摘要
采用硬腭前份粘骨膜后翻瓣修复腭裂５５例，修复裂隙宽度１．２ｃｍ～２．２ｃｍ，制取瓣最大面积２．５ｃｍ×２．０ｃｍ，软腭后退达０．５ｃｍ～１．５ｃｍ。此瓣利用硬腭前部粘骨膜修复软硬腭交界处的鼻咽侧缺损，硬腭前部覆盖不足则采用两大腭瓣（或单瓣）延长至同侧龈前庭粘膜的方法弥补。术后采用纤维内窥镜经鼻腔观察此瓣成活良好。术后取５岁～７岁年龄组患儿２１名与正常同年龄儿童６５名比较，口腔压力测定经ｔ值检验，Ｐ＞０．０５，无显著性差异，口腔压力方面基本达到正常儿童水平，建立了良好的腭咽闭合。
ln palatorrhaphy we subvoluted mucoperiosteal flap of anterior hard palate to pos-terior part to repair the cleft palate in 55 cases.The widths of the clefts are l.2-2.2cm。The maximumarea of the flap is 2.5cm×2.0cm,The retropulsions of the soft palates is 0.5-1.5cm,In this way,Wecan use the mucoperiosteal of anterior hard palate to repair the paranasal defect at the junction of hardand soft palate。To remedy the deficit overjet of the anterior hard palate,we prolong the palatic flap(double or single )to the homolateral vestibule。 After the operation by using fiberoptic endoscope per-nasally we observed that the flap survived well.We take 2l patients who are 5-7 years old as a groupto compare with the a group of 65 normal children who are of the same age。 Through the″t″test(sig-nificance test ),P>0.05,the patient's assay of the oral pressure have no signmcant dinerence from thatof normal's The oral pressure almost reaches the level of the normal children. It is indicated that suffi-cient palatopharyngeal closure has been constructed。
出处
《泰山医学院学报》
1995年第4期325-328,共4页
Journal of Taishan Medical College
关键词
腭裂
粘骨膜瓣
腭咽闭合
修复
cleft palate
mucoperiosteal flap
palatopharyngeal closure
