Mavili M E, Gucer T, Erk Y
Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Cleft Palate Craniofac J. 1993 Sep;30(5):497-9. doi: 10.1597/1545-1569_1993_030_0497_uaotsp_2.3.co_2.
Congenital absence of half of the soft palate is a rare deformity. There is little in the literature about its definition and management. This article presents a case with velopharyngeal insufficiency caused by unilateral absence of the soft palate. The patient was treated with a modification of the mucoperiosteal island flap, first designed by Millard, to provide nasal lining during pushback lengthening of a short cleft palate. The speech quality of the patient improved noticeably after the operation. Although island flap has limited use in primary cleft palate surgery, it may be effective in reconstruction of soft palate defects, when standard pushback procedures are not adequate for solving the problem.
先天性软腭半侧缺如是一种罕见的畸形。关于其定义和治疗，文献中鲜有记载。本文介绍了一例因软腭单侧缺如导致腭咽闭合不全的病例。患者接受了改良的黏膜骨膜岛状瓣治疗，该瓣最初由米勒德设计，用于在短腭裂后推延长术中提供鼻内衬。术后患者的语音质量有显著改善。尽管岛状瓣在原发性腭裂手术中的应用有限，但当标准的后推手术不足以解决问题时，它可能对软腭缺损的重建有效。
