舌肌黏膜瓣修复腭裂术后硬腭巨大穿孔的临床研究  

Clinic Study of Tongue Musculomucosal Flaps In the Repairing of Large Anterior Palatal Fistulas.

作　　者：邓永强[1] 郑苍尚[1] 朱耀旻[1] 

机构地区：[1]深圳市第二人民医院口腔中心,广东深圳518035

出　　处：《口腔医学研究》2008年第4期411-413,共3页Journal of Oral Science Research

摘　　要：目的:探讨舌肌黏膜瓣修复腭裂术后硬腭区巨大穿孔的临床应用特点。方法:采用前蒂舌肌黏膜瓣对15例先天性腭裂术后硬腭区巨大穿孔的患者进行手术修复。在腭部穿孔区周缘偏口腔侧环形切开粘骨膜,向内反转并对位缝合,以封闭穿孔区的鼻腔侧;在舌背部设计相对应的前蒂舌肌黏膜瓣,将其向前翻转后覆盖腭部创面对位缝合,以关闭穿孔区的口腔侧。结果:除1例患者舌肌黏膜瓣与腭部穿孔区边缘出现微小裂孔外,其他14例患者的伤口均愈合良好。所有病例未发现舌体运动受限、感觉及味觉减退,术后语言功能得到明显改善。结论:舌肌黏膜瓣血供丰富,应用方便灵活,是修复腭裂术后硬腭区巨大穿孔的有效方法。Objective： To study the tongue musculomucosal flaps in the repairing of large anterior palatal fistulas. Methods： 15 cases with large anterior palatal fistulas were operated using the anteriorly based tongue museulomucosal flaps. Results： 14 cases were healed successfully without any complications except a fistula occurred in one patient. Conclusion ： The tongue musculomucosal flap has rich blood supply and can be used conveniently. The use of tongue musculomucosal flap to close large palatal fistulas is safe and reliable.

关 键 词：舌肌黏膜瓣 腭裂 腭穿孔 

分 类 号：R782[医药卫生—口腔医学]