Honigmann K
Clinic for Maxillofacial, Plastic, and Reconstructive Surgery, University Clinic, Kantonsspital, Basel, Switzerland.
Cleft Palate Craniofac J. 1994 May;31(3):228-9. doi: 10.1597/1545-1569_1994_031_0228_tcadip_2.3.co_2.
The article describes an older, simple, and effective method of postoperative fixation of the palatal flaps using celluloid-acetone dressing (CAD). Veau pedicle flaps and the construction of two nasal meatuses are used for the palatoplasty. After the surgery, a wire is round around teeth IV and V on each side: a prolene mattress suture, instead of wire, is used for infants without teeth. A celluloid-acetone paste is applied to the wire or suture over a layer of gauze and petroleum jelly. The CAD mixture hardens in less than 1 hour and is removed after 4 days by cutting the wire or suture. This method prevents the palatal flaps from descending; scar tissue is minimal, and assists in the formation of a high-arched roof of the palate. In addition, the patient feeds normally after the operation.
本文描述了一种使用赛璐珞 - 丙酮敷料（CAD）进行腭裂瓣术后固定的古老、简单且有效的方法。腭成形术采用维尔氏蒂瓣和两个鼻道的构建。术后，在两侧的IV和V齿周围环绕金属丝：对于无牙婴儿，则使用聚丙烯褥式缝线代替金属丝。在一层纱布和凡士林上，将赛璐珞 - 丙酮糊剂涂抹在金属丝或缝线上。CAD混合物在不到1小时内硬化，并在4天后通过剪断金属丝或缝线将其去除。该方法可防止腭裂瓣下降；瘢痕组织最少，并有助于形成高拱形的腭顶。此外，患者术后可正常进食。
