Correlation between Cleft Palate Width and Velopharyngeal Closure Function after Furlow Palatoplasty and Factors Affecting Velopharyngeal Insufficiency
Objective:To analyze the correlation between cleft palate width and palatopharyngeal closure function after Furlow palatoplasty and the influencing factors of incomplete palatopharyngeal closure.Methods:The clinical data of 102 children with cleft palate who underwent Furlow palatoplasty in 2020.4-2023.4 were analyzed and divided into closed complete group(45 cases)and closed insufficiency group(57 cases),and relevant indicators were compared.Results:After 1-year follow-up,a total of 57 cases of 102 children had velopharyngeal insufficiency,the total incidence was 55.88％;factor analysis showed that surgical age,pharyngeal depth,and cleft width were independent risk factors for palatatal insufficiency(P＜0.05);operative age,cleft width and pharyngeal depth were positively correlated with palatopharyngeal closure function after Furlow(r=0.462,0.569,0.320,P＜0.05).Conclusion:Age at surgery,cleft palate width,and pharyngeal cavity depth were all independent risk factors affecting palatopharyngeal closure insufficiency in children after Furlow palatoplasty,and they were all positively correlated with the incidence of palatopharyngeal closure insufficiency.
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