摘要
目的探讨咽后壁瓣转移修复术对大龄腭裂病人腭咽闭合的影响。方法选择大龄先天性腭裂病人30例,年龄16～36岁,平均24岁;完全性腭裂11例,不完全性腭裂19例。应用改良Langenbeck法或两瓣法关闭裂隙,同期行咽后壁瓣转移修复术,术后半年行语音评估及鼻咽纤维镜检查,确定腭咽闭合不全率(R),对腭咽闭合情况进行分析。结果所有病人均达到临床Ⅰ期愈合,腭咽闭合情况改善明显。鼻咽纤维镜检查显示,30例病人R为0.3以下者3例,0.3～0.5者6例,0.6～0.7者13例,0.8～0.9者5例,达到完全闭合者3例。结论腭裂修复术同期行咽后壁瓣转移修复术,能改善大龄腭裂病人的腭咽闭合功能。
Objective To explore the influence of posterior pharyngeal flap transplantation repairing cleft palate in older patients. Methods This paper included 30 older patients with congenital cleft palate-aged 16--36; mean, 24. Of whom,11 with complete cleft palate, and 19 with incomplete. By using modified Langenbeck or two flap method to close the fissure and, at the same time, posterior pharyngeal flap transplantation repairing was performed. Speech sound assessment and nasopharyngeal fibers- copy were conducted half a year after surgery. Results Primary healing in all the patients was obtained, velopharyngeal closure significantly improved. Fiberscopy indicated that the R below 0.3 was found in three cases;0.3-0.5 in 6; 0.6-0.7 in 13; 0.8-0.9 in five, and complete closure in three. Conclusion Palatorrhaphy done simultaneously with pharyngeal flap grafting can improve the velopharygeal closure function in older patients with cleft palate.
出处
《青岛大学医学院学报》
CAS
2013年第5期455-457,共3页
Acta Academiae Medicinae Qingdao Universitatis
基金
青岛市科技局项目(06-2-2-6-nsh-2)
关键词
腭咽闭合不全
腭裂
口腔外科手术
velopharyngeal insufficiency
cleft palate
oral surgical procedures
