腭帆提肌重建联合咽后壁瓣术在先天性腭裂中的临床应用  

Clinical application of levator veli palatini retroposition combined with pharyngeal flap in congenital cleft palate repair

作　　者：曹春雷[1] 万延俊[2] 张红闯[2] 朱效萍[1] 

机构地区：[1]姜堰市人民医院口腔科,姜堰225500 [2]徐州市第一人民医院口腔科,徐州221002

出　　处：《口腔医学》2012年第6期341-343,共3页Stomatology

摘　　要：目的探讨腭帆提肌重建联合咽后壁瓣术在先天性腭裂中的临床应用。方法采用腭帆提肌重建联合咽后壁瓣术,共修补47例先天性腭裂患者,其中单侧完全性腭裂21例,不完全性腭裂26例。结果所有患者均一期愈合,未出现腭瘘,随诊1～3年,语音清晰度满意。结论腭帆提肌重建联合咽后壁瓣术较好地恢复了腭帆提肌正常的解剖结构和位置,获得了良好的腭咽闭合,并有效地降低了术后腭瘘的发生率,是一种值得推荐的功能性腭裂修复方法。Objective To explore the clinical application of levator veli palatini retroposition combined with pharyngeal flap in congenital cleft palate repair.Methods A total of 47 patients with congenital cleft palate underwent this kind of surgery,including 21 cases of unilateral complete cleft palate and 26 cases of incomplete cleft palate.Results All patients healed without occurrence of palatal fistula and were followed up for 1-3 years.There was significant improvement in speech intelligibility.Conclusions It suggests that it is a useful procedure in cleft palate repair to make retroposition of the abnormally oriented levator veli palatini into a more normal anatomical position,and to reconstruct levator sling to reach good velopharyngeal competence.Furthermore,this technique that reduces chances for palatal fistula is worthy of further application.

关 键 词：腭裂 腭咽闭合 腭帆提肌重建 咽后壁瓣 腭瘘 

分 类 号：R782.2[医药卫生—口腔医学]