背景技术常见的颅面畸形之一是唇腭裂。已经采用各种外科手术来修复裂隙。然而,术后即刻并发症和术后腭瘘的形成在外科手术中很常见。这项研究旨在比较瘘管率,软腭延长,FurlowZ成形术和直线腔内成形术技术修复腭裂的即时并发症。方法将50例年龄在9~18个月的单纯性或单侧唇裂患者随机分为两组。一组接受了Furlow的Z-成形术,而另一组接受了直线血管内成形术。手术后,出院后,2周时对患者进行了随访,1个月,和3个月的间隔。术后即刻并发症和瘘管形成率与其他参数,如瘘管宽度,程序的持续时间,术中软腭长度,等。结果与Furlow的Z-成形术相比,直线手术花费的时间更少。伤口出血(N=2,8%)和裂开(N=1,4%)是直线组术后立即出现的并发症。Furlow组也存在出血(N=1,4%)。在1个月的随访中,与Furlow组相比,直线组(N=3,12%)患者有瘘管,而(N=2,8%)患者有轻微的鼻部反流。在3个月的随访中,直线手术组的患者(3个N=25,12%)出现瘘管,而在Furlow的小组中,在N=25名参与者中有1名(4%)出现瘘管.Furlow组和直线组术中软腭延长分别为6.44±0.768mm和1.64±0.952mm,分别。结论FurlowZ-成形术被认为是较好的裂隙修复手术方法,因为它具有较低的术后并发症。和瘘管发育,术中软腭延长较高。
Background One of the common craniofacial abnormalities is cleft lip and palate. Various surgical procedures have been employed to repair the cleft. However, immediate post-operative complications and formation of palatal fistula post surgery are common in surgical procedures. The study aims to compare the fistula rate, soft palate lengthening, and immediate complications of cleft palate repair of Furlow\'s Z-plasty and straight-line intravelar veloplasty techniques. Method Fifty Patients with isolated or unilateral cleft palate and lip with age between 9-18 months were randomly divided into two groups. One group underwent Furlow\'s Z-plasty while the other underwent straight-line intravelar veloplasty procedures. Post surgery, after discharge, the patients were followed up at 2 weeks, 1 month, and 3 months intervals. Immediate post-operative complications and fistula formation rate were compared along with other parameters like fistula width, duration of the procedure, intra-operative soft palate length, etc. Results Straight-line procedures took less time as compared to Furlow\'s Z-plasty. Bleeding (N=2, 8%) and dehiscence (N=1, 4%) of the wound were the immediate post-operative complications found in the straight-line group. Bleeding was also present in the Furlow\'s group (N=1, 4%). At 1-month follow-up, in the straight-line group (N=3, 12%) patients had fistula while (N=2, 8%) had minimal nasal regurgitation of liquids when compared to the Furlow\'s group. At 3-month follow-up, patients in the straight-line procedure group (three out of N=25, 12%) exhibited fistula, whereas in the Furlow\'s group, fistula occurrence was observed in one out of N=25 participants (4%). Intra-operative soft palate lengthening was 6.44 ± 0.768 mm and 1.64 ± 0.952 mm in the Furlow and straight-line groups, respectively. Conclusion Furlow\'s Z-plasty was observed to be the better surgical procedure for cleft repair as it had low immediate post-operative complications, and fistula development and had higher intra-operative soft palate lengthening.