Murison M S, Pigott R W
Department of Plastic and Reconstructive Surgery, Frenchay Hospital, Bristol.
Br J Plast Surg. 1992 Aug-Sep;45(6):454-9. doi: 10.1016/0007-1226(92)90209-g.
Early experience of a modified Von Langenbeck repair of cleft palate is reported. In each case the traditional method of repair has been adopted, but with the relieving incision placed medial to the greater palatine artery. Out of a total of 40 patients over a 2-year period 8 were noted to have a fistula, of which 4 closed spontaneously, leaving 4 (10%) potentially requiring further surgery. The modified oral layer closure was conceived with muscle repair directed at restoring normal anatomy and concentrating on construction of a median dorsal convexity.
报告了改良冯·朗根贝克腭裂修复术的早期经验。在每种情况下均采用传统的修复方法，但松弛切口位于腭大动脉内侧。在两年期间的40例患者中，有8例出现瘘管，其中4例自行闭合，剩下4例（10%）可能需要进一步手术。改良的口腔层闭合术旨在通过肌肉修复恢复正常解剖结构，并着重构建正中背侧凸。
