Gupta Vishal, Cohan David M, Arshad Hassan, Kuriakose Moni A, Hicks Wesley L
Roswell Park Cancer Institute, Department of Head and Neck Surgery, Corner of Elm and Carlton, Buffalo, New York, USA.
Curr Opin Otolaryngol Head Neck Surg. 2012 Aug;20(4):225-30. doi: 10.1097/MOO.0b013e328355389f.
The palate is a critical structure, playing pivotal roles in speech, swallowing, and mastication. Reconstruction of the palate is among the most difficult challenges faced by head and neck reconstructive surgeons. The primary aims of this review are to catalog the evolution of the classification systems for palatal defects, discuss decision making surrounding the various options for hard palate reconstruction, and address the special challenges and techniques involved in soft palate reconstruction.
The Okay Classification System has become the standard by which most hard palatal defects are assessed. Free tissue transfer seems to be becoming an increasingly important therapeutic modality for many hard and soft palate defects.
Success in the management of palatal defects depends on accurate appreciation of the size and functional extent of each defect, careful patient selection, and specific attention to each patient's goals.
腭是一个关键结构，在言语、吞咽和咀嚼中起关键作用。腭重建是头颈重建外科医生面临的最具挑战性的难题之一。本综述的主要目的是梳理腭部缺损分类系统的演变，讨论围绕硬腭重建各种选择的决策制定，并阐述软腭重建所涉及的特殊挑战和技术。
奥凯分类系统已成为评估大多数硬腭缺损的标准。对于许多硬腭和软腭缺损，游离组织移植似乎正成为一种越来越重要的治疗方式。
腭部缺损治疗的成功取决于对每个缺损的大小和功能范围的准确评估、仔细的患者选择以及对每个患者目标的特别关注。
