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腭裂修复失败后采用带蒂舌瓣重建持续性口鼻瘘——两例报告

Reconstruction of persistent oronasal communication using an anteriorly based tongue flap following failed cleft palate repair-Report of two cases.

作者信息

Guthua Symon, Sarna Krishan, Kamau Martin, Ng'ang'a Peter M

机构信息

Unit of Oral and Maxillofacial Surgery, Oral Pathology and Oral Medicine, Department of Dental Sciences University of Nairobi Nairobi Kenya.

Department of Human Anatomy University of Nairobi Nairobi Kenya.

出版信息

Clin Case Rep. 2023 Mar 8;11(3):e7066. doi: 10.1002/ccr3.7066. eCollection 2023 Mar.

DOI:10.1002/ccr3.7066
PMID:36911636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9995814/
Abstract

The tongue flap is a suitable alternative to local mucoperiosteal flaps in closure of wide, persistent oronasal communications, surrounded by scarred and fibrotic tissue as a result of previously attempted palatoplasty. Herein, we report two cases with large recurrent oronasal communication closed using the anteriorly based dorsal tongue flap.

摘要

舌瓣是局部黏骨膜瓣的一种合适替代方法，用于关闭因先前腭裂修复术导致周围有瘢痕和纤维化组织的广泛、持续性口鼻瘘。在此，我们报告两例使用带蒂舌背瓣关闭巨大复发性口鼻瘘的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/a869c5bc0af8/CCR3-11-e7066-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/a10ff217e2a2/CCR3-11-e7066-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/107b474f8c4e/CCR3-11-e7066-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/03beaca0e727/CCR3-11-e7066-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/1f5c97da98b0/CCR3-11-e7066-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/c82786ef9934/CCR3-11-e7066-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/a869c5bc0af8/CCR3-11-e7066-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/a10ff217e2a2/CCR3-11-e7066-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/107b474f8c4e/CCR3-11-e7066-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/03beaca0e727/CCR3-11-e7066-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/1f5c97da98b0/CCR3-11-e7066-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/c82786ef9934/CCR3-11-e7066-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f16/9995814/a869c5bc0af8/CCR3-11-e7066-g006.jpg

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本文引用的文献

1
Eight Month-Old-Infant Impaled by Toothbrush Through the Hard Palate.八个月大婴儿牙刷经硬腭刺入
Indian J Otolaryngol Head Neck Surg. 2023 Jun;75(2):1177-1179. doi: 10.1007/s12070-022-03402-9. Epub 2023 Jan 9.
2
An innovative approach in the management of alveolar clefts with bone graft harvest from maxillary tuberosity and mandibular wisdom molar odontectomy sites: A case report.一种从上颌结节和下颌智齿拔除部位获取骨移植材料来治疗牙槽嵴裂的创新方法：病例报告。
Clin Case Rep. 2021 Dec 26;9(12):e05253. doi: 10.1002/ccr3.5253. eCollection 2021 Dec.
3
The tongue flap for large palatal fistulas, a success or a failure? Our 15-year experience.
腭大裂孔的舌瓣修复，成功还是失败？我们的 15 年经验。
J Plast Surg Hand Surg. 2020 Jun;54(3):151-155. doi: 10.1080/2000656X.2020.1720702. Epub 2020 Feb 24.
4
Tongue flap: a "workhorse flap" in repair of recurrent palatal fistulae.舌瓣：修复复发性腭瘘的“主力皮瓣”
Oral Maxillofac Surg. 2020 Mar;24(1):93-101. doi: 10.1007/s10006-019-00823-9. Epub 2020 Jan 6.
5
Tongue flap as salvage procedure for recurrent and large palatal fistula after cleft palate repair.舌瓣作为腭裂修复术后复发性大腭瘘的挽救性手术方法。
Afr J Paediatr Surg. 2018 Apr-Jun;15(2):88-92. doi: 10.4103/ajps.AJPS_131_16.
6
Versatility of Tongue Flaps for Closure of Palatal Defects- Case Report.舌瓣用于腭部缺损修复的多功能性——病例报告
J Clin Diagn Res. 2017 Jan;11(1):ZD31-ZD33. doi: 10.7860/JCDR/2017/23978.9219. Epub 2017 Jan 1.
7
Oro-Nasal Communication.口鼻相通
J Craniofac Surg. 2016 Sep;27(6):e529-33. doi: 10.1097/SCS.0000000000002815.
8
Recurrence rate of repaired hard palate oronasal fistula with conchal cartilage graft.使用耳甲软骨移植修复硬腭口鼻瘘的复发率。
J Res Med Sci. 2014 Oct;19(10):956-60.
9
The versatility of the tongue flap in the closure of palatal fistula.舌瓣在腭裂瘘管闭合中的多功能性。
Craniomaxillofac Trauma Reconstr. 2012 Sep;5(3):145-60. doi: 10.1055/s-0032-1313352.
10
Tongue flap revisited.舌瓣再探讨。
J Cancer Res Ther. 2013 Apr-Jun;9(2):215-8. doi: 10.4103/0973-1482.113354.