摘要
为修复腭裂畸形1992年1月以来,应用硬腭粘膜瓣后推,软腭鼻腔粘膜 Z 成形术,腭帆提肌吊带重建,颊肌粘膜瓣移转修复硬腭裂隙及腭部创面,选择性地施行去神经的(足母)短伸肌游离移植行腭咽环扎等综合手术,修复20例腭裂及腭裂术后腭咽闭合不全患者,效果满意。
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,circumfer- ential 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.
关键词
腭裂
腭咽闭合不全
外科手术
修复术
Cleft palate
Velopharyngeal incompetence
Denervated extensor hallucis brevis muscle
