摘要
目的:探索修复过宽腭裂的手术方法,以达到良好的腭咽闭合效果。方法:应用双侧颊粘膜肌瓣对过宽腭裂进行修复手术。 结果:应用该手术方法修复 12 例过宽腭裂患者,效果满意。 结论:该方法有以下优点:①手术不剥离硬腭区粘骨膜,对上颌骨的损伤很小;②采用两块带蒂颊粘膜肌瓣重建了腭帆提肌功能,促使异位的提肌悬吊再形成;③血运良好的颊粘膜肌瓣插入于软硬腭交界处,能使软腭充分后退,实现腭咽闭合,而且可有效地防止瘘孔的发生。
Objective To search a more suitable method that was used for repairing over-wide cleft palate. Methods 12 over-wide cleft palate cases were repaired with bilateral buccal musculomucosal flaps. Results The operation results in all cases were satisfactory. Conclusion ①The method does not traumatize the periosteum of the hard palate, thus alleviating postoperative maxillary deformity;②The method benefits from reconstructing the levator muscle and facilitates velo-pharyngeal closure; ③The soft palate would be pushed-back adequately while inserting the buccal musculomucosal flap between the hard palate and softpalate. Otherwise, the complications of the palatoplasty would happen little by this way.
出处
《中国美容医学》
CAS
2005年第1期71-73,共3页
Chinese Journal of Aesthetic Medicine
关键词
颊粘膜肌瓣
腭裂
buccal musculomucosal flap
cleft palate
