The Sommerlad-Furlow Modified Palatoplasty Technique: Postoperative Complications and Implicating Factors.

Autor:	Sakran KA; State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.; Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Ibb, Yemen., Wu M; State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China., Alkebsi K; State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.; Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Ibb, Yemen., Mashrah MA; Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou, China., Al-Rokhami RK; Department of Orthodontics, School of Stomatology, Lanzhou University, Lanzhou, China., Wang Y; State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China., Mohamed AA; Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Ibb, Yemen.; Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China., Elayah SA; State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.; Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Ibb, Yemen., Al-Sharani HM; Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Ibb, Yemen.; Department of Maxillofacial Surgery, School of Stomatology, Harbin Medical University, Harbin, China., Huang H; State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China., Shi B; State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Jazyk:	angličtina
Zdroj:	The Laryngoscope [Laryngoscope] 2023 Apr; Vol. 133 (4), pp. 822-829. Date of Electronic Publication: 2022 Sep 19.
DOI:	10.1002/lary.30385
Abstrakt:	Objective: To explore the incidence of postoperative complications and investigate the impact of preselected factors on functional and quality of life outcomes following the Sommerlad-Furlow modified palatoplasty technique. Study Design: Retrospective cohort. Methods: A total of 429 patients with cleft palate, who received Sommerlad-Furlow modified technique between 2011-2017 were enrolled. The postoperative complications including oronasal fistula (ONF), velopharyngeal insufficiency (VPI), and inadequate quality of life (QOL) were collected. Data of preselected factors including gender, age at palatoplasty, cleft type, cleft width, palatal width, pharyngeal cavity depth, and operation duration were also collected. Results: Among 429 patients, 40.1% were males whereas 59.9% were females. The mean age at palatoplasty was 1.23 ± 0.69 (0.42-4) years, and the average cleft width was 10.15 ± 2.95 (4-27) mm. The cleft types had recorded rates of about 6.8%, 69.5%, 17.7%, and 6.1% of Veau I, II, III, and IV, respectively. The overall incidence rates of ONF, VPI, and inadequate QOL were 2.3%, 19.4%, and 31.3%, respectively. In both the univariate and multivariate analyses, the cleft type was significantly implicated in ONF formation (p = 0.023 and 0.032, respectively) whereas the velopharyngeal function was impacted by the palatoplasty age (p ˂ 0.001). The receiver operating characteristic curve indicated that age of palatoplasty ≥1.3 years (area under the curve = 0.611, p = 0.002) was the cutoff value for predicting the incidence of VPI. Conclusions: The Sommerlad-Furlow modified technique appears to have appropriate postoperative outcomes, even in the wide cleft palate. The older age at palatoplasty has a major impact on the overall postoperative outcomes. Level of Evidence: 4 Laryngoscope, 133:822-829, 2023. (© 2022 The American Laryngological, Rhinological and Otological Society, Inc.)
Databáze:	MEDLINE
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