Leng Y C
Department of Plastic Surgery, Affiliated Hospital of Nanjing Railway Medical College.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1990 Jun;6(2):109-10, 157.
Since July 1987 till January 1989, The double reverse Z-plasty of the soft palate has been used in 12 patients. Seven patients had complete unilateral cleft palates, one had incomplete cleft, two had soft cleft palates and two had complete bilateral cleft palates. Male 7, female 5. The eldest was 25 years of age, the youngest was 3 years. The technique differs from the usual method in two ways. Firstly, the soft palate is closed with two reverse Z-plasties. The transposition of two flaps can be lengthened along central limb without using the tissue from the hard palate. Secondly, in order to eliminate the horseshoe limp scar around the inner aspect of the alveolus for improving the growth potential of the maxilla, the hard palate is closed without lateral relaxing incisions.
自1987年7月至1989年1月，对12例患者采用了软腭双反向Z成形术。其中7例为完全性单侧腭裂，1例为不完全性腭裂，2例为软腭裂，2例为完全性双侧腭裂。男性7例，女性5例。年龄最大者25岁，最小者3岁。该技术在两个方面与常规方法不同。首先，用两个反向Z成形术关闭软腭。两个皮瓣的移位可沿中央肢延长，而无需使用硬腭组织。其次，为消除牙槽内侧的马蹄形瘢痕以改善上颌骨的生长潜力，硬腭关闭时不做侧方松弛切口。
