摘要
目的 研究颊肌黏膜瓣在腭裂术后硬腭穿孔修补术中的可行性及临床应用。方法 10例6～13岁唇腭裂患者腭裂术后并发硬腭部穿孔及前庭瘘,穿孔大小约5～10mm×8～15mm ,手术方法:将硬腭前分穿孔周边偏口腔侧切开达骨面,在口腔侧向鼻腔侧翻瓣,鼻腔侧黏膜作内翻缝合。制作同侧颊肌黏膜组织瓣并将瓣旋转绕过牙槽裂达腭侧与口腔侧黏骨膜对位褥式加间断缝合,碘仿纱布加压固定,术后10d拆线,无需断蒂。结果 所有病例伤口均一期愈合,组织瓣血供良好,未出现复裂。结论 应用颊肌黏膜瓣修补腭裂术后硬腭前分穿孔能达到良好效果,该组织瓣血供丰富,可操作性强,为修补腭裂术后穿孔提供一种有效的方法。
Objective To explore the procedure of repairing perforation at the anterior hard palate and alveolar cleft with buccal musculomucosal flap. Methods Ten subjects with perforation at the anterior hard palate secondary to primary surgery and alveolar cleft, aged six to thirteen years old, underwent buccal musculomucosal flaps reconstruction. The size of the perforation ranged from 5 mm×8 mm to 10 mm×15 mm. A buccal musculomucosal flap was harvested to seal the defect after an incision was made around the margin of the perforation and the cleft and the nasal mucosal side was approximated separately. Results All flaps were successful in achieving wound coverage without any complications involving flap necrosis. Conclusion Buccal musculomucosal flap becomes a clinical reality in repairing perforation at the anterior hard palate and alveolar cleft.
出处
《广东牙病防治》
2005年第2期105-106,共2页
Journal of Dental Prevention and Treatment
基金
广东省医学科学技术研究基金项目 (A2 0 0 1 0 0 5)
关键词
颊肌黏膜瓣
腭裂术后
硬腭穿孔修补术
临床应用
组织移植
Buccal musculomucosal flap Perforation at the anterior hard palate Tissue transplantation
