软腭全层五瓣旋转推进修复腭裂的初步报告

　 来源：120online    　 日期：2007-05-07

　　【摘要】　目的　探讨腭裂功能性修复的新方法。方法　在先天性腭裂37例的裂隙两侧软腭区设计1个矩形瓣和4个三角形瓣。切开后将各瓣旋转并向对侧推进，交错插入后逐层缝合。结果　采用该法治疗腭裂达到了关闭裂隙并延长软腭长度、形成软腭动力性肌环的兼备要求，31例经0.5～2年随访证实手术效果稳定。结论　本术式在修复裂隙的同时，增加了软腭长度，恢复了腭咽闭合所需的软腭后退及上提功能，可视为腭裂功能性修复的较好方法之一。

A preliminary report of cleft palate repair by rotation and advancement of full thickness soft palate

WU Weihua, YAN Sheng, XU Jinghong, et al.

　　（The Center of Cleft Lip and Cleft Palate Treatment of Hangzhou Plastic Surgery Hospital, Hangzhou 310014, China ）

　　【Abstract】　Objective　To introduce a new method of functional cleft palate repair.Methods　Square flap A and triangular flaps B,C,D were designied on the each sides of defect at soft palate. They were advanced and rotated, each flap was inserted to the opposite side and then sutured. The lavator veli (LV) muscle was detached and sutured to reconstruct the steady LV muscle sling.Results　This method was applied in 37 cases with satisfactory results of extending the soft palate, forming the dynamic soft palate muscular sling, and achieving velopharyngeal closure (VPC) 31 cases were floow ed-up for half year to 2 years, the effects of operation are stable.Conclusions　This method not only close the cleft but also restore the soft palate's function of elevating and pushing back to achieve the ideal VPC.

　　【Key words】　Cleft palate;　 Maxillofacial prosthesis

　　腭裂修复术的目的是修补腭裂裂隙的同时形成正常的腭咽闭合。我们利用局部组织转位最大限度延长主轴的原理，设计了以软腭全层五瓣旋转推进的方法延伸软腭和重建提肌功能的腭裂修复术式。应用本法治疗各类型先天性腭裂37例，取得了满意的效果，现报告如下。

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