摘要
目的探讨修复婴儿完全性腭裂畸形的最佳时机。方法应用双侧单蒂瓣法（Bardach法）加双侧腭帆提肌吊带成形术，于婴儿6～12个月时完成腭裂修复术，并应用计算机辅助FFT（快速博立叶变换）元音声学对婴儿术前、后的发音进行分析比较。结果本组26例婴儿腭裂伤口均一期愈合，无腭瘘等并发症发生，术后发音经计算机辅助FFT声学分析结果显示：所有患儿腭咽闭合功能均有明显改善。结论应用双侧单蒂瓣法加双侧腭帆提肌吊带成形术，于婴儿6～12个月时完成腭裂修复术，技术安全可靠，术后发音效果良好。
Objective To repair the complete cleft palate with the most popular technique at optimal time. Methods Bilateral unipedicle flaps （Bardach method） combined with levator sling plasty were employed to repair complete cleft palate at the age of 6 - 12 months. Computer-aided FFT vocal analysis was performed before and after surgery. Results All patients had primary wound healing without any complication. The FFT vocal analysis showed great improvement in velopharyngeal incompetence after surgery. Conchlsions It is technically safe and feasible to repair the complete cleft palate at the age of 6 - 12 months with bilateral unipedicle flaps. Encouraging speech improvement can be expected with this method.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2008年第4期279-281,共3页
Chinese Journal of Plastic Surgery
关键词
腭裂
腭帆提肌吊带成形术
腭裂修复术
Cleft palate
Levator sling reconstruction
Cleft palate plasty
