摘要
目的：探讨应用颊肌黏膜瓣修复腭裂术后减张切口裸露骨面的临床效果。方法：选择2012年8月-2016年1月在笔者科室就诊的腭裂患者15例,均为单侧Ⅲ度腭裂。利用健侧腭部黏骨膜瓣推进修复腭部裂隙,于健侧遗留减张切口。以上颌结节后方减张切口临近处的组织为蒂设计朝向口角方向的颊肌黏膜瓣,根据腭部裸露骨面的大小,颊肌黏膜瓣宽1.5-2.5cm,终止于口角后方附近。连同颊咽筋膜掀起设计的颊肌黏膜瓣,旋转90°后覆盖腭部裸露骨面,缝合于周围黏骨膜瓣上,供区切口直接拉拢缝合。结果：所有患者随访3个月-2年,供区均无并发症发生,腭裂修复后恢复良好,腭部正中切口均无裂开,无腭瘘形成。有2例患者于颊肌黏膜瓣远端出现细小水疱,观察1周后,水疱消失。所有患者受区裸露骨面覆盖良好,无外露,所有患者无张口受限及其它继发功能障碍。结论：应用颊肌黏膜瓣辅助修复腭裂术后裸露骨面是一种简单可靠的方法,尤其适用于裂隙较宽的Ⅲ度腭裂患者。
Objective To describe the techniques of the buccinators musculomucosal flap procedure to cover areas of exposed bone of the hard palate in order to decrease scar contraction and subsequent transverse maxillary growth restriction. Methods Fifteen patients underwent the buccinators musculomucosal flap procedure. The buccinators musculomucosal flap was harvested and turned 90°to cover the raw hard palate bone surfaces. Results Both perioperatively and postoperatively, no complications were found in the patients who underwent the procedure and no fistula occurred in midline of the palate. Conclusion The buecinators musculomucosal flap is a convenient and safe flap procedure that results in fewer donor site complications.
出处
《中国美容医学》
CAS
2017年第3期28-30,共3页
Chinese Journal of Aesthetic Medicine
关键词
颊肌黏膜瓣
腭裂
裸露骨面
临床研究
瘢痕挛缩
buccinators musculomucosal flap
cleft palate
raw bone surface
clinical study
scar contracture
