Plastic and Cleft-Craniofacial Surgery, A&D DermePlastique, Sao Paulo, Brazil.
The Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Cleft Palate Craniofac J. 2023 Apr;60(4):503-508. doi: 10.1177/10556656211064769. Epub 2021 Dec 3.
Pedicled buccal fat flaps have been adopted in primary Furlow double-opposing Z-plasty palatoplasty to reduce oronasal fistula formation or to attenuate maxillary growth disturbance. We combined both goals in a single intervention. This study describes a series of 33 modified Furlow small double-opposing Z-plasty palatoplasties reinforced with a middle layer of pedicled buccal fat flaps between the oral and nasal layers for full coverage of the dissected palatal surfaces, with rapid mucosalization of lateral relaxing incisions and no dehiscence or fistula formation.
带蒂颊脂垫瓣已被应用于原发性 Furlow 双对向 Z 成形腭裂修复术，以减少口鼻瘘的形成或减轻上颌生长发育障碍。我们在单一干预中结合了这两个目标。本研究描述了 33 例改良 Furlow 小双对向 Z 成形腭裂修复术的系列病例，术中在口腔层和鼻腔层之间的中间层使用带蒂颊脂垫瓣进行加固，以完全覆盖分离的腭面，同时快速黏膜化外侧松弛切口，无裂开或瘘管形成。
