摘要
目的:探讨一种对上颌骨发育影响较小且具有良好腭咽闭合功能的腭裂修补术的临床应用。方法:采用腭帆提肌重建联合岛状颊黏膜肌瓣术,共修补37例腭裂患者。结果:所有患者均一期愈合,随诊1～3年,语音清晰度满意,无腭瘘发生。结论:腭帆提肌重建联合岛状颊黏膜肌瓣术较好地恢复了腭帆提肌正常的解剖结构和位置,获得了良好的腭咽闭合,有效降低了腭瘘的发生率,是一种值得推荐的功能性腭裂修复术。
Objective： To explore a functional palatoplasty resulting in velopharyngeal competence without interfering significantly with the maxillary growth in the treatment of cleft palate. Methods： A total of 37 patients with cleft palate underwent levator veli palatini retropositioning combined with buccinator myomucosal island flap. Results： All patients healed and were followed up for 1-3 years, and there were significant improvement in speech intelligibility with no fistula occured. Conclusion： It suggestes that levator veli palatini retropositioning combined with buccinator myomucosal island flap is a useful procedure for cleft palate repair with retropositioning the abnormally oriented velar muscle into a more normal anatomical location and reconstructing levator sling to reach velopharyngeal competence. Furthermore, this technique leaves no palatal fistula which is worthy of further application.
出处
《口腔医学研究》
CAS
CSCD
2012年第2期178-180,共3页
Journal of Oral Science Research
关键词
腭裂
腭咽闭合
腭帆提肌重建术
岛状颊黏膜肌瓣
Cleft palate Velopharyngeal competence Levator veli palatini retropositioning Buccinator myomucosal island flap
