Fayyaz Ghulam Qadir, Gill Nauman Ahmad, Chaudry Ayesha, Ishaq Irfan, Aslam Muhammad, Shamim Romaisa, Kafeel Mirza Muhammad, Aazam Muhammad, Sailer Hermann, Ganatra Muhammad Ashraf
Services Institute of Medical Sciences, Lahore, Pakistan; Clapp Hospital, Lahore, Pakistan; Sailer Clinic, Zurich, Switzerland; and Dow University of Health Sciences, Karachi, Pakistan.
Plast Reconstr Surg Glob Open. 2017 Feb 15;5(2):e1235. doi: 10.1097/GOX.0000000000001235. eCollection 2017 Feb.
Restoration of proper anatomy and physiology is an integral part of cleft palate repair. The senior author has devised a new technique of radical release of greater palatine vessels, which helps in achieving tension-free closure of palatal cleft. In addition, release and transposition of palatal muscles is performed without the use of operative microscope, resulting in improved palatal function. This technique is applicable to all types of clefts of the palate and can be performed on adult patients as well.
This is a retrospective case series of cleft palate repairs performed over a period of 3 years. Single-stage repair with modified Bardach's technique for complete cleft palate and von Langenbeck's technique for incomplete cleft palate with radical release of greater palatine vessels and levator complex retropositioning was performed. The outcome measures were closure of palatal defect and speech production. A follow-up of at least 6 months was completed in each patient.
A total of 1568 patients were included in the study. Their age ranged from 9 months to 54 years. The overall fistula rate was 6.1%. Improvement of speech was observed even in adult patients.
Radical release of greater palatine artery and levator complex transposition can dramatically improve results of cleft palate repair. This technique helps in dynamic reconstruction of cleft palate and can be effectively applied in all age groups.
恢复正常的解剖结构和生理功能是腭裂修复的一个重要组成部分。资深作者设计了一种新的腭大血管彻底松解技术，这有助于实现腭裂的无张力关闭。此外，腭肌的松解和移位在不使用手术显微镜的情况下进行，从而改善腭部功能。该技术适用于所有类型的腭裂，也可用于成年患者。
这是一个回顾性病例系列，涵盖了3年内进行的腭裂修复手术。采用改良的Bardach技术对完全性腭裂进行一期修复，采用von Langenbeck技术对不完全性腭裂进行一期修复，并对腭大血管进行彻底松解以及提肌复合体复位。观察指标为腭部缺损的关闭情况和语音产生情况。每位患者均完成了至少6个月的随访。
本研究共纳入1568例患者。他们的年龄从9个月到54岁不等。总体瘘管发生率为6.1%。即使在成年患者中也观察到了语音改善。
腭大动脉的彻底松解和提肌复合体移位可显著改善腭裂修复效果。该技术有助于腭裂的动态重建，可有效应用于所有年龄组。
