Nakakita N, Maeda K, Ando S, Ojimi H, Utsugi R
Department of Plastic Surgery, Kanagawa Children's Medical Center, Yokohama, Japan.
Br J Plast Surg. 1990 Jul;43(4):452-6. doi: 10.1016/0007-1226(90)90012-o.
Forty-two patients aged 4 to 13 (mean 7 years) had palatal fistulae closed with a buccal musculomucosal flap. The pedicle was divided approximately 2 weeks after the initial operation. Complete closure at the first attempt was obtained in 69% of the cases though, when the fistulae were large and extended to the anterior hard palate, the results were not as good (36%). Almost no detrimental after-effects occurred at the donor site. The buccal musculomucosal flap was found to be a useful alternative to a tongue flap.
42例年龄在4至13岁（平均7岁）的患者采用颊肌黏膜瓣关闭腭瘘。在初次手术后约2周切断蒂部。69%的病例首次尝试即获得完全关闭，不过，当瘘口大且延伸至硬腭前部时，效果不佳（36%）。供区几乎未出现有害的后遗症。颊肌黏膜瓣被发现是舌瓣的一种有用替代方法。
