Hallock G G
Division of Plastic Surgery, Lehigh Valley Hospital, Allentown, PA, USA.
Ann Plast Surg. 1997 Jan;38(1):69-73. doi: 10.1097/00000637-199701000-00013.
The untreated isolated cleft of the palate in an adult is rarely encountered today. It can also be difficult to close using conventional techniques because of the disparity between the extremely wide cleft and the paucity of available local tissues. One possible solution is a thin radial forearm free flap. If used as a bilaminar flap prefabricated by placement of a skin graft on its fascial undersurface at an initial stage, both the requisite nasal lining and oral mucosa can simultaneously be introduced to close the palate. This maneuver may reduce the potential for late flap contracture and avoids cumbersome methods for immobilizing a skin graft if this were attempted after flap transfer.
如今，成人未治疗的孤立性腭裂已很少见。由于腭裂极宽且局部可用组织匮乏，采用传统技术进行修复也可能存在困难。一种可能的解决办法是使用薄型桡侧前臂游离皮瓣。如果在初始阶段将皮片置于其筋膜下表面预制为双层皮瓣使用，那么所需的鼻内衬里和口腔黏膜可同时用于关闭腭裂。这种操作可能会降低皮瓣后期挛缩的可能性，并且避免了在皮瓣转移后若尝试固定皮片时所采用的繁琐方法。
