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改良冯·兰根贝克腭裂修复术在鼻腔附近采用无张力黏骨膜瓣且无松弛切口的初步结果

The Preliminary Results of a Modified Von Langenbeck Cleft Palate Repair With Tension-free Mucoperiosteal Flap Near Nasal Cavity Without Relaxation Incision.

作者信息

Wang Jingyi, Li Haidong, Gao Shikang

机构信息

Plastic Surgery Center.

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, & People's Hospital of Morin Dawa Daur Autonomous Banner, Inner Mongolia Autonomous Region, People's Republic of China.

出版信息

J Craniofac Surg. 2025 May 1;36(3):858-861. doi: 10.1097/SCS.0000000000011024. Epub 2024 Dec 25.

Abstract

To explore the application of modified Von Langenbeck cleft palate repair with tension-free mucoperiosteal flap near the nasal cavity and without relaxation incision, and the cleft palate defect was repaired by covering both sides of the edge of the in situ mucoperiosteal flap. This treatment method provides a good aesthetic restoration effect. Modified Von Langenbeck cleft palate repair with mucoperiosteal flap near the nasal cavity without tension and relaxation incision was used to repair the cleft palate. At the same time, the affected side nasal malformation was corrected. The modified Von Langenbeck cleft palate repair with mucoperiosteal flap near the nasal cavity without tension and relaxation incision is a good choice, without additional relaxation incision near the gingiva, which is closest to the physiological state of anatomic repair. The mucosa and gingival side palatal mucosa return to where they should be. There was no limited mouth opening and scar contracture of loose incision near the gingiva. The modified Von Langenbeck cleft palate repair with mucoperiosteal flap near the nasal cavity without tension and relaxation incision is a safe and reliable method with a high success rate and simple operation for various types of cleft palate. Even if the cleft palate recurs, this mucosal flap can be used again to repair it.

摘要

探讨改良的无张力鼻腔侧黏骨膜瓣Von Langenbeck腭裂修复术,不做松弛切口,通过原位黏骨膜瓣边缘两侧覆盖修复腭裂缺损。该治疗方法具有良好的美学修复效果。采用改良的无张力鼻腔侧黏骨膜瓣且不做松弛切口的Von Langenbeck腭裂修复术修复腭裂,同时矫正患侧鼻畸形。改良的无张力鼻腔侧黏骨膜瓣且不做松弛切口的Von Langenbeck腭裂修复术是一种很好的选择,无需在牙龈附近额外做松弛切口,最接近解剖修复的生理状态。黏膜及牙龈侧腭黏膜归位。牙龈附近无张口受限及松弛切口瘢痕挛缩。改良的无张力鼻腔侧黏骨膜瓣且不做松弛切口的Von Langenbeck腭裂修复术是一种安全可靠的方法,成功率高,操作简单,适用于各种类型的腭裂。即使腭裂复发,该黏膜瓣也可再次用于修复。

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