International Journal of Pediatric Otorhinolaryngology2026年6月12日
SYSTEMATIC REVIEW

翼突鉤骨折是否為裂顎手術的必要條件?—手術、耳科及語言成果之系統性回顧

// Is Pterygoid hamulus fracture a pre requisite for cleft palate surgery? - A Systematic review of surgical, otologic, and speech outcomes

系統性回顧分析543名患者的7項研究|比較顎裂修復手術中是否破壞翼鉤對術後聽力、手術成功率及語言功能的影響|結果顯示兩組無顯著差異,僅有輕微耳鏡所見但臨床無大礙|結論建議無需例行破壞翼鉤,僅於需額外組織鬆解時採用。

// This systematic review examined whether fracturing the pterygoid hamulus during palatoplasty is necessary and its effects on postoperative hearing, surgery success, and speech. Analysis of seven studies with 543 patients showed no significant differences in audiological, surgical, or speech outcomes between patients with and without hamulus fracture. Minor isolated otoscopic differences were clinically insignificant. The study concludes that routine hamulus fracture is unnecessary and should be reserved for cases needing extra tissue release.

#Cleft Palate#Sphenoid Bone#Plastic Surgery Procedures

Published 2026年6月10日

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