Alkan Alper, Baş Burcu, Ozer Mete, Bayram Mehmet
Department of Oral and Maxillofacial Surgery, Kayseri Erciyes University, Kayseri, Turkey.
Cleft Palate Craniofac J. 2007 Jan;44(1):112-5. doi: 10.1597/05-195.
Various techniques have been proposed for the repair of palatal clefts. The first surgical closure technique that should be kept in mind is the use of adjacent mucosal flaps. When the palatal cleft is too large to close with adjacent mucosal flaps, distant flaps such as from the tongue or nasolabial region may be considered. This report presents a cleft patient who had previously undergone an unsuccessful palatal cleft repair with a tongue flap. The size of the large palatal fistula was reduced by approximating the segments to each other with maxillary anterior segmental distraction osteogenesis to make it more manageable using conventional mucosal flaps.
已经提出了多种修复腭裂的技术。首先应牢记的手术闭合技术是使用邻近黏膜瓣。当腭裂太大无法用邻近黏膜瓣闭合时，可以考虑使用来自舌头或鼻唇区域等远处的皮瓣。本报告介绍了一名腭裂患者，该患者此前用舌瓣进行腭裂修复手术未成功。通过上颌前段节段性牵张成骨使各节段相互靠近，缩小了大的腭瘘的尺寸，以便使用传统黏膜瓣更易于处理。
