Zhao Z, Li S, Xu J
Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1996 Mar;12(2):110-2.
From January of 1992, we applied a combined method to repair cleft palate in 20 patients and received satisfactory results. The method is characterized by pushing back the mucosal flap of the hard palate, a Z-plasty on the nasal mucosa, repositioning the levator muscle to lengthen the palate, circumferential pharyng oplasty using denervated extensor hallucis brevis muscle, without making relaxing incisions and elevating the mucoperiosteal flap, avoiding interference to the greater and lesser palatine vessels and nerves, without relaxing palatal aponeurosis. The advantages of this method are preserving the normal anatomy and function of the palate and nasopharyngeal cavity, improving the function of velopharyngeal closure and minimizing secondary deformities.
自1992年1月起，我们应用一种联合方法为20例腭裂患者进行修复，取得了满意的效果。该方法的特点是将硬腭黏膜瓣向后推移，在鼻黏膜上进行Z成形术，重新定位提肌以延长腭部，使用去神经的拇短伸肌进行环周咽成形术，不做松弛切口和掀起黏骨膜瓣，避免干扰腭大、小血管和神经，不松弛腭腱膜。该方法的优点是保留腭部和鼻咽腔的正常解剖结构和功能，改善腭咽闭合功能并使继发畸形最小化。
