Mir Mohd Altaf, Manohar Nishank, Chattopadhyay Debarati, Mahakalkar Sameer S
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Arch Plast Surg. 2021 Jan;48(1):75-79. doi: 10.5999/aps.2020.00416. Epub 2021 Jan 15.
Bardach described a closure of the cleft utilizing the arch of the palate, which provides the length needed for closure and is most effective only in narrow clefts. Herein, we describe a case where we utilized Bardach's two-flap technique with a vital and easy modification, done to allow closure of a wide cleft palate and to prevent oronasal fistula formation at the junction of the hard and soft palate, which are otherwise difficult to manage with conventional flaps. The closed palate showed healthy healing, palatal lengthening, and no oronasal regurgitation. We advise using this modification to achieve the goals of palatal repair in difficult cases where tension-free closure would otherwise be achieved with more complex flap surgical techniques, such as free microvascular tissue transfer.
巴达克描述了一种利用腭弓关闭腭裂的方法，该方法可提供关闭所需的长度，且仅在狭窄腭裂中最为有效。在此，我们描述了一个病例，在该病例中我们对巴达克的双瓣技术进行了重要且简便的改良，以实现宽腭裂的关闭，并防止硬腭与软腭交界处形成口鼻瘘，而这些情况用传统皮瓣难以处理。关闭后的腭部显示愈合良好、腭部延长，且无口鼻反流。我们建议在困难病例中使用这种改良方法来实现腭裂修复的目标，在这些病例中，若不采用这种改良方法，原本需用更复杂的皮瓣手术技术（如游离微血管组织移植）才能实现无张力关闭。
