Pappachan Biju, Vasant R
Department of Maxillofacial Surgery, Radhika Meghe Memorial Medical Trust, Sawangi (Meghe), Wardha, Maharashtra, India.
Br J Oral Maxillofac Surg. 2008 Jun;46(4):310-2. doi: 10.1016/j.bjoms.2007.05.002. Epub 2007 Jul 20.
We have used the pedicled buccal fat pad in a patient with a wide unilateral cleft palate when there was tension in the nasal layer even after complete release. The levator muscle was dissected and repositioned and the nasal layer was released transversely at the site of maximum tension between the hard and soft palate. The pedicled flap was placed into this defect. Pedicled buccal fat pad can be brought from the lateral releasing incision itself without adding another donor site. The postoperative course was uneventful.
对于一名单侧完全性腭裂患者，即便在彻底松解后鼻层仍存在张力时，我们采用了带蒂颊脂垫。解剖并重新定位提肌，在硬腭与软腭之间张力最大处横向松解鼻层。将带蒂皮瓣置入该缺损处。带蒂颊脂垫可直接取自外侧松解切口，无需增加额外的供区。术后过程顺利。
