腭裂患者腭瘘的单层缝合加舌瓣修复术
Single-layer Closure with Tongue Flap for Palatal Fistula in Cleft Palate Patients.
作者信息
Alsalman Abdulla K, Algadiem Emran A, Alwabari Mufeed Saeed, Almugarrab Fatimah Jawad
机构信息
Plastic Surgery Department; Saudi Board Resident of Plastic Surgery; Saudi Board Resident of General Surgery; and Plastic Surgery Intern, King Fahad Hospital, Hofuf, Saudi Arabia.
出版信息
Plast Reconstr Surg Glob Open. 2016 Aug 24;4(8):e852. doi: 10.1097/GOX.0000000000000841. eCollection 2016 Aug.
BACKGROUND
Tongue flap is a good option to close a complicated palatal fistula in cleft patients. Most surgeons advocate a double-layer closure to decrease the recurrence rates. In this study, we have reported our experience with a modified single-layer closure with tongue flap in cleft patients.
METHOD
All cases done by a single surgeon using this modified technique in a period of 10 years were retrospectively reviewed. A thorough description of this technique is also provided in the study.
RESULTS
Only 5 cases were operated on using this technique. The success rate of all these cases was 100%, with no recurrence of fistula and few complications.
CONCLUSIONS
This technique provides a way to avoid nasal layer closure in cases where nasal layer is difficult or impossible to close. It also limits the need for a second flap for nasal layer closure.
背景
舌瓣是关闭腭裂患者复杂腭瘘的良好选择。大多数外科医生主张双层缝合以降低复发率。在本研究中，我们报告了在腭裂患者中使用改良单层舌瓣缝合的经验。
方法
回顾性分析一位外科医生在10年期间采用这种改良技术完成的所有病例。本研究还对该技术进行了详细描述。
结果
仅5例采用此技术进行手术。所有这些病例的成功率为100%，无瘘管复发且并发症少。
结论
该技术为鼻层难以或无法关闭的病例提供了一种避免鼻层缝合的方法。它还减少了用于鼻层缝合的第二个皮瓣的需求。
Zotero 插件