摘要
目的:探讨提肌重建联合"Z"成形及颊粘膜瓣转移术在幼儿腭裂修复中的应用效果。方法:观察5例年龄2～3岁的完全性腭裂患儿应用提肌重建联合"Z"成形及颊粘膜瓣转移修复腭裂后的近期效果,比较术前、术后软腭的长度,观察伤口的愈合情况。结果:松弛切口骨面无过多裸露的情况下,软腭较术前延长1cm以上,松弛切口6天内基本愈合,无腭漏出现。结论:提肌重建联合"Z"成形及颊粘膜瓣转移术不但避免了松弛切口骨面的过多裸露,而且充分延长了软腭,加快了松弛切口愈合,在幼儿腭裂修复中有一定的应用价值。
Objective To observe the effect of primary application of velator muscle reconstruction combined with the Z plasty and buccal mucosal flap in child patients with cleft palate. Methods Velator muscle reconstruction combined with the Z plasty and buccal mucosal flap was applied to five child patients with cleft palate; the length of soft palate was messured before and after operation,wound healing was observed. Results Without much exposure of palate bone surface,the length of soft palate was extended more 1 cm than that before operation;relaxation incision healed within six days; wound disruption did not happen in all patients. Conclusion This operation style could avoid much exposure of palate bone surface,and at the same time get soft palate extention and make wound heal fast.
出处
《中国美容医学》
CAS
2009年第4期472-474,共3页
Chinese Journal of Aesthetic Medicine
关键词
腭裂
手术治疗
腭帆提肌
cleft palate
operational treatment
velator muscle reconstruction
