Application of modified Bardach two-flaps palatoplasty combined modified Furlow double-opposing Z-plasty in wide palatal cleft repair
10.3760/cma.j.issn.1671-0290.2018.03.003
- VernacularTitle:改良Bardach两大瓣法联合Furlow法修复宽大腭裂的临床效果
- Author:
Lungang SHI
1
;
Shijie TANG
;
Lihong PENG
;
Sitian XIE
Author Information
1. 515041,汕头大学医学院第二附属医院整形外科暨唇腭裂治疗中心
- Keywords:
Modified Bardach two-flaps palatoplasty;
Modified Furlow method;
Wide palatal cleft;
Combination;
Evaluation of efficacy
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2018;24(3):153-156
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness of modified Bardach two-flap palatoplasty combined modified Furlow double-opposing Z-plasty in wide palatal cleft repair.Methods 80 patients aged 2-18 years old with Ⅲ cleft palate from our department were divided into two groups,the experimental group (n=40) was repaired with modified Bardach two-flaps palatoplasty combined modified Furlow double-opposing Z-plasty (modified B+F technique).The control group (n =40) was repaired with Sommerlad levator muscle of palatine velum reconstruction (S technique).Results The healing of incisions was better in the experimental group than the control group.The fistula rate in the experimental group was 2.5％,which seemed to be remarkable lower than that of the control group (7.5％) post operation one month.Conclusions Application modified Bardach two-flaps palatoplasty combined modified Furlow double-opposing Z-plasty in wide palatal cleft will promote healing of incisions,reduce the occurrence rate of cleft palate fistuia,inhibit the scar contracture of soft palate,maintain the length of soft palate,augment movement of soft palate,and improve the speech quality of patients.
