[软腭全层旋转推进腭裂修复术的初步报告]
[A preliminary report of cleft palate repair by rotation and advancement of full thickness soft palate].
作者信息
Wu W, Yan S, Xu J
机构信息
Center of Cleft Lip and Cleft Palate Treatment of Hangzhou Plastic Surgery Hospital, Hangzhou 310014, China.
出版信息
Zhonghua Kou Qiang Yi Xue Za Zhi. 2000 Mar;35(2):110-1.
OBJECTIVE
To introduce a new method of functional cleft palate repair.
METHODS
Square flap A and triangular flaps B, C, D were designed on the each sides of defect at soft palate. They were advanced and rotated, each flap was inserted to the opposite side and then sutured. The lavator veli (LV) muscle was detached and sutured to reconstruct the steady LV muscle sling.
RESULTS
This method was applied in 37 cases with satisfactory results of extending the soft palate, forming the dynamic soft palate muscular sling, and achieving velopharyngeal closure (VPC) 31 cases were flowed-up for half year to 2 years, the effects of operation are stable.
CONCLUSIONS
This method not only close the cleft but also restore the soft palate's function of elevating and pushing back to achieve the ideal VPC.
目的
介绍一种功能性腭裂修复的新方法。
方法
在软腭缺损两侧设计方形瓣A和三角形瓣B、C、D，将其推进、旋转，各瓣插入对侧后缝合。分离腭帆提肌（LV）并缝合以重建稳定的LV肌吊带。
结果
该方法应用于37例患者，效果满意，软腭延长，形成动态软腭肌肉吊带，实现腭咽闭合（VPC）。31例随访半年至2年，手术效果稳定。
结论
该方法不仅封闭腭裂，还能恢复软腭的上提和后推功能，以实现理想的VPC。
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