单侧腭黏骨膜瓣修复腭裂116例临床分析

    Cleft palate repair with unilateral palatal mucoperiosteal flap: A report of 116 cases

    • 摘要: 目的: 探讨单侧腭黏骨膜瓣后推修复腭裂的方法。方法: 术中将患侧腭黏骨膜瓣彻底松解、腭帆提肌吊带重建、血管蒂牵拉提升,使腭瓣松弛充分、后退,对侧裂缘仅作简单切口,即可将裂隙封闭。结果: 本法修复单侧腭裂116例,仅2例于近期出现腭瘘;术后语言质量和发音明显改善。结论: 单侧腭黏骨膜瓣修复腭裂手术创伤小、术中出血少、手术时间短,临床应用方便可行。

       

      Abstract: Objective: To study the method of repairing cleft palate with unilateral palatal mucoperiosteal flap.Methods: The palatal mucoperiosteal flap on the operated side was relaxed completely by lengthening the neurovasculas and reconstracting the musculus levator veli patatini,so that it could be moved to the posterior.The flap was sutured with the other side of cleft without tension and a simple surgical maneuver made the cleft closed completely.Results: One hundred and sixteen cases of unilateral cleft palate were repaired with this method;only two patients had fistula in the anterior palate;others had good quality of speech.Conclusions: This procedure has the advantages of less surgical trauma and less blood loss;and it requirs less operation time,than the conventional procedures.It is a feasible and convenient method for the repair of cleft palate.

       

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