Han Hyun Ho, Kang In Sook, Rhie Jong Won
Department of Plastic and Reconstructive Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Arch Craniofac Surg. 2014 Aug;15(2):105-108. doi: 10.7181/acfs.2014.15.2.105. Epub 2014 Aug 14.
A 14-month-old child was diagnosed with a Veau Class II cleft palate. Von Langenbeck palatoplasty was performed for the right palate, and V-Y pushback palatoplasty was performed for the left palate. The child did not have a special problem during the surgery, and the authors were able to elongate the cleft by 10 mm. Contrary to preoperative concerns regarding the hybrid use of palatoplasties, the uvula and midline incisions remained balanced in the middle. The authors named this combination method "half-and-half palatoplasty" and plan to conduct a long-term follow up study as a potential solution that minimizes the complications of palatoplasty.
一名14个月大的儿童被诊断为韦氏Ⅱ类腭裂。右侧腭部进行了朗根贝克腭成形术,左侧腭部进行了V-Y后推腭成形术。患儿手术过程中未出现特殊问题,术者成功将腭裂延长了10毫米。与术前对腭成形术联合使用的担忧相反,悬雍垂和中线切口在中间保持平衡。作者将这种联合方法命名为“对半腭成形术”,并计划进行长期随访研究,作为一种可将腭成形术并发症降至最低的潜在解决方案。