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犁骨瓣:治疗腭裂的黄金工具。

Vomer Flap: A Golden Tool for the Treatment of Cleft Palate.

作者信息

Díaz Rafael Gómez, Díaz Oswaldo Javir Gómez, Gallardo Luz Elena Rueda

机构信息

Department of Surgery, Division of Plastic Surgery, School of Medicine, Universidad Nacional de Colombia, Fundación Hospital de la Misericordia, Bogotá, Colombia.

出版信息

J Craniofac Surg. 2018 Sep;29(6):e610-e613. doi: 10.1097/SCS.0000000000004661.

Abstract

Despite the lack of consensus regarding the treatment of labio-palatal clefts, each treatment protocol is the expression of an individual perspective that accumulates the experience of each multidisciplinary group, which all pursue the same goal: to achieve adequate language development with the lowest possible impact on facial growth. To achieve this, a management scheme has been developed, this exploits vomer flaps for the closure of palatal clefts and limits dissections in the palatine segments. Modifications are presented in the design and dissection of vomer flaps, so as to use the largest amount of mucosal tissue available, thus facilitating closure of the different clefts, particularly in Veau Group III clefts.

摘要

尽管在唇腭裂治疗方面缺乏共识,但每种治疗方案都是个人观点的体现,它积累了每个多学科团队的经验,所有团队都追求同一个目标:实现充分的语言发育,同时对面部生长的影响降至最低。为实现这一目标,已制定了一种治疗方案,该方案利用犁骨瓣关闭腭裂,并限制在腭部的解剖操作。文中介绍了犁骨瓣设计和解剖方面的改进,以便利用尽可能多的可用黏膜组织,从而便于闭合不同类型的腭裂,尤其是在韦氏Ⅲ组腭裂中。

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