软腭的肌肉组织：腭裂治疗中的临床解剖学关联及治疗意义
Musculature of the soft palate: clinico-anatomic correlations and therapeutic implications in the treatment of cleft palates.
作者信息
Vacher C, Pavy B, Ascherman J
机构信息
Division of Pediatric Plastic Surgery, Hôpital St. Vincent de Paul, Paris, France.
出版信息
Cleft Palate Craniofac J. 1997 May;34(3):189-94. doi: 10.1597/1545-1569_1997_034_0189_motspc_2.3.co_2.
OBJECTIVE
Hypoplasia of the maxilla, often described as a classic sequela to surgical repair of the cleft palate, has been rare in our experience. We believe that our surgical technique, which includes dividing the nasal mucosa and the abnormal muscular insertions at the posterior border of the hard palate, is an important factor in preventing this sequela.
METHOD
We compared the anatomy of 12 normal palates in cadavers to the anatomy of cleft palates seen at operation and to the anatomy of one cleft palate in a fetus aged 34 weeks.
RESULTS
In cleft palates, the muscular fibres have an abnormal sagittal orientation, inserting on the posterior border of the hard palate.
CONCLUSION
The division of both the nasal mucosa and these abnormal muscular insertions at the posterior border of the hard palate enables the surgeon to eliminate the abnormal posterior pull of these fibers on the maxilla.
目的
上颌骨发育不全常被描述为腭裂手术修复后的典型后遗症，但根据我们的经验，这种情况较为罕见。我们认为，我们的手术技术，包括切开鼻黏膜和硬腭后缘的异常肌肉附着，是预防这种后遗症的重要因素。
方法
我们将12具尸体正常腭部的解剖结构与手术中所见腭裂的解剖结构以及一名34周龄胎儿的腭裂解剖结构进行了比较。
结果
在腭裂中，肌纤维呈异常的矢状方向，附着于硬腭后缘。
结论
切开鼻黏膜和硬腭后缘的这些异常肌肉附着，可使外科医生消除这些纤维对上颌骨的异常向后牵拉。
Zotero 插件