腭裂术后瘘修复的研究进展  

Advances in the reconstruction of palatal fistula after cleft-palate operation

作　　者：徐一尘 鲁勇[1] Xu Yichen;Lu Yong(Dept.of Oral and Maxillofacial Surgery,Nanjing Stomatological Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属口腔医院(南京市口腔医院)口腔颌面外科,南京210008

出　　处：《国际口腔医学杂志》2024年第5期624-629,共6页International Journal of Stomatology

基　　金：江苏省自然科学基金青年项目(BK20210033)。

摘　　要：腭瘘是腭裂术后的并发症之一,影响患者的口腔卫生、语言功能及心理健康。腭瘘的影响因素和修复方法,如何在修复的同时降低其复发率以及恢复生理功能和美观,是腭瘘修复的研究重点。本文着重叙述了可能导致腭瘘发生的相关因素,如腭裂类型、腭裂宽度、修复术式,以及修复时患者年龄等;进而讨论了腭瘘修复的外科手段,对各种组织瓣的应用进行了分析比较;最后介绍了使用新型材料,包括脱细胞真皮基质、引导组织再生膜、胶原膜和新微创方法修复腭瘘的效果。Postoperative fistula is one of the complications of cleft-palate repair,affecting oral hygiene,function of language,and mental health.The factors affecting palatal fistula,reconstruction methods,how to reduce its recurrence rate during repair,and how to restore physiological function and aesthetics have become the focus of research on palatal-fistula repair.This article focuses on the factors contributing to the occurrence of palatal fistula,including cleft-palate type,cleft-palate width,reconstructive procedures,and age at the time of repair.Surgical techniques for palatal fistula repair are discussed.Novel materials such as acellular dermal matrix,guided tissue-regeneration membrane,collagen membrane,and minimally invasive approaches to repairing palatal fistula are introduced.

关 键 词：腭裂 腭瘘 分类 影响因素 修复方式 

分 类 号：R782.22[医药卫生—口腔医学]