的患者中，S-F腭成形术后的术后VPC率均显着高于S腭成形术（完全性left裂，78.7%vs62.4%，p=0.0016；硬腭和软腭裂，84.4%vs74.8%，p=0.0172;粘膜下裂和软腭裂,96.6%vs68.4%，p=0.0114)。术后瘘发生率为4.3%。这种改良的腭成形术技术提供了足够的腭裂闭合，具有令人满意的言语结果和低瘘管率，而腭成形术年龄较大可能会影响术后结局。在研究的局限性内，Sommerlad-Furlow改良技术似乎是c裂修复的一种选择。
